Discovering the Real World Health Workers' Career Choices and Early Work Experience in Ethiopia

, by Serra, Danila; Serneels, Pieter; Lindelow, Magnus; Montalvo, Jose Garcia

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ISBN: 9780821383568 | 0821383566
Cover: Paperback
Copyright: 6/24/2010

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Discovering the real world presents unique evidence on health workers? career choices in Ethiopia. It shows that challenges like health workers? limited willingness to work in a rural area, as well as their likelihood to migrate abroad vary substantially and are correlated with rural background, motivation, and job satisfaction.

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Contents	p. iii
Acknowledgments	p. v
Foreword	p. vi
Executive Summary	p. vii
Introduction	p. 1
Background and Method	p. 2
The Health Sector and Human Resources for Health in Ethiopia	p. 2
Satisfaction and Motivation	p. 3
Geographical Imbalances	p. 3
Migration Abroad of Health Workers	p. 4
The Ethiopia Health Worker Cohort Study	p. 5
First Wave of the Study: Final-Year Health Students in 2004	p. 5
Second Wave of the Study: Starting Health Workers in 2007	p. 5
Health Workers' Activities and Distribution	p. 8
Summary	p. 8
Overview	p. 8
Who Is Working?	p. 9
Working in a Rural or Urban Area, in the Public or Private Sector, and in Which Region?	p. 9
Working in Which Type of Facility and Which Occupation?	p. 11
Secondary Job in the Health Sector	p. 11
The Release to Work in the Private Sector	p. 12
Job Characteristics, Job Preferences, and Satisfaction	p. 15
Summary	p. 15
Overview	p. 16
Current Salaries and Nonpecuniary Benefits	p. 16
Other Important Job Attributes	p. 18
Job Satisfaction	p. 20
Satisfaction with Different Spheres of Life	p. 23
Attitudes toward Working on the Side	p. 24
The Choice between Rural and Urban Posting	p. 27
Summary	p. 27
Overview	p. 28
The Profiles of Health Workers in Rural and Urban Areas	p. 28
The Preference for a Rural or Urban Posting in 2004 versus 2007	p. 30
Reasons for Quitting First Job	p. 32
Reservation Wages to Work in a Rural Area	p. 35
Likelihood of Migration Abroad	p. 40
Summary	p. 40
Overview	p. 40
Likelihood of Migrate Abroad in the Coming Two Years	p. 40
For What Wages Would Health Workers Stay in Ethiopia?	p. 42
Conclusion	p. 46
Survey Methodology	p. 47
Follow-up Efforts in 2005, 2006, and 2007	p. 47
Job Search	p. 49
Differences in Facility Infrastructure between Urban and Rural Locations	p. 51
Contingent Valuation Question for Rural versus Urban Job	p. 52
Contingent Valuation Question for Domestic Job versus Migration	p. 54
References	p. 55
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Discovering the Real World Health Workers' Career Choices and Early Work Experience in Ethiopia

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