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Motivating healthcare workers (HCWs) to ensure service delivery during public health emergencies: Insights from a discrete choice experiment during the COVID-19 pandemic in Bangladesh

Author

Listed:
  • Uddin, Md Azhar
  • Shimul, Shafiun Nahin
  • Ifteakhar Tulon, K.M Nafiz
  • Ihsan- Ul- Kabir, Muhammad
  • Noman, Abu
  • Sultana, Faojia
  • Hoque, Md. Ashraful
  • Islam, Md. Ariful
  • Munmun, Samiha Tasnim
  • Amin, Shariful

Abstract

The disruption of health service delivery during public health emergencies, like Ebola and COVID-19, due to hesitancy among healthcare workers (HCWs) is well-documented. While previous studies have identified motivating factors for HCWs, accommodating all is often unfeasible due to resource limitations. Thus, identifying precise preferences is crucial from a policy standpoint. This study aims to discern HCWs' preferences regarding working conditions and fringe benefits to ensure continued service during emergencies. Additionally, we investigate potential variations in preferences among HCWs who served in dedicated COVID-19 units versus those who did not, considering differences in perceived and realized risks. Conducting a discrete choice experiment (CE) and in-person interviews with 370 HCWs from four tertiary-level hospitals in Bangladesh, our findings reveal HCWs prioritize improving working conditions over fringe benefits. Notably, those in dedicated COVID-19 units exhibit a divergent preference pattern, indicating significant influence of perceived and realized risks. These insights offer valuable guidance for policymakers to address HCWs hesitancy and ensure optimal service delivery during national health crises.

Suggested Citation

  • Uddin, Md Azhar & Shimul, Shafiun Nahin & Ifteakhar Tulon, K.M Nafiz & Ihsan- Ul- Kabir, Muhammad & Noman, Abu & Sultana, Faojia & Hoque, Md. Ashraful & Islam, Md. Ariful & Munmun, Samiha Tasnim & Ami, 2025. "Motivating healthcare workers (HCWs) to ensure service delivery during public health emergencies: Insights from a discrete choice experiment during the COVID-19 pandemic in Bangladesh," Social Science & Medicine, Elsevier, vol. 365(C).
    • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624009924
    DOI: 10.1016/j.socscimed.2024.117538
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    1. Sara Esteban-Gonzalo & María Caballero-Galilea & Juan Luis González-Pascual & Miguel Álvaro-Navidad & Laura Esteban-Gonzalo, 2021. "Anxiety and Worries among Pregnant Women during the COVID-19 Pandemic: A Multilevel Analysis," IJERPH, MDPI, vol. 18(13), pages 1-15, June.
    2. Atsushi Miyawaki & Yusuke Tsugawa, 2022. "Health and Public Health Implications of COVID‐19 in Asian Countries," Asian Economic Policy Review, Japan Center for Economic Research, vol. 17(1), pages 18-36, January.
    3. Hamid Syed Abdul & Begum Afroza & Ahsan Syed M & Howlader Sushil Ranjan & Uddin Azhar & Rahman Taslima & Rahman Md. Hafizur, 2022. "Employment Rank and the Choice of Health Insurance Benefit Scheme among Bangladeshi Civil Servants," Asia-Pacific Journal of Risk and Insurance, De Gruyter, vol. 16(1), pages 81-122, January.
    4. Train,Kenneth E., 2009. "Discrete Choice Methods with Simulation," Cambridge Books, Cambridge University Press, number 9780521766555, June.
    5. Karen Willis & Paulina Ezer & Sophie Lewis & Marie Bismark & Natasha Smallwood, 2021. "“Covid Just Amplified the Cracks of the System”: Working as a Frontline Health Worker during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(19), pages 1-15, September.
    6. Laura O. Taylor & Ronald G. Cummings, 1999. "Unbiased Value Estimates for Environmental Goods: A Cheap Talk Design for the Contingent Valuation Method," American Economic Review, American Economic Association, vol. 89(3), pages 649-665, June.
    7. Katica Tripković & Milena Šantrić-Milićević & Milena Vasić & Mirjana Živković-Šulović & Marina Odalović & Vesna Mijatović-Jovanović & Zoran Bukumirić, 2021. "Factors Associated with Intention of Serbian Public Health Workers to Leave the Job: A Cross-Sectional, Population-Based Study," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    8. Sarrias, Mauricio & Daziano, Ricardo, 2017. "Multinomial Logit Models with Continuous and Discrete Individual Heterogeneity in R: The gmnl Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 79(i02).
    9. Shimaa A. Elghazally & Atef F. Alkarn & Hussein Elkhayat & Ahmed K. Ibrahim & Mariam Roshdy Elkhayat, 2021. "Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
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    More about this item

    Keywords

    Willingness to accept; Herzberg's two-factor theory; Healthcare workers; Choice experiment;
    All these keywords.

    JEL classification:

    • J28 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Safety; Job Satisfaction; Related Public Policy
    • J81 - Labor and Demographic Economics - - Labor Standards - - - Working Conditions
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity

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