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Motivation and retention of primary healthcare workers in rural health facilities: An exploratory qualitative study of Chipata and Chadiza Districts, Zambia.
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- Author(s): Manda, Kenneth; Silumbwe, Adam; Mupeta Kombe, Maureen; Hangoma, Peter
- Source:
Global Public Health. Jan2023, Vol. 18 Issue 1, p1-13. 13p. - Source:
- Additional Information
- Subject Terms: RESEARCH; WORK environment; OCCUPATIONAL achievement; RURAL hospitals; ENVIRONMENTAL health personnel; MOTIVATION (Psychology); PROFESSIONAL employee training; COST of living; AGRICULTURE; MEDICAL personnel; INTERVIEWING; PEER relations; COMMUNITY support; COMMUNITY health services; PRIMARY health care; QUALITATIVE research; PHENOMENOLOGY; URBAN hospitals; PSYCHOSOCIAL factors; NURSES; THEMATIC analysis; JUDGMENT sampling; STATISTICAL sampling; EMPLOYEE retention; RURAL health clinics; PERSONNEL management
- Subject Terms:
- Abstract: Rural areas have the greatest health needs and yet they face the largest shortage of human resources for health which negatively impacts health systems capacity to deliver quality care as they struggle to motivate and retain healthcare workers in such settings. This study explored factors that shape motivation and retention of primary healthcare workers in rural health facilities in Chipata and Chadiza Districts of Zambia using a phenomenological research design. The data consisted 28 in-depth interviews with rural primary healthcare workers and were analysed using thematic analysis. Three main themes of factors shaping motivation and retention of rural primary healthcare workers were identified. Firstly, professional development with emergent themes of career advancement and opportunities for attending capacity-building workshops. Secondly, the work environment with emergent themes of challenging and stimulating tasks, availability of opportunities for promotion and co-workers' recognition and supportive relationships. Thirdly, rural community dynamics with emergent themes of reduced cost of living, community recognition and support, and easy access to farmland for economic and consumption purposes. Interventions that are contextually relavant, which can streamline career progression pathways, enhance rural working environments, offer suitable incentives, and rally community support for rural primary healthcare workers are required. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Global Public Health is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Subject Terms:
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