An evaluation of the effectiveness of the Zambian Health Worker Retention Scheme (ZHWRS) for rural areas

Gow, J. and George, G. and Mwamba, S. and Ingombe, L. and Mutinta, G. (2013) An evaluation of the effectiveness of the Zambian Health Worker Retention Scheme (ZHWRS) for rural areas. African Health Sciences, 13 (3). pp. 800-807. ISSN 1680-6905

[img]
Preview
Text (Published Version)
ZHWRS Paper Final Proof.pdf
Available under License Creative Commons Attribution Share Alike.

Download (163Kb) | Preview

Abstract

Background: Zambian Health Workers Retention Scheme (ZHWRS) commenced in 2003. The schemes' original aim was to retain and recruit Zambian doctors in rural and remote districts. The aim of the ZHWRS subsequently expanded to also include other health workers, in either rural or urban areas. The scheme was formulated to address, in part, the drastic
shortage of health workers.
Objectives: To evaluate the effectiveness of the ZHWRS in achieving its aim.
Methods: The data on the number of health workers recruited by the ZHWRS and the spatial distribution of them was
reviewed. A survey of health workers was undertaken to elicit their views of their working conditions, their job satisfaction and the effectiveness of retention schemes in retaining or increasing the numbers of and overall satisfaction of health workers.
Results: The ZHWRS has not been successful in recruiting sufficient numbers of health workers to reverse the shortage
problem or even to meet the modest targets of the scheme itself. However, these improvements do not decrease the
likelihood of Department of Health (DoH) workers leaving their rural based positions.
Conclusions: The ZHWRS has not fully met either its original or revised aims. The drastic shortage of health workers in Zambia continues.


Statistics for USQ ePrint 23965
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Open Access Journal. Any uses and or copies of the content of participating AJOL journals in whole or in part must include the customary bibliographic citation, including author attribution, date and article title.
Faculty / Department / School: Current - Faculty of Business, Education, Law and Arts - School of Commerce
Date Deposited: 29 Aug 2013 02:59
Last Modified: 05 Mar 2015 02:28
Uncontrolled Keywords: Zambia; health workers; retention scheme
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150305 Human Resources Management
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
Identification Number or DOI: 10.4314/ahs.v13i3.40
URI: http://eprints.usq.edu.au/id/eprint/23965

Actions (login required)

View Item Archive Repository Staff Only