Early implementation of WHO recommendations for the retention of health workers in remote and rural areas

Bulletin of the World Health Organization
James BuchanCarmen Dolea

Abstract

The maldistribution of health workers between urban and rural areas is a policy concern in virtually all countries. It prevents equitable access to health services, can contribute to increased health-care costs and underutilization of health professional skills in urban areas, and is a barrier to universal health coverage. To address this long-standing concern, the World Health Organization (WHO) has issued global recommendations to improve the rural recruitment and retention of the health workforce. This paper presents experiences with local and regional adaptation and adoption of WHO recommendations. It highlights challenges and lessons learnt in implementation in two countries - the Lao People's Democratic Republic and South Africa - and provides a broader perspective in two regions - Asia and Europe. At country level, the use of the recommendations facilitated a more structured and focused policy dialogue, which resulted in the development and adoption of more relevant and evidence-based policies. At regional level, the recommendations sparked a more sustained effort for cross-country policy assessment and joint learning. There is a need for impact assessment and evaluation that focus on the links between the rural availabi...Continue Reading

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Citations

Sep 14, 2013·International Health·Kabir SheikhT Sundararaman
Apr 5, 2014·Bulletin of the World Health Organization·Augustine D AsanteJohn Dewdney
Nov 8, 2014·Bulletin of the World Health Organization·David M SilvestriSten Vermund
Dec 19, 2013·Bulletin of the World Health Organization·Mozart SalesCarissa Etienne
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Sreelakshmi LankaPraveen K Nirmalan
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