How decentralisation influences the retention of primary health care workers in rural Nigeria

Global Health Action
Seye AbimbolaMuyi Aina

Abstract

In Nigeria, the shortage of health workers is worst at the primary health care (PHC) level, especially in rural communities. And the responsibility for PHC - usually the only form of formal health service available in rural communities - is shared among the three tiers of government (federal, state, and local governments). In addition, the responsibility for community engagement in PHC is delegated to community health committees. This study examines how the decentralisation of health system governance influences retention of health workers in rural communities in Nigeria from the perspective of health managers, health workers, and people living in rural communities. The study adopted a qualitative approach, and data were collected using semi-structured in-depth interviews and focus group discussions. The multi-stakeholder data were analysed for themes related to health system decentralisation. The results showed that decentralisation influences the retention of rural health workers in two ways: 1) The salary of PHC workers is often delayed and irregular as a result of delays in transfer of funds from the national to sub-national governments and because one tier of government can blame failure on another tier of government. Furt...Continue Reading

References

Nov 14, 2003·Human Resources for Health·Marjolein DielemanTim Martineau
May 18, 2004·Human Resources for Health·Riitta-Liisa Kolehmainen-Aitken
May 30, 2006·Human Resources for Health·Gilles Dussault, Maria Cristina Franceschini
Jul 23, 2009·Human Resources for Health·Slavea ChankovaGilbert Kombe
Dec 19, 2013·Bulletin of the World Health Organization·James BuchanCarmen Dolea

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Citations

May 5, 2016·The International Journal of Health Planning and Management·Seye AbimbolaAlexandra L C Martiniuk
Oct 31, 2015·Revista da Escola de Enfermagem da U S P·Érica de Brito Pitilin, Maicon Henrique Lentsck
Apr 11, 2018·BMC Health Services Research·Nathanael SiriliAnna-Karin Hurtig
Aug 4, 2018·The International Journal of Health Planning and Management·Chukwuemeka A Umeh
Aug 10, 2018·The International Journal of Health Planning and Management·Olusesan Ayodeji MakindeDavid Boone
Aug 30, 2019·PloS One·Boniface Ayanbekongshie UshieAnthony Idowu Ajayi
Mar 7, 2020·Journal of Public Health·Shireen Kumar, Bridget Clancy
Aug 14, 2020·BMJ Global Health·Seye Abimbola
Mar 24, 2017·Health Policy and Planning·Thidar PyoneNynke van den Broek
Dec 7, 2019·Human Resources for Health·Cheick Sidya SidibéMarjolein Dieleman
Feb 12, 2017·BMC Health Services Research·Bhuputra PandaHarshad P Thakur

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