Nursing staff dynamics and implications for maternal health provision in public health facilities in the context of HIV/AIDS

Penn‐Kekana, Loveday; Blaauw, Duane; Tint, Khin San; Monareng, Desiree; Chege, Jane

doi:10.31899/rh4.1205

Cited by 33 publications

(28 citation statements)

References 10 publications

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“…In this study, nursing students viewed a higher salary as more important than other attributes. This confirms previous DCE studies in South Africa (Penn‐Kekana et al ., ), Malawi (Mangham and Hanson, ) and Ethiopia (Hanson and Jack, ), where nurses valued salary increases more than other job characteristics. This might be because of the fact that nurses in Indonesia are less satisfied with their salaries.…”

Section: Discussionmentioning

confidence: 99%

How to attract health students to remote areas in Indonesia: a discrete choice experiment

Efendi

Chen

Nursalam

et al. 2015

Health Planning & Management

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This study confirmed the importance of combination interventions in attracting and retaining health workers in remote areas of Indonesia. Money is not the only factor affecting student preferences to take up a rural post; good management and better facilities were viewed as important by all health students. Addressing health student preferences, which are the candidate of future health workforce, would help the nation solve the recruitment and retention issues. Copyright © 2015 John Wiley & Sons, Ltd.

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Section: Discussionmentioning

confidence: 99%

How to attract health students to remote areas in Indonesia: a discrete choice experiment

Efendi

Chen

Nursalam

et al. 2015

Health Planning & Management

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“…This result is in contrast to preferences for higher income, ranked third in Thailand, but ranked first in several DCE studies conducted in African countries. The DCE studies in South Africa, Malawi, and Ethiopia all showed a first preference for higher salaries above other work‐related attributes (Penn‐Kekana et al ., ; Mangham, ; Hanson & Jack, ). A further study of Tanzanian clinical officers found that a higher salary and educational opportunity were the most important job characteristics (Kolstad, ).…”

Section: Discussionmentioning

confidence: 99%

Preferred choice of work setting among nurses in Thailand: A discrete choice experiment

Kunaviktikul

Chitpakdee

Srisuphan

et al. 2014

Nursing & Health Sciences

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The shortage of health personnel and nurses is an important issue in many developed and developing countries. Understanding preferred choice of work setting is an important strategy for retaining nurses in their work. The purpose of this study was to determine choices made by nurses in Thailand relative to their preferences for a work setting. A discrete choice experiment was conducted to elicit attributes and levels of job characteristics expected to contribute to work-place preferences. The sample included 921 nurses and was selected using stratified random sampling. A random effects probit model was used to identify factors contributing to work-setting preferences. The results showed that nurses' first work-place preference was a high level of work setting. The second preference was to work in a hospital in the same province as their families. The results provide information for hospital and nurse administrators and policymakers seeking to address the nursing shortage.

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“…Chronic understaffing, high workload, low recognition from management and sometimes violence in the workplace has led to low morale and sometimes burnout (Ehlers, 2003;Erasmus, 1998;Erasmus and Brevis, 2005;Penn-Kekana et al, 2005;Shisana et al, 2003). These challenging conditions in public posts tend to be worse in rural settings where under-staffing is more acute than in urban settings, as the government is struggling more to recruit and retain qualified staff and fill vacant positions (SANC, 2008).…”

Section: The Nursing Labour Marketmentioning

confidence: 94%

Pro-social preferences and self-selection into jobs: Evidence from South African nurses

Lagarde

Blaauw

2014

Journal of Economic Behavior & Organization

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a b s t r a c tAlthough a growing body of economic work has looked at the role of pro-social motives to explain self-selection into public or not-for-profit sector jobs, in particular in the delivery of social services, no attention has been given to the role of pro-social preferences in the decision to take up posts in rural and isolated areas. Yet there are reasons to believe that such choices involve a degree of self-sacrifice, in particular in developing countries where rural regions typically combine geographic hostile environment, high levels of poverty, low educational opportunities, limited access to basic services and worse career opportunities. On the other hand, as shortage of qualified staff is higher in rural areas, the returns on the presence of a health worker, and the benefits to the populations, are likely to be higher. Using data from a longitudinal study of nurses in South Africa this paper tests this hypothesis by linking experimental measure of pro-social preferences and revealed preferences outcomes. Three measures of pro-social preferences are constructed based on donations made by study participants in a dictator game played at baseline. Job choices are observed three years later for more than 97% of the initial sample. We show that the more dedicated the nurses -measured by their generosity towards patients in the dictator game -the more likely they are to have chosen a rural job. This result is robust to the inclusion of various demographic controls and to different econometric specifications. This finding contributes to the literature on role of pro-social values as an intrinsic motivation factor in labour supply decisions and it has policy implications for the provision of social services in difficult settings.

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Nursing staff dynamics and implications for maternal health provision in public health facilities in the context of HIV/AIDS

Cited by 33 publications

References 10 publications

How to attract health students to remote areas in Indonesia: a discrete choice experiment

How to attract health students to remote areas in Indonesia: a discrete choice experiment

Preferred choice of work setting among nurses in Thailand: A discrete choice experiment

Pro-social preferences and self-selection into jobs: Evidence from South African nurses

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