Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa : A Labor Market Perspective on What Works, What Does Not, and Why

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collection.link.126
https://openknowledge.worldbank.org/handle/10986/5908
collection.name.126
World Bank Working Papers
dc.contributor.author
Lemiere, Christophe
dc.contributor.author
Herbst, Christopher H.
dc.contributor.author
Jahanshahi, Negda
dc.contributor.author
Smith, Ellen
dc.contributor.author
Soucat, Agnes
dc.date.accessioned
2012-03-19T09:02:26Z
dc.date.accessioned
2012-04-04T07:43:52Z
dc.date.available
2012-03-19T09:02:26Z
dc.date.available
2012-04-04T07:43:52Z
dc.date.issued
2011
dc.date.lastModified
2021-04-23T14:02:24Z
dc.description.abstract
This report discusses and analyzes labor market dynamics and outcomes (including unemployment, worker shortages, and urban-rural imbalances of categories of health workers) from a labor economics perspective. It then uses insights from this perspective as a basis for elaborating policy options that incorporate the underlying labor market forces. The goal of the study is to address undesirable outcomes (including urban-rural HRH imbalances) more effectively. The study draws on an extensive inventory of policy options relevant to urban-rural labor force imbalance in Sub-Saharan Africa and the experiences with these imbalances to date. Given the limited documentation available on this topic through formal channels, the review relies heavily on 'gray literature' from policymakers in Sub-Saharan Africa and their development partners, especially the World Bank and the World Health Organization (WHO). The report is divided into five main sections. The first section focuses on economic policies related to Human Resources for Health (HRH) objectives. It argues that policymaking has ignored health labor market dynamics. The second section provides data showing the extent of urban-rural imbalances and describes how these imbalances affect health system outcomes. The third section uses a health labor market framework to explain these imbalances. The fourth section outlines policy options relevant to Sub-Saharan Africa for addressing market distortions and affecting labor market outcomes. It also reviews evidence on the policies, strategies, and programs designed to address geographic imbalances in Sub-Saharan Africa, highlighting what has been done, what has worked, and what has not. The last section provides a roadmap for policymakers.
en
dc.identifier
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20110107020314
dc.identifier.isbn
978-0-8213-8599-9
dc.identifier.uri
http://hdl.handle.net/10986/2254
dc.identifier.uri
http://hdl.handle.net/10986/5919
dc.language
English
dc.publisher
World Bank
dc.relation.ispartofseries
World Bank Working Paper ; No. 209. Africa Human Development Series
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.subject
ACCESS TO HEALTH SERVICES
dc.subject
AUXILIARY NURSES
dc.subject
BIRTH ATTENDANTS
dc.subject
BIRTH RATES
dc.subject
BRAIN DRAIN
dc.subject
BURDEN OF DISEASE
dc.subject
CAESAREAN SECTIONS
dc.subject
CASH TRANSFERS
dc.subject
CHILDHOOD DISEASES
dc.subject
CLINICAL GUIDELINES
dc.subject
CLINICS
dc.subject
COMMUNITY HEALTH
dc.subject
COST EFFECTIVENESS
dc.subject
COST-EFFECTIVENESS
dc.subject
COUNSELING
dc.subject
DEATHS
dc.subject
DESCRIPTION
dc.subject
DISSEMINATION
dc.subject
ECONOMIC POLICIES
dc.subject
EQUILIBRIUM
dc.subject
EQUITABLE DISTRIBUTION OF RESOURCES
dc.subject
EXISTING RESOURCES
dc.subject
EXPOSURE TO HEALTH RISKS
dc.subject
FEASIBILITY STUDIES
dc.subject
FEMALE
dc.subject
FEMALES
dc.subject
FEWER YEARS OF EDUCATION
dc.subject
FISCAL CONSTRAINTS
dc.subject
FORMAL EDUCATION
dc.subject
GENDER
dc.subject
GENERAL PRACTITIONERS
dc.subject
GOVERNMENT POLICIES
dc.subject
GYNECOLOGY
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE FACILITIES
dc.subject
HEALTH CARE SERVICES
dc.subject
HEALTH CARE SYSTEM
dc.subject
HEALTH CENTERS
dc.subject
HEALTH CLINICS
dc.subject
HEALTH EDUCATION
dc.subject
HEALTH EXTENSION
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH INSURANCE
dc.subject
HEALTH INTERVENTIONS
dc.subject
HEALTH OFFICIALS
dc.subject
HEALTH POLICY
dc.subject
HEALTH PROBLEMS
dc.subject
HEALTH PROFESSIONALS
dc.subject
HEALTH PROVIDERS
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEMS
dc.subject
HEALTH TRAINING
dc.subject
HEALTH WORKERS
dc.subject
HEALTH WORKFORCE
dc.subject
HIV
dc.subject
HIV/AIDS
dc.subject
HOMES
dc.subject
HOSPITAL
dc.subject
HOUSEHOLDS
dc.subject
