Evidence map›Paper›PMID 28870254›Full record

ArticleHuman resources for health2017

Understanding the factors affecting the attraction and retention of health professionals in rural and remote areas: a mixed-method study in Niger.

Loubna Belaid, Christian Dagenais, Mahaman Moha, Valéry Ridde

Abstract read
In one paragraph

Article in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Loubna BelaidÉcole de santé publique, département de médecine sociale et préventive de l'Université de Montréal, 7101 Av du Parc, 3e étage, Montréal, Québec, H3N 1X9, Canada. belaid.loubna@gmail.com.
Christian DagenaisUniversité de Montréal, département de psychologie, Pavillon Marie Victorin, 90 Avenue Vincent D'indy & Boulevard Mont-Royal, Montréal, Québec, H2V 2S9, Canada.
Mahaman MohaLaboratoire d'études et recherches sur les dynamiques sociales et le développement local (LASDEL), BP:12901, Niamey, Niger.
Valéry RiddeÉcole de santé publique, département de médecine sociale et préventive de l'Université de Montréal, 7101 Av du Parc, 3e étage, Montréal, Québec, H3N 1X9, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe critical shortage of human resources in health is a critical public health problem affecting most low- and middle-income countries, particularly in sub-Saharan Africa. In addition to the shortage of health professionals, attracting and retaining them in rural areas is a challenge. The objective of the study was to understand the factors that influence the attraction and retention of health professionals working in rural areas in Niger.

methodsA mixed-method study was conducted in Tillabery region, Niger. A conceptual framework was used that included five dimensions. Three data collection methods were employed: in-depth interviews, documentary analysis, and concept mapping. In-depth interviews were conducted with three main actor groups: policy-makers and Ministry of Health officials (n = 15), health professionals (n = 102), and local health managers (n = 46). Concept mapping was conducted with midwifery students (n = 29). Multidimensional scaling and cluster analysis were performed to analyse the data from the concept mapping method. A content analysis was conducted for the qualitative data.

resultsThe results of the study showed that the local environment, which includes living conditions (no electricity, lack of availability of schools), social factors (isolation, national and local insecurity), working conditions (workload), the lack of financial compensation, and individual factors (marital status, gender), influences the attraction and retention of health professionals to work in rural areas. Human resources policies do not adequately take into account the factors influencing the retention of rural health professionals.

conclusionIntersectoral policies are needed to improve living conditions and public services in rural areas. The government should also take into account the feminization of the medical profession and the social and cultural norms related to marital status and population mobility when formulating human resources management policies.

Indexed as

Attitude of Health PersonnelHealth PersonnelJob SatisfactionPersonnel LoyaltyPersonnel SelectionRural Health ServicesRural PopulationCareer ChoiceEmploymentEnvironmentFemaleHumansMaleMotivationNigerPersonnel Turnover

Identifiers

PMID28870254
PMCPMC5583993

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Registered trials

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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.