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Incentives to attract and retain the health workforce in rural areas of Peru: A qualitative study

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dc.contributor.author Huicho Oriundo, Luis
dc.contributor.author Canseco, F.D.
dc.contributor.author Lema, C.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.date.accessioned 2022-01-18T19:34:41Z
dc.date.available 2022-01-18T19:34:41Z
dc.date.issued 2012
dc.identifier.uri https://hdl.handle.net/20.500.12866/11128
dc.description.abstract The study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru. In-depth interviews were performed with 80 physicians, obstetricians, nurses, and nurse technicians in the poorest areas (20 per group), plus 11 health managers. Ayacucho lacks systematic policies for attracting and retaining human resources. The main incentives, in order of relevance, were higher wages, opportunities for further training, longer/permanent contracts, better infrastructure and medical equipment, and more staff. Interviewees also mentioned improved housing conditions and food, the opportunity to be closer to family, and recognition by the health system. Health workers and policymakers share perceptions on key incentives to encourage work in rural areas. However, there are also singularities to be considered when designing specific strategies. Public initiatives thus need to be monitored and evaluated closely in order to ensure the intended impact. en_US
dc.description.abstract El objetivo fue identificar incentivos de atracción y retención en zonas rurales y distantes de Ayacucho, Perú. Fueron realizadas entrevistas en profundidad con 80 médicos, enfermeras, obstetras y técnicos (20 por grupo) de las zonas más pobres y con 11 funcionarios. No existen políticas sistemáticas de atracción y retención de personal de salud en Ayacucho. Los principales incentivos, en orden de importancia, fueron mejoras salariales, oportunidades de formación y capacitación, estabilidad laboral y nombramiento, mejoras en infraestructura y equipos, e incremento del personal. Se mencionaron también mejoras en la vivienda y alimentación, mayor cercanía con la familia y reconocimiento por el sistema de salud. Existen coincidencias y singularidades entre los distintos grupos sobre los incentivos clave para estimular el trabajo rural, que deben considerarse al diseñar políticas públicas. Las iniciativas del Estado deben comprender procesos rigurosos de monitoreo y evaluación, para asegurar que las mismas tengan el impacto deseado. es_PE
dc.language.iso eng
dc.publisher Escola Nacional de Saúde Pública
dc.relation.ispartofseries Cadernos de Saude Publica
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject health care planning en_US
dc.subject Qualitative Research en_US
dc.subject Rural Population en_US
dc.subject economics en_US
dc.subject standard en_US
dc.subject Developing Countries en_US
dc.subject manpower en_US
dc.subject Physicians en_US
dc.subject health service en_US
dc.subject Health Manpower en_US
dc.subject Medically Underserved Area en_US
dc.subject salary and fringe benefit en_US
dc.subject Health Services Needs and Demand en_US
dc.subject Healthcare Disparities en_US
dc.subject Nurses en_US
dc.subject organization and management en_US
dc.subject personnel management en_US
dc.subject Personnel Selection en_US
dc.subject rural health care en_US
dc.subject Rural Health Services en_US
dc.subject Salaries and Fringe Benefits en_US
dc.title Incentives to attract and retain the health workforce in rural areas of Peru: A qualitative study en_US
dc.title.alternative Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo es_PE
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1590/S0102-311X2012000400012
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1678-4464


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