The Performance of Health Workers in Ethiopia : Results form Qualitative Research  

Oleh:

Lindelow, Magnus ; Serneels, Pieter

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 9 (May 2006), page 2225-2235.
Topik: health; health worker performance; human resources for health; corrupton

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Insufficient attention has been paid to understanding what determines the performance of health workers. This paper reports on findings from focus group discussions with both health workers and users of health sevices in ethiophia, a country with some of the poorest health outcomes on the world. We describe performance problems identified by both health users and health workers participating in the docus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illcit charging and corruption. In the second part of the paper we present four structural reasons why these problems arise : i. the ongoing transition from health sector dominated by the public sector, towards a more mixed model, ii. the failure of government policies to keep pace with the transition towards a mixed model of service delivery iii. weak accountability mechanisms and the erosion of professional norms in the health sector and iv. the impact of HIV / AIDS. The discussion underline the need to base policies on a micro analysis of how health workers make constrained choices, both in their career and in their day to day professional activities.

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