Salaries and incomes of health workers in sub-Saharan Africa  

Oleh:

McCoy, David ; Bennett, Sara ; Witter, Sophie ; Pond, Bob ; Baker, Brook ; Gow, Jeff ; Chand, Sudeep ; Ensor, Tim ; McPake, Barbara

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Lancet (keterangan: ada di Proquest) vol. 371 no. 9613 (Feb. 2008), page 675.

Ketersediaan

Perpustakaan FK Nomor Panggil: L01.K.2008.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Public-sector health workers are vital to the functioning of health systems. 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 farctors that impinge on pay policy for the public sector. Because salary differentials affect staff migration and tetention, we also discuss pay in the private sector. We surveyed historical trends in the pay of civil servants in Africa over the past 40 years. We used some empirical data, but found that accurate and ccomplete 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 other sources of incometo supplement their formal pay. The pay and income of health worker varies widely, whether between countries, by comparison with cost of living, or between the public and private sectors. To optimise the distribution and mix of health workers, policy intervention to address their pay and incomes are needed. Fiscal constraints to increased salaries might need to be overcome in many countries, and non-financial incentives improved.

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