Salaries and incomes of health workers in sub-Saharan Africa

McCoy, David and Bennett, Sara and Witter, Sophie and Pond, Bob and Baker, Brook and Gow, Jeff and Chand, Sudeep and Ensor, Tim and McPake, Barbara (2008) Salaries and incomes of health workers in sub-Saharan Africa. The Lancet, 371 (9613). pp. 675-681. ISSN 0140-6736


We aimed to investigate pay structures for health workers in the public sector in sub-Saharan Africa; the adequacy of incomes for health workers; the management of public-sector pay; and the fiscal and macroeconomic factors that impinge on pay policy for the public sector. Because salary differentials affect staff migration and retention, we also discuss pay in the private sector. We also surveyed historical trends in the pay of civil servants in Africa over the past 40 years. We used some empirical data, but found that relevant data were scarce. The available data suggested that pay structures vary across countries, and are often structured in complex ways. Health workers also commonly use allowances and other sources of income to supplement their formal pay. The pay of health workers varies widely, whether between countries, by comparison with cost of living, or between public and private sector roles. To optimise the distribution and mix of health workers, policy options to address their pay and incomes are needed. Fiscal constraints to increased salaries and non-financial incentives might needs to be overcome in many countries.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Awaiting Author's version which may be deposited in accordance with the copyright policy of the publisher.
Faculty / Department / School: Historic - Faculty of Business - School of Accounting, Economics and Finance
Date Deposited: 21 Jul 2009 12:20
Last Modified: 09 Oct 2014 07:05
Uncontrolled Keywords: salaries; health workers; sub Saharan Africa; cost of living; health care financing; health care personnel
Fields of Research : 16 Studies in Human Society > 1604 Human Geography > 160401 Economic Geography
14 Economics > 1402 Applied Economics > 140208 Health Economics
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
Socio-Economic Objective: B Economic Development > 91 Economic Framework > 9102 Microeconomics > 910202 Human Capital Issues
Identification Number or DOI: 10.1016/S0140-6736(08)60306-2

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