ArticleThe International journal of health planning and management2017
Where there is no policy: governing the posting and transfer of primary health care workers in Nigeria.
Article in The International journal of health planning and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
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- Understanding the exodus: a 15-year retrospective cohort study on the pattern and determinants of migration among Nigerian doctors and dentists.Global health action · 2024Article
- Changes from initial Posting to subsequent Posting and Transfer: a frontline perspective from India.Health policy and planning · 2024Article
- Implementation fidelity of intravenous ferric carboxymaltose administration for iron deficiency anaemia in pregnancy: a mixed-methods study nested in a clinical trial in Nigeria.Implementation science communications · 2024Article
- Determining the risk factors of malaria and anemia in children between 6 and 59 months using the joint generalized linear mixed model on the 2021 Nigeria Malaria Indicator Survey dataset.Frontiers in public health · 2024Article
- Posting and Transfer: the experiences of public sector doctors in two Indian states.Health policy and planning · 2023Article
- Self-reliance or social accountability? The raison d'être of community health committees in Nigeria.The International journal of health planning and management · 2022Article
- The Lancet Nigeria Commission: investing in health and the future of the nation.Lancet (London, England) · 2022Article
- Determining staffing needs for improving primary health care service delivery in Kaduna State, Nigeria.F1000Research · 2022Article
- A qualitative inquiry of rural-urban inequalities in the distribution and retention of healthcare workers in southern Nigeria.PloS one · 2022Article
- Human resource and governance challenges in the delivery of primary eye care: a mixed methods feasibility study in Nigeria.BMC health services research · 2021Article
- COVID-19 calls for health systems strengthening in Africa: A case of Nigeria.The International journal of health planning and management · 2021Article
- Characterization and distribution of medicine vendors in 2 states in Nigeria: implications for scaling health workforce and family planning services.Human resources for health · 2021Article
- Health Worker Absenteeism in Selected Health Facilities in Enugu State: Do Internal and External Supervision Matter?Frontiers in public health · 2021Article
- Using data to support evidence-informed decisions about skilled birth attendants in fragile contexts: a situational analysis from Democratic Republic of the Congo.Human resources for health · 2020Article
- Health system governance: a triangle of rules.BMJ global health · 2020Article
- Which mechanisms explain motivation the of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria.BMJ global health · 2020Article
- Sustainability of the streamlined ART (START-ART) implementation intervention strategy among ART-eligible adult patients in HIV clinics in public health centers in Uganda: a mixed methods study.Implementation science communications · 2020Article
- Promoting anti-corruption, transparency and accountability in the recruitment and promotion of health workers to safeguard health outcomes.Global health action · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The posting and transfer of health workers and managers receives little policy and research attention in global health. In Nigeria, there is no national policy on posting and transfer in the health sector. We sought to examine how the posting and transfer of frontline primary health care (PHC) workers is conducted in four states (Lagos, Benue, Nasarawa and Kaduna) across Nigeria, where public sector PHC facilities are usually the only form of formal health care service providers available in many communities. We conducted in-depth interviews with PHC workers and managers, and group discussions with community health committee members. The results revealed three mechanisms by which PHC managers conduct posting and transfer: (1) periodically moving PHC workers around as a routine exercise aimed at enhancing their professional experience and preventing them from being corrupted; (2) as a tool for improving health service delivery by assigning high-performing PHC workers to PHC facilities perceived to be in need, or posting PHC workers nearer their place of residence; and (3) as a response to requests for punishment or favour from PHC workers, political office holders, global health agencies and community health committees. Given that posting and transfer is conducted by discretion, with multiple influences and sometimes competing interests, we identified practices that may lead to unfair treatment and inequities in the distribution of PHC workers. The posting and transfer of PHC workers therefore requires policy measures to codify what is right about existing informal practices and to avert their negative potential. © 2016 The Authors The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.