Evidence map›Paper›PMID 29327468›Full record

ArticleThe International journal of health planning and management2018

Why do people become health workers? Analysis from life histories in 4 post-conflict and post-crisis countries.

Sophie Witter, Haja Wurie, Justine Namakula, Wilson Mashange, Yotamu Chirwa, Alvaro Alonso-Garbayo

Abstract read
In one paragraph

Article in The International journal of health planning and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Sex and Gender in Research on Healthcare Workers in Conflict Settings: A Scoping Review.International journal of environmental research and public health · 2020
    Article
  8. Review
  9. Article
  10. Article
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

6 authors.

Sophie WitterReBUILD Consortium, Queen Margaret University, Musselburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-7656-6188
Haja WurieReBUILD Consortium and College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Justine NamakulaReBUILD and Department of Health Policy, Planning and Management, Makerere School of Public Health, New Mulago Hospital Complex, Kampala, Uganda.
Wilson MashangeReBUILD and Centre for International Health Policy and Biomedical Research and Training Institute, Health Systems unit, Harare, Zimbabwe.
Yotamu ChirwaReBUILD and Centre for International Health Policy and Biomedical Research and Training Institute, Health Systems unit, Harare, Zimbabwe.
Alvaro Alonso-GarbayoReBUILD and Department of International Public Health and Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While there is a growing body of literature on how to attract and retain health workers once they are trained, there is much less published on what motivates people to train as health professions in the first place in low- and middle-income countries and what difference this makes to later retention. In this article, we examine patterns in expressed motivation to join the profession across different cadres, based on 103 life history interviews conducted in northern Uganda, Sierra Leone, Cambodia, and Zimbabwe. A rich mix of reported motivations for joining the profession was revealed, including strong influence of "personal calling," exhortations of family and friends, early experiences, and chance factors. Desire for social status and high respect for health professionals were also significant. Economic factors are also important-not just perceptions of future salaries and job security but also more immediate ones, such as low cost or free training. These allowed low-income participants to access the health professions, to which they had shown considerably loyalty. The lessons learned from these cohorts, which had remained in service through periods of conflict and crisis, can influence recruitment and training policies in similar contexts to ensure a resilient health workforce.

Indexed as

Career ChoiceCommunity Health WorkersMotivationAdultAgedCambodiaFemaleHumansInterviews as TopicMaleMiddle AgedPovertyQualitative ResearchSierra LeoneUgandaYoung AdultHealth workersmotivationpost-conflictpost-crisis

Identifiers

PMID29327468
PMCPMC6032858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.