Designing financial-incentive programmes for return of medical service in underserved areas of sub-Saharan Africa
AbstractIn many countries in sub-Saharan Africa health worker shortages are one of the main constraints in achieving population health goals. Financial-incentive programmes for return of service, whereby participants receive payments in return for a commitment to practice for a period of time in a medically underserved area, can alleviate local and regional health worker shortages through two mechanisms. First, they can redirect the flow of those health workers who would have been educated without financial incentive from well-served to underserved areas. Second, they can add health workers to the pool of workers who would have been educated without financial incentives and place them in underserved areas. While financial-incentive programmes are an attractive option to increase the supply of health workers to medically underserved areas – they offer students who otherwise would not have the means to finance a health care education an opportunity to do so, establish legally enforceable commitments to work in underserved areas, and work without compulsion – these programmes may be difficult to implement.
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Bibliographic InfoPaper provided by Program on the Global Demography of Aging in its series PGDA Working Papers with number 3708.
Date of creation: Oct 2008
Date of revision:
Disease; control; global health; financial-incentive programs; Africa.;
This paper has been announced in the following NEP Reports:
- NEP-AFR-2008-11-18 (Africa)
- NEP-ALL-2008-11-18 (All new papers)
- NEP-DEV-2008-11-18 (Development)
- NEP-HEA-2008-11-18 (Health Economics)
- NEP-LAB-2008-11-18 (Labour Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Till Bärnighausen & David E. Bloom, 2007. ""Conditional scholarships" for HIV/AIDS Health Workers: Educating and Retaining the Workforce to Provide Antiretroviral Treatment in Sub-Saharan Africa," NBER Working Papers 13396, National Bureau of Economic Research, Inc.
- George M. Holmes, 2004. "Does the National Health Service Corps Improve Physician Supply in Underserved Locations?," Eastern Economic Journal, Eastern Economic Association, vol. 30(4), pages 563-581, Fall.
- Anderson, Malcolm & Rosenberg, Mark W., 1990. "Ontario's underserviced area program revisited: An indirect analysis," Social Science & Medicine, Elsevier, vol. 30(1), pages 35-44, January.
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