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Discovering the Real World : Health Workers' Career Choices and Early Work Experience in Ethiopia

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Author Info

  • Danila Serra
  • Pieter Serneels
  • Magnus Lindelow
  • Jose G. Montalvo

Abstract

The Ethiopian health sector faces a number of challenges related to human resources, including geographical imbalances in the distribution of health workers, problems with job satisfaction, and a high willingness to migrate abroad. To address these challenges with appropriate policies, more empirical evidence is needed. The Ethiopian Health Workers Cohort Study was set up to produce evidence as input to policy design. To generate insights on health workers' career choices, preferences, and job satisfaction, the study followed the same health workers over time. The first wave of the study was conducted in April 2004 and surveyed 219 nursing students and 90 medical students who were in their final year of study. In the second wave of the survey, which took place between May and September 2007, researchers re-interviewed the nurses and the doctors, who had now entered the labor market. This paper reports the descriptive findings of the second wave as well as changes that were identified between the two survey rounds. The report is structured as follows. This chapter provides an overview of the Ethiopian health sector and a brief description of the survey methodology. Chapter two presents data on the health professionals' current activities, including the distribution of job functions across locations, sectors, and facilities. Chapter three summarizes the findings on job characteristics such as salaries and nonmonetary benefits; it also provides information about health professionals' level of satisfaction with job and life of and its evolution over time. Chapter four reports the results regarding health workers' willingness to work in rural areas, including an analysis of the evolution of reservation wages for work in a rural area, obtained from responses to contingent valuation questions. Chapter five focuses on the health worker's likelihood of migrating abroad in the near future, again using specially designed questions. Each chapter after chapter two starts with a summary of the pertinent results.

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File URL: https://openknowledge.worldbank.org/bitstream/handle/10986/5936/555450PUB0disc1EPI1976923101PUBLIC1.pdf?sequence=1
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Bibliographic Info

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This book is provided by The World Bank in its series World Bank Publications with number 5936 and published in 2010.

ISBN: 978-0-8213-8356-8
Handle: RePEc:wbk:wbpubs:5936

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Web page: https://openknowledge.worldbank.org
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Related research

Keywords: Law and Development - Health Law Health; Nutrition and Population - Population Policies Health; Nutrition and Population - Health Monitoring and Evaluation Health; Nutrition and Population - Health Systems Development & Reform Gender - Gender and Health Health; Nutrition and Population;

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  1. Serneels, Pieter & Lindelow, Magnus & Garcia-Montalvo, Jose & Barr, Abigail, 2005. "For public service or money : understanding geographical imbalances in the health workforce," Policy Research Working Paper Series 3686, The World Bank.
  2. Magnus Lindelow & Pieter Serneels & Teigist Lemma, 2005. "The Performance of Health Workers in Ethiopia Results from Qualitative Research," CSAE Working Paper Series 2005-06, Centre for the Study of African Economies, University of Oxford.
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