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Why do people become health workers? A nalysis from life histories in 4 post‐conflict and post‐crisis countries
Author(s) -
Witter Sophie,
Wurie Haja,
Namakula Justine,
Mashange Wilson,
Chirwa Yotamu,
AlonsoGarbayo Alvaro
Publication year - 2018
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2485
Subject(s) - workforce , loyalty , job security , sierra leone , perception , political science , psychology , demographic economics , public relations , economic growth , sociology , socioeconomics , law , economics , engineering , work (physics) , mechanical engineering , neuroscience
Summary While there is a growing body of literature on how to attract and retain health workers once they are trained, there is much less published on what motivates people to train as health professions in the first place in low‐ and middle‐income countries and what difference this makes to later retention. In this article, we examine patterns in expressed motivation to join the profession across different cadres, based on 103 life history interviews conducted in northern Uganda, Sierra Leone, Cambodia, and Zimbabwe. A rich mix of reported motivations for joining the profession was revealed, including strong influence of “personal calling,” exhortations of family and friends, early experiences, and chance factors. Desire for social status and high respect for health professionals were also significant. Economic factors are also important—not just perceptions of future salaries and job security but also more immediate ones, such as low cost or free training. These allowed low‐income participants to access the health professions, to which they had shown considerably loyalty. The lessons learned from these cohorts, which had remained in service through periods of conflict and crisis, can influence recruitment and training policies in similar contexts to ensure a resilient health workforce.