Sangam: A Confluence of Knowledge Streams

Diversity in Career Preferences of Future Health Workers in Rwanda : Where, Why, and for How Much?

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dc.creator Lievens, Tomas
dc.creator Serneels, Pieter
dc.creator Butera, Jean Damascene
dc.creator Soucat, Agnes
dc.date 2012-03-19T09:33:47Z
dc.date 2012-03-19T09:33:47Z
dc.date 2010-03-01
dc.date.accessioned 2023-02-17T20:36:33Z
dc.date.available 2023-02-17T20:36:33Z
dc.identifier http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20100511015328
dc.identifier 978-0-8213-8339-1
dc.identifier http://hdl.handle.net/10986/2445
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/242875
dc.description The Government of Rwanda has identified human resources for health as one of its Policy priorities. This study aims to contribute to building a better understanding of health worker choice and behavior, and to improve evidence based policies. The work was undertaken by The Ministry of Health in a collaborative effort with the World Bank, building on the results of qualitative pre research, and is the first wave of a cohort survey with medical and nursing students. In comparison with other African countries, migration of health workers abroad may be less of a problem for Rwanda. The study finds that 80 percent of nursing and medical students report to have no intention to migrate abroad in the coming five years. Using a contingent valuation method to measure the reservation wage to migrate, we find that at the current public sector starting salary more than half the students will choose a job in Kigali instead of going abroad. But there is considerable heterogeneity in the willingness to work abroad. For example, students who are married or engaged are less likely to move abroad. Younger medical students require a higher average salary to stay in Rwanda compared to older students. Although Rwanda has a relatively low HIV prevalence compared to other African countries, there are problems with attitudes to HIV/AIDS, although the attitudes differ greatly between students, with medical students consistently more positive than nurses. Medical students score higher than nurses on medical knowledge related to HIV/AIDS, have higher levels of self reported knowledge on AIDS, and are also more familiar with HIV. Health students are generally averse to taking up work in high HIV prevalence areas but preferences vary widely, as is reflected in the wide span of reservation wages to accept a job in a high HIV prevalence area. Students are less willing to work in high HIV prevalence areas than to take up rural service.
dc.language English
dc.publisher World Bank
dc.relation World Bank working paper ; no. 189. Africa human development series
dc.rights CC BY 3.0 IGO
dc.rights http://creativecommons.org/licenses/by/3.0/igo
dc.rights World Bank
dc.subject ABSENTEEISM
dc.subject ACCESS TO SCHOOLING
dc.subject ACCREDITATION
dc.subject AGE GROUPS
dc.subject CAREER
dc.subject CAREER CHOICE
dc.subject CAREER CHOICES
dc.subject CAREER PROSPECTS
dc.subject CURRICULA
dc.subject DEGREES
dc.subject DISEASE
dc.subject EMPLOYMENT
dc.subject EXPENDITURES
dc.subject FEMALE STUDENTS
dc.subject HEALTH CARE
dc.subject HEALTH EDUCATION
dc.subject HEALTH OUTCOMES
dc.subject HEALTH SERVICES
dc.subject HEALTH WORKERS
dc.subject HEALTH WORKFORCE
dc.subject HIV
dc.subject HIV INFECTION
dc.subject HIV POSITIVE
dc.subject HIV/AIDS
dc.subject HUMAN DEVELOPMENT
dc.subject HUMAN RESOURCES
dc.subject IMMUNE DEFICIENCY
dc.subject IMMUNODEFICIENCY
dc.subject INFECTION
dc.subject INFECTION RATE
dc.subject INTERVENTIONS
dc.subject JOB SATISFACTION
dc.subject LIFE EXPECTANCY
dc.subject LITERATURE
dc.subject MALARIA
dc.subject MEDICAL CARE
dc.subject MEDICAL DOCTORS
dc.subject MEDICAL FACULTY
dc.subject MEDICAL SCHOOL
dc.subject MEDICAL STUDENTS
dc.subject MEDICINE
dc.subject MENTAL HEALTH
dc.subject MENTAL HEALTH NURSING
dc.subject MIDWIFERY
dc.subject MIGRATION
dc.subject MORTALITY
dc.subject NURSES
dc.subject NURSING
dc.subject NURSING SCHOOLS
dc.subject NURSING STUDENTS
dc.subject PAPERS
dc.subject PATIENT
dc.subject PATIENTS
dc.subject POST SECONDARY EDUCATION
dc.subject PREVALENCE
dc.subject PRINTING
dc.subject PUBLIC HEALTH
dc.subject ROOMS
dc.subject SCHOOLS
dc.subject SKILLED LABOR
dc.subject SUBJECTS
dc.subject SYNDROME
dc.subject TEACHERS
dc.subject TEST SCORES
dc.subject TUITION
dc.subject TUITION FEES
dc.subject VIRUS
dc.subject VISION
dc.subject WORK ENVIRONMENT
dc.subject WORK EXPERIENCE
dc.subject WORK FORCE
dc.subject WORKERS
dc.title Diversity in Career Preferences of Future Health Workers in Rwanda : Where, Why, and for How Much?
dc.type Publications & Research :: Publication
dc.type Publications & Research :: Publication
dc.coverage Africa
dc.coverage Sub-Saharan Africa
dc.coverage Central Africa
dc.coverage Rwanda


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