ArticleHuman resources for health2016
Job preferences among clinical officers in public sector facilities in rural Kenya: a discrete choice experiment.
Article in Human resources for health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Discrete Choice Experiments in Health Economics: Past, Present and Future.PharmacoEconomics · 2019Pooled it
- Reconfiguring retention: a qualitative exploration of the lived experiences of female nurses in an arid rural setting in Turkana County, Kenya.Global health action · 2026Article
- Analysis of factors influencing attrition among clinical traditional Chinese medical major graduates: based on a discrete choice experiment.Archives of public health = Archives belges de sante publique · 2025Article
- Job preferences among traditional Chinese medicine clinical graduates in China: a discrete choice experiment.BMC medical education · 2025Article
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- "Frontiers in health services · 2025Article
- Examining national health insurance fund members' preferences and trade-offs for the attributes of contracted outpatient facilities in Kenya: A discrete choice experiment.PLOS global public health · 2025Article
- Incentivizing Rural Work Preferences Among Specialist Physicians: Protocol for a Discrete Choice Experiment.JMIR research protocols · 2024Article
- Public service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective study.Human resources for health · 2024Article
- Assessing the job preferences of senior medical students for mandatory service: a discrete choice experiment.Primary health care research & development · 2024Article
- Mid-level health providers (MLHPs) in delivering and improving access to primary health care services - a narrative review.Dialogues in health · 2023Review
- Increasing the availability of health workers in rural sub-Saharan Africa: a scoping review of rural pipeline programmes.Human resources for health · 2023Article
- Stakeholders' views on the utility and employment strategies of clinical associates.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Discrete choice analysis of health worker job preferences in Ethiopia: Separating attribute non-attendance from taste heterogeneity.Health economics · 2022Article
- Non-financial Incentives for Retention of Health Extension Workers in Somali Region of Ethiopia: A Discrete Choice Experiment.Health services insights · 2022Article
- Factors affecting job choice among physician anesthesia providers in Uganda: a survey of income composition, discrete choice experiment, and implications for the decision to work rurally.Human resources for health · 2021Article
- Job preferences of medical and nursing students seeking employment in rural China: a discrete choice experiment.BMC medical education · 2021Article
- Article
- For more than money: willingness of health professionals to stay in remote Senegal.Human resources for health · 2019Article
- Physician preferences for working in deprived areas: a systematic review of discrete choice experiment.Medical journal of the Islamic Republic of Iran · 2019Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical officers (COs), a mid-level cadre of health worker, are the backbone of healthcare provision in rural Kenya. However, the vacancy rate for COs in rural primary healthcare facilities is high. Little is known about factors motivating COs' preferences for rural postings.
methodsA discrete choice experiment (DCE) questionnaire was used with 57 COs at public health facilities in nine districts of Nyanza Province, Kenya. The questionnaire was developed on the basis of formative qualitative interviews with COs (n = 5) and examined how five selected job attributes influenced COs' preferences for working in rural areas. Conditional logit models were employed to examine the relative importance of different job attributes.
resultsAnalysis of the qualitative data revealed five important job attributes influencing COs' preferences: quality of the facility, educational opportunities, housing, monthly salary and promotion. Analysis of the DCE indicated that a 1-year guaranteed study leave after 3 years of service would have the greatest impact on retention, followed by good quality health facility infrastructure and equipment and a 30% salary increase. Sub-group analysis shows that younger COs demonstrated a significantly stronger preference for study leave than older COs. Female COs placed significantly higher value on promotion than male COs.
conclusionsAlthough both financial incentives and non-financial incentives were effective in motivating COs to stay in post, the study leave intervention was shown to have the strongest impact on COs' retention in our study. Further research is required to examine appropriate interventions at each career stage that might boost COs' professional identity and status but without leading to larger deficits in the availability of generalist COs.
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