ArticleBMC health services research2018
Challenges and opportunities for healthcare workers in a rural district of Chad.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.
- Pooled it
- Digital payments of health workers within vaccination campaigns: a mixed-methods study in Chad.BMJ global health · 2026Article
- 'We truly feel limited': nurses and midwives' perspectives on multi-level factors influencing women's adherence to ANC in Rwanda: a qualitative study.BMC health services research · 2025Article
- Exploring barriers and facilitators of providing maternal healthcare in Africa: systematic review protocol.Systematic reviews · 2025Article
- The Exodus of Young Doctors in Tanzania: Implications and Urgent Solutions.Public health challenges · 2025Article
- Cost-effectiveness protocol for treating adult HIV-infected patients with Kaposi sarcoma in resource-limited settings: a phase III, randomized, open-label, non-inferiority study of paclitaxel and pegylated liposomal doxorubicin.Cost effectiveness and resource allocation : C/E · 2025Article
- Emotional dimensions of nurses' daily work in newborn units in Kenya: a qualitative study.BMC public health · 2025Article
- Article
- Evaluating the quality of work life and associated factors among nurses in Ethiopia: a systematic review and meta- analysis.BMC nursing · 2025Article
- Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana.BMC health services research · 2025Article
- Understanding vaccine recommendation behaviours among healthcare workers in Senegal: A cross-sectional analysis.Tropical medicine & international health : TM & IH · 2025Article
- Predictors of Health-Workforce Job Satisfaction in Primary Care Settings: Insights from a Cross-Sectional Multi-Country Study in Eight African Countries.International journal of environmental research and public health · 2025Article
- Employment experiences of the oral health workforce in rural New South Wales: a qualitative study.BMC health services research · 2025Article
- Mapping traditional birth attendance in sub-Saharan Africa between 2012 and 2023: analysis of data from demographic and health surveys.AJOG global reports · 2025Article
- Do global health networks facilitate innovation, learning and sharing? A qualitative analysis of the Quality-of-Care Network in Bangladesh, Ethiopia, Malawi, and Uganda.PLOS global public health · 2025Article
- Skilled birth attendance and its associated factors in Chad and Nigeria: A multilevel analysis of DHS data.PLOS global public health · 2025Article
- National availability, prices and affordability of essential medicines: a comprehensive analysis using WHO/HAI methodology in Chad.The Pan African medical journal · 2025Article
- Violence against healthcare workers in Nepal: a system dynamics perspective on a growing crisis.Frontiers in public health · 2025Article
- Understanding the professional factors that impact the retention of pathology workers in regional, rural and remote Australia.The Australian journal of rural health · 2024Article
- Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study.Health promotion international · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrained healthcare workers are an essential resource for effective health systems. However, healthcare workers' perspective on healthcare, the challenges they face to provide quality health services, and opportunities to improve motivation and providing adequate care are rarely investigated in resource-constrained settings of sub-Saharan Africa.
methodsAll reachable nurses of Abou Deia, a primarily rural district in the south-eastern part of Chad, were invited to participate. In-depth interviews were conducted to assess current challenges and opportunities faced in daily work, including factors that influence motivation and social wellbeing. Particular emphasis was placed on paediatric care.
resultsEight nurses were interviewed. Main work challenges pertained to overall workload, a lack of training and support regarding a serious case mix to be managed on their own, adverse working conditions, issues related to the local communities, and the impact of postings on nurses' private life. Poor working conditions and perceived lack of recognition emerged as the main demotivating factors. Motivation to improve nurses' skills so that they can provide good care, coupled with small, suggested changes in working conditions and health care organisation provide opportunities worth exploring to improve health workers' satisfaction, motivation and the care they can provide.
conclusionsHealth workers in a predominantly rural district in Chad face a wide variety of challenges, and hence their perspectives need to be taken into account to improve health services interventions that aim at enhancing quality of care. Nurses' willingness to further develop skills and knowledge, proactive search of solutions to remedy stock-outs of drugs and other medical devices, and motivational factors to improve the quality of care represent important opportunities for improving health services for all.
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