Evidence map›Paper›PMID 33066792›Full record

ArticleHuman resources for health2020

Increasing access to health workers in rural and remote areas: what do stakeholders' value and find feasible and acceptable?

Onyema Ajuebor, Mathieu Boniol, Michelle McIsaac, Chukwuemeka Onyedike, Elie A Akl

Abstract read
In one paragraph

Article in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
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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

5 authors.

Onyema AjueborHealth Workforce Department, World Health Organization, 20 Avenue Appia, 1211, Geneva 27, Switzerland. ajueboro@who.int.ORCID 0000-0002-8757-0262
Mathieu BoniolHealth Workforce Department, World Health Organization, 20 Avenue Appia, 1211, Geneva 27, Switzerland.
Michelle McIsaacHealth Workforce Department, World Health Organization, 20 Avenue Appia, 1211, Geneva 27, Switzerland.
Chukwuemeka OnyedikeHealth Workforce Department, World Health Organization, 20 Avenue Appia, 1211, Geneva 27, Switzerland.
Elie A AklDepartment of Internal Medicine, American University of Beirut, Beirut, Lebanon.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe primary aim of this study is to assess stakeholders' views of the acceptability and feasibility of policy options and outcome indicators presented in the 2010 World Health Organization (WHO) global policy recommendations on increasing access to health workers in remote and rural areas through improved retention.

methodsA survey on the acceptability, feasibility of recruitment and retention policy options, and the importance of their outcome indicators was developed. It followed a cross-sectional approach targeting health workers in rural and remote settings as well as policy- and decision-makers involved in the development of recruitment and retention policies for such areas. Respondents were asked their perception of the importance of the policy outcomes of interest, as well as the acceptability and feasibility of the 2010 WHO guidelines' policy options using a 9-point Likert scale.

resultsIn total, 336 participants completed the survey. Almost a third worked in government; most participants worked in community settings and were involved in the administration and management of rural health workers. Almost all 19 outcomes of interests assessed were valued as important or critical. For the 16 guideline policy options, most were perceived to be "definitely acceptable" and "definitely feasible", although the policy options were generally considered to be more acceptable than feasible.

conclusionThe findings of this study provide insight into the revision and update of the 2010 WHO guideline on increasing access to health workers in remote and rural areas. Stakeholders' views of the acceptability, feasibility of policy options and the importance of outcomes of interest are important for the development of relevant and effective policies to improve access to health workers in rural and remote areas.

Indexed as

Health PersonnelHealth WorkforceHumansRural PopulationSurveys and QuestionnairesWorld Health OrganizationGuidelinesHealth workersRural areas

Identifiers

PMID33066792
PMCPMC7565226

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.