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Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali

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  • Cheick Sidya Sidibé
  • Ousmane Touré
  • Jacqueline E W Broerse
  • Marjolein Dieleman

Abstract

The availability and retention of healthcare professionals in rural areas and remote areas is a challenge to the health sector worldwide. Attracting people who are most likely to be interested in rural practice can be conducive to the sustainable availability of health services in rural areas where health facilities are typically understaffed and existing professionals often underqualified. This article aims to contribute to the rural pipeline evidence, and reports on the findings of a study that investigated the career choices of midwifery and obstetric nurse students in Mali. The article enquires into the relationship between their intention to practice in rural areas and the different components of the rural pipeline. A mixed method study using a survey, semi-structured interviews, and document analysis was conducted from October to December 2017 on third-year midwifery and obstetric nurse students and school-managers. Descriptive statistics and bivariate analysis were performed for quantitative data, and content analysis was carried out for the qualitative data. Key findings suggest that students prefer urban locations for living and for work. The intention to work in rural areas seems to be influenced by the current living situation (currently living in a rural area) or having attended secondary school or professional training in rural areas.

Suggested Citation

  • Cheick Sidya Sidibé & Ousmane Touré & Jacqueline E W Broerse & Marjolein Dieleman, 2019. "Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-13, September.
    • Handle: RePEc:plo:pone00:0222266
    DOI: 10.1371/journal.pone.0222266
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    References listed on IDEAS

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    1. Carson, Dean B. & Schoo, Adrian & Berggren, Peter, 2015. "The ‘rural pipeline’ and retention of rural health professionals in Europe's northern peripheries," Health Policy, Elsevier, vol. 119(12), pages 1550-1556.
    2. Pieter Serneels & Jose G. Montalvo & Gunilla Pettersson & Tomas Lievens & Jean Damascene Butera & Aklilu Kidanu, 2010. "Who Wants to Work in a Rural Health Post? The Role of Intrinsic Motivation, Rural Background and Faith-Based Institutions in Rwanda and Ethiopia," CSAE Working Paper Series 2010-10, Centre for the Study of African Economies, University of Oxford.
    3. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
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