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For Public Service or Money: Understanding Geographical Imbalances in the Health Workforce in Ethiopia

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Author Info
Pieter Serneels
Magnus Lindelow
José Garcia Montalvo ()
Abigail Barr

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Abstract

Geographical imbalances in the health workforce have been a consistent feature of nearly all health systems, and especially in developing countries. In this paper we investigate the willingness to work in a rural area among final year nursing and medical students in Ethiopia. Analyzing data obtained from contingent valuation questions, we find that household consumption and the student’s motivation to help the poor, which is our proxy for intrinsic motivation, are the main determinants of willingness to work in a rural area. We investigate whoe is willing to help the poor and find that women are significantly more likely than men. Other variables, including a rich set of psychosocial characteristics, are not significant. Finally, we carry out some simulation on how much it would cost to make the entire cohort of starting nurses and doctors chooseto take up a rural post.

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Publisher Info
Paper provided by Department of Economics and Business, Universitat Pompeu Fabra in its series Economics Working Papers with number 989.

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Date of creation: Nov 2006
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Handle: RePEc:upf:upfgen:989

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Related research
Keywords: Health care delivery; health workers; labour supply; public service;

Find related papers by JEL classification:
D1 - Microeconomics - - Household Behavior
J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
J64 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies - - - Unemployment: Models, Duration, Incidence, and Job Search

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  5. Lindelow, Magnus & Serneels, Pieter & Lemma, Teigist, 2005. "The performance of health workers in Ethiopia - results from qualitative research," Policy Research Working Paper Series 3558, The World Bank. [Downloadable!]
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