The University of Dublin | Trinity College -- Ollscoil Átha Cliath | Coláiste na Tríonóide
Trinity's Access to Research Archive
Home :: Log In :: Submit :: Alerts ::

TARA >
School of Medicine >
Public Health & Primary Care >
Public Health & Primary Care (Scholarly Publications) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/39158

Title: Retention of health workers in Malawi: perspectives of health workers and district management.
Author: NORMAND, CHARLES
MC AULIFFE, EILISH
MAC LACHLAN, MALCOLM
Author's Homepage: http://people.tcd.ie/normandc
http://people.tcd.ie/emcaulif
http://people.tcd.ie/mlachlan
Keywords: Public Health & Primary Care
Issue Date: 2009
Publisher: BioMed Central
Citation: Manafa O, McAuliffe E, Maseko F, Bowie C, Maclachlan M, Normand C, Retention of health workers in Malawi: perspectives of health workers and district management., Human resources for health, 7, 2009, 65
Series/Report no.: Human resources for health;
7;
Abstract: Background Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance. Methods A quantitative survey measured health workers' job satisfaction, perceptions of the work environment and sense of justice in the workplace, and was reported elsewhere. It emerged that health workers were particularly dissatisfied with what they perceived as unfair access to continuous education and career advancement opportunities, as well as inadequate supervision. These issues and their contribution to demotivation, from the perspective of both management and health workers, were further explored by means of qualitative techniques. Focus group discussions were held with health workers, and key-informant interviews were conducted with members of district health management teams and human resource officers in the Ministry of Health. The focus groups used convenience sampling that included all the different cadres of health workers available and willing to participate on the day the research team visited the health facility. The interviews targeted district health management teams in three districts and the human resources personnel in the Ministry of Health, also sampling those who were available and agreed to participate. Results The results showed that health workers consider continuous education and career progression strategies to be inadequate. Standard human resource management practices such as performance appraisal and the provision of job descriptions were not present in many cases. Health workers felt that they were inadequately supervised, with no feedback on performance. In contrast to health workers, managers did not perceive these human resources management deficiencies in the system as having an impact on motivation. Conclusion A strong human resource management function operating at the district level is likely to improve worker motivation and performance.
Description: PUBLISHED
URI: http://hdl.handle.net/2262/39158
Appears in Collections:Public Health & Primary Care (Scholarly Publications)

Files in This Item:

File Description SizeFormat
Retention of health workers in Malawi - perspectives of health workers and district management.pdfPublished (publisher's copy) - Peer Reviewed354.38 kBAdobe PDFView/Open


This item is protected by original copyright


Please note: There is a known bug in some browsers that causes an error when a user tries to view large pdf file within the browser window. If you receive the message "The file is damaged and could not be repaired", please try one of the solutions linked below based on the browser you are using.

Items in TARA are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback