The performance of health workers in Ethiopia: results from qualitative research
"Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of...
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
[Washington, D.C]
World Bank
[2005]
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Schriftenreihe: | Policy research working paper
3558 |
Schlagworte: | |
Online-Zugang: | BSB01 EUV01 HTW01 FHI01 IOS01 Volltext |
Zusammenfassung: | "Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the poorest health outcomes in the world. It describes performance problems identified by both health, users and health workers participating in the focus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption. The second part of the paper presents four structural reasons why these problems arise: (1) the ongoing transition from a health sector dominated by the public sector, toward a more mixed model; (2) the failure of government policies to keep pace with the transition toward a mixed model of service delivery; (3) weak accountability mechanisms and the erosion of professional norms in the health sector; and (4) the impact of HIV/AIDS. The discussions underline the need to base policies on a micro-analysis of how health workers make constrained choices, both in their career and in their day to day professional activities. "--World Bank web site |
Beschreibung: | Includes bibliographical references Title from PDF file as viewed on 4/13/2005 |
Beschreibung: | 1 Online-Ressource |
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520 | 3 | |a "Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the poorest health outcomes in the world. It describes performance problems identified by both health, users and health workers participating in the focus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption. The second part of the paper presents four structural reasons why these problems arise: (1) the ongoing transition from a health sector dominated by the public sector, toward a more mixed model; (2) the failure of government policies to keep pace with the transition toward a mixed model of service delivery; (3) weak accountability mechanisms and the erosion of professional norms in the health sector; and (4) the impact of HIV/AIDS. The discussions underline the need to base policies on a micro-analysis of how health workers make constrained choices, both in their career and in their day to day professional activities. "--World Bank web site | |
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spelling | Lindelow, Magnus Verfasser aut The performance of health workers in Ethiopia results from qualitative research Magnus Lindelow, Pieter Serneels, Teigist Lemma [Washington, D.C] World Bank [2005] 1 Online-Ressource txt rdacontent c rdamedia cr rdacarrier Policy research working paper 3558 Includes bibliographical references Title from PDF file as viewed on 4/13/2005 "Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the poorest health outcomes in the world. It describes performance problems identified by both health, users and health workers participating in the focus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption. The second part of the paper presents four structural reasons why these problems arise: (1) the ongoing transition from a health sector dominated by the public sector, toward a more mixed model; (2) the failure of government policies to keep pace with the transition toward a mixed model of service delivery; (3) weak accountability mechanisms and the erosion of professional norms in the health sector; and (4) the impact of HIV/AIDS. The discussions underline the need to base policies on a micro-analysis of how health workers make constrained choices, both in their career and in their day to day professional activities. "--World Bank web site Online-Ausg Also available in print Community health aides Ethiopia Public health Ethiopia Public health personnel Ethiopia Serneels, Pieter Maria 1967- Sonstige oth World Bank Sonstige oth Lindelow, Magnus The performance of health workers in Ethiopia http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3558 Verlag URL des Erstveröffentlichers Volltext |
spellingShingle | Lindelow, Magnus The performance of health workers in Ethiopia results from qualitative research Community health aides Ethiopia Public health Ethiopia Public health personnel Ethiopia |
title | The performance of health workers in Ethiopia results from qualitative research |
title_auth | The performance of health workers in Ethiopia results from qualitative research |
title_exact_search | The performance of health workers in Ethiopia results from qualitative research |
title_exact_search_txtP | The performance of health workers in Ethiopia results from qualitative research |
title_full | The performance of health workers in Ethiopia results from qualitative research Magnus Lindelow, Pieter Serneels, Teigist Lemma |
title_fullStr | The performance of health workers in Ethiopia results from qualitative research Magnus Lindelow, Pieter Serneels, Teigist Lemma |
title_full_unstemmed | The performance of health workers in Ethiopia results from qualitative research Magnus Lindelow, Pieter Serneels, Teigist Lemma |
title_short | The performance of health workers in Ethiopia |
title_sort | the performance of health workers in ethiopia results from qualitative research |
title_sub | results from qualitative research |
topic | Community health aides Ethiopia Public health Ethiopia Public health personnel Ethiopia |
topic_facet | Community health aides Ethiopia Public health Ethiopia Public health personnel Ethiopia |
url | http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-3558 |
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