Explaining retention of healthcare workers in Tanzania: moving on, coming to 'look, see and go', or stay?

Human Resources for Health
Aloisia ShemdoeZoe Jane-Lara Hildon

Abstract

In the United Republic of Tanzania, as in many regions of Sub-Saharan Africa, staff shortages in the healthcare system are a persistent problem, particularly in rural areas. To explore staff shortages and ways of keeping workers in post, we ask, (a) Which cadres are most problematic to recruit and keep in post? (b) How and for what related reasons do health workers leave? (c) What critical incidents do those who stay face? (d) And why do they stay and cope? This is a multi-method paper based on analysis of data collected as part of a cross-sectional health facility study supporting maternal and reproductive health services in the United Republic of Tanzania. Qualitative data were generated through semi-structured interviews with Council Health Management Teams, and Critical Incident Technique interviews with mid-level cadres. Complementary quantitative survey data were collected from district health officials, which are used to support the qualitative themes. Mid-level cadres were problematic to retain and caused significant disruptions to continuity of care when they left. Shortage of highly skilled workers is not only a rural issue but also a national one. Staff were categorised into a clear typology. Staff who left soon afte...Continue Reading

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Citations

Apr 11, 2018·BMC Health Services Research·Nathanael SiriliAnna-Karin Hurtig
Jul 25, 2018·Journal of Clinical Nursing·Sharon BrownieEunice Wambui Ndirangu
Jan 17, 2020·International nursing review·Justine DolMarsha Campbell-Yeo
Mar 18, 2017·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Francis Levira, Gemma Todd
Dec 15, 2017·Nursing Research·Joanes Faustine Mboineki, Weihong Zhang

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