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Title Diversity in career preferences of future health workers in Rwanda : where, why, and for how much? / Tomas Lievens [and others]
Published Washington, D.C. : World Bank, ©2010
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Description 1 online resource (ix, 41 pages) : illustrations
Series World Bank working paper, 1726-5878 ; no. 189
Africa human development series
World Bank working paper ; no. 189
Africa Region human development series
Contents Cover; Title; Copyright; Contents; Foreword; Acknowledgments; Acronyms and Abbreviations; Executive Summary; CHAPTER 1 Study Rationale; CHAPTER 2 Survey Method and Sample Description; CHAPTER 3 The Decision to Become a Health Worker; CHAPTER 4 Long-term Career Preferences and Income Expectations; CHAPTER 5 Choosing between Urban and Rural Posting; CHAPTER 6 International Migration; CHAPTER 7 HIV and AIDS; CHAPTER 8 Exploring the Role of Altruism as Intrinsic Motivation; References; Appendixes; Back Cover
Summary The Government of Rwanda has identified human resources for health as one of its Policy priorities. This study aims to contribute to building a better understanding of health worker choice and behavior, and to improve evidence based policies. The work was undertaken by The Ministry of Health in a collaborative effort with the World Bank, building on the results of qualitative pre research, and is the first wave of a cohort survey with medical and nursing students. In comparison with other African countries, migration of health workers abroad may be less of a problem for Rwanda. The study finds that 80 percent of nursing and medical students report to have no intention to migrate abroad in the coming five years. Using a contingent valuation method to measure the reservation wage to migrate, we find that at the current public sector starting salary more than half the students will choose a job in Kigali instead of going abroad. But there is considerable heterogeneity in the willingness to work abroad. For example, students who are married or engaged are less likely to move abroad. Younger medical students require a higher average salary to stay in Rwanda compared to older students. Although Rwanda has a relatively low HIV prevalence compared to other African countries, there are problems with attitudes to HIV/AIDS, although the attitudes differ greatly between students, with medical students consistently more positive than nurses. Medical students score higher than nurses on medical knowledge related to HIV/AIDS, have higher levels of self reported knowledge on AIDS, and are also more familiar with HIV. Health students are generally averse to taking up work in high HIV prevalence areas but preferences vary widely, as is reflected in the wide span of reservation wages to accept a job in a high HIV prevalence area. Students are less willing to work in high HIV prevalence areas than to take up rural service
Bibliography Includes bibliographical references (page 39)
Notes Print version record
Subject Occupational health services -- Health and hygiene -- Rwanda
Medical personnel -- Rwanda
Career Choice -- Statistics -- Rwands
Health Personnel -- Statistics -- Rwands
Health Personnel -- Evaluation Studies -- Rwands
Career Choice -- Evaluation Studies -- Rwands
Health Personnel
Career Choice
Behavior and Behavior Mechanisms
Emotional Intelligence
Health Care Facilities, Manpower, and Services
Choice Behavior
Occupational Groups
Decision Making
Psychiatry and Psychology
Delivery of Health Care
Named Groups
Mental Processes
Psychological Phenomena and Processes
HEALTH & FITNESS -- Health Care Issues.
MEDICAL -- Public Health.
MEDICAL -- Health Policy.
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Diseases.
MEDICAL -- Health Care Delivery.
Medical personnel.
Genre/Form Evaluation Studies
Form Electronic book
Author Lievens, Tomas
World Bank
ISBN 9780821383407 (electronic bk.)
082138340X (electronic bk.)
9780821382356 (e-book)
0821382357 (e-book)