ArticleGlobalization and health2016
Factors influencing job preferences of health workers providing obstetric care: results from discrete choice experiments in Malawi, Mozambique and Tanzania.
Article in Globalization and health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Social Representations of Healthcare Organisational Models and Professional Practice Among Public-Sector Physicians and Nurses in Portugal: A Prototypical Analysis.Healthcare (Basel, Switzerland) · 2026Article
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- The substitution effect of financial and non-financial incentives at different income levels in physician recruitment: evidence from medical students in China.BMC medical education · 2024Article
- Job preferences of master of public health students in China: a discrete choice experiment.BMC medical education · 2024Article
- Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries: a qualitative evidence synthesis.Global health action · 2023Review
- Rural job preferences of graduate class medical students in Ethiopia-a discrete choice experiment (DCE).BMC medical education · 2023Article
- Scaling up Locally Adapted Clinical Practice Guidelines for Improving Childbirth Care in Tanzania: A Protocol for Programme Theory and Qualitative Methods of the PartoMa Scale-up Study.Global health action · 2022Article
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- The injustice of unfit clinical practice guidelines in low-resource realities.The Lancet. Global health · 2021Review
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- Article
- The impact of a supportive supervision intervention on health workers in Niassa, Mozambique: a cluster-controlled trial.Human resources for health · 2017Article
- Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTask shifting from established health professionals to mid-level providers (MLPs) (professionals who undergo shorter training in specific procedures) is one key strategy for reducing maternal and neonatal deaths. This has resulted in a growth in cadre types providing obstetric care in low and middle-income countries. Little is known about the relative importance of the different factors in determining motivation and retention amongst these cadres.
methodsThis paper presents findings from large sample (1972 respondents) discrete choice experiments to examine the employment preferences of obstetric care workers across three east African countries.
resultsThe strongest predictors of job choice were access to continuing professional development and the presence of functioning human resources management (transparent, accountable and consistent systems for staff support, supervision and appraisal). Consistent with similar works we find pay and allowances significantly positively related to utility, but financial rewards are not as fundamental a factor underlying employment preferences as many may have previously believed. Location (urban vs rural) had the smallest average effect on utility for job choice in all three countries.
conclusionsThese findings are important in the context where efforts to address the human resources crisis have focused primarily on increasing salaries and incentives, as well as providing allowances to work in rural areas.
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