Staffing remote rural areas in middle- and low-income countries: A literature review of attraction and retention
2008

Attracting and Retaining Health Workers in Rural Areas

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Uta Lehmann, Marjolein Dieleman, Tim Martineau

Primary Institution: School of Public Health, University of the Western Cape

Hypothesis

What factors influence the attraction and retention of health professionals in remote areas of middle- and low-income countries?

Conclusion

Improving attraction and retention of health workers in remote rural areas requires a comprehensive understanding of the influencing factors and multi-sectoral collaboration.

Supporting Evidence

  • Health worker shortages are a common problem in resource-poor countries.
  • The migration of health personnel often follows a hierarchy of wealth.
  • Living conditions, including housing and schools, significantly impact health workers' decisions to stay in remote areas.

Takeaway

This study looks at why it's hard to keep doctors and nurses in remote areas and suggests that we need to work together to make these places better for them to live and work.

Methodology

A narrative literature review focusing on English-language material published between 1997 and 2007, assessing about 600 papers and including 55 in the review.

Limitations

The review primarily draws on literature from industrialized countries, which may not fully represent the context of middle- and low-income countries.

Participant Demographics

The review focuses on health professionals in middle- and low-income countries, particularly in remote areas.

Digital Object Identifier (DOI)

10.1186/1472-6963-8-19

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