HOUSING
dc.subject
HUMAN RESOURCES
dc.subject
IMMIGRANT
dc.subject
IMMIGRANT HEALTH
dc.subject
IMMIGRATION
dc.subject
IMMIGRATION POLICIES
dc.subject
IMPORTANT POLICY
dc.subject
INCENTIVE SCHEMES
dc.subject
INCOME
dc.subject
INCOME DISTRIBUTION
dc.subject
INDEXES
dc.subject
INEQUALITY
dc.subject
INEQUITIES
dc.subject
INFANT
dc.subject
INFANT MORTALITY
dc.subject
INFANT MORTALITY RATE
dc.subject
INJURIES
dc.subject
INSERVICE TRAINING
dc.subject
JOB SECURITY
dc.subject
KEY HEALTH INTERVENTIONS
dc.subject
LAB TESTS
dc.subject
LABOR FORCE
dc.subject
LABOR MARKET
dc.subject
LABOR MARKETS
dc.subject
LABOR SHORTAGES
dc.subject
LABOR SUPPLY
dc.subject
LACK OF INFRASTRUCTURE
dc.subject
LEGAL STATUS
dc.subject
LIVE BIRTH
dc.subject
LIVE BIRTHS
dc.subject
LOCAL COMMUNITIES
dc.subject
LOCAL COMMUNITY
dc.subject
LOCAL GOVERNMENTS
dc.subject
MALARIA
dc.subject
MANAGEMENT SYSTEMS
dc.subject
MARRIED COUPLES
dc.subject
MATERNAL HEALTH
dc.subject
MATERNAL MORTALITY
dc.subject
MATERNAL MORTALITY RATES
dc.subject
MEDICAL CARE
dc.subject
MEDICAL SCHOOL
dc.subject
MEDICAL SUPPLIES
dc.subject
MIDWIFE
dc.subject
MIDWIVES
dc.subject
MIGRATION
dc.subject
MILLENNIUM DEVELOPMENT GOALS
dc.subject
MINISTRIES OF HEALTH
dc.subject
MINISTRY OF HEALTH
dc.subject
MORTALITY
dc.subject
MORTALITY LEVELS
dc.subject
MORTALITY RATE
dc.subject
NATIONAL LEVEL
dc.subject
NURSE
dc.subject
NURSES
dc.subject
NURSES TRAINING
dc.subject
NURSING
dc.subject
OBSTETRICAL COMPLICATIONS
dc.subject
PATIENT
dc.subject
PATIENTS
dc.subject
PEDIATRICS
dc.subject
PHYSICIAN
dc.subject
PHYSICIANS
dc.subject
POLICY MAKERS
dc.subject
POLITICAL INSTABILITY
dc.subject
POOR
dc.subject
POOR AREAS
dc.subject
POPULATION DENSITY
dc.subject
POPULATION GROUPS
dc.subject
POVERTY INDICATORS
dc.subject
PRIMARY HEALTH CARE
dc.subject
PRIMARY HEALTH CARE SERVICES
dc.subject
PRIVATE DOCTORS
dc.subject
PROBABILITY
dc.subject
PROGRESS
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC HEALTH INTERVENTIONS
dc.subject
REDUCING MATERNAL MORTALITY
dc.subject
REMOTE AREAS
dc.subject
REMOTE RURAL AREAS
dc.subject
RURAL
dc.subject
RURAL AREA
dc.subject
RURAL AREAS
dc.subject
RURAL CLINICS
dc.subject
RURAL COMMUNITIES
dc.subject
RURAL COMMUNITY
dc.subject
RURAL DIFFERENCES
dc.subject
RURAL DISTRICTS
dc.subject
RURAL EMPLOYMENT
dc.subject
RURAL GAP
dc.subject
RURAL GAPS
dc.subject
RURAL HEALTH
dc.subject
RURAL HEALTH CARE
dc.subject
RURAL LABOR
dc.subject
RURAL MARKETS
dc.subject
RURAL MEDICINE
dc.subject
RURAL PEOPLE
dc.subject
RURAL POLICY
dc.subject
RURAL POPULATIONS
dc.subject
RURAL PROVINCES
dc.subject
RURAL REGIONS
dc.subject
RURAL SERVICE
dc.subject
RURAL SERVICES
dc.subject
RURAL WORKERS
dc.subject
SAFETY
dc.subject
SCARCE RESOURCES
dc.subject
SKILL LEVEL
dc.subject
SOCIAL FACTORS
dc.subject
SPILLOVER
dc.subject
SPOUSE
dc.subject
SPOUSES
dc.subject
SURGERY
dc.subject
TARGETING
dc.subject
TRAINING OPPORTUNITIES
dc.subject
TRANSPORTATION
dc.subject
UNDER-FIVE MORTALITY
dc.subject
UNEMPLOYMENT
dc.subject
URBAN AREA
dc.subject
URBAN AREAS
dc.subject
URBAN HEALTH CARE
dc.subject
USER FEES
dc.subject
VILLAGES
dc.subject
VIOLENCE
dc.subject
WAR
dc.subject
WOMAN
dc.subject
WORKERS
dc.subject
WORKFORCE
dc.subject
WORKING CONDITIONS
dc.subject
WORLD HEALTH ORGANIZATION
dc.title
Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa : A Labor Market Perspective on What Works, What Does Not, and Why
en
okr.date.disclosure
2011-01-07
okr.doctype
Publications & Research :: Publication
okr.doctype
Publications & Research :: Publication
okr.docurl
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20110107020314
okr.globalpractice
Social, Urban, Rural and Resilience
okr.globalpractice
Poverty
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/978-0-8213-8599-9
okr.identifier.externaldocumentum
000333038_20110107020314
okr.identifier.internaldocumentum
13358807
okr.identifier.report
58843
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2011/01/07/000333038_20110107020314/Rendered/PDF/588430NWP0Heal101public10BOX353816B.pdf
en
okr.region.administrative
Africa
okr.topic
Health, Nutrition and Population :: Population Policies
okr.topic
Health, Nutrition and Population :: Health Monitoring and Evaluation
okr.topic
Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic
Communities and Human Settlements :: Housing & Human Habitats
okr.topic
Poverty Reduction :: Rural Poverty Reduction
okr.topic
Health, Nutrition and Population
okr.unit
Health, Nutrition & Population (AFTHE)
okr.volume
1 of 1

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