Compulsory service programmes for recruiting health workers in remote and rural areas: do they work?

Frehywot, Seble; Mullan, Fitzhugh; Payne, Perry W.; Ross, Heather

doi:10.2471/blt.09.071605

Cited by 185 publications

(192 citation statements)

References 12 publications

Supporting

Mentioning

173

Contrasting

Unclassified

Order By: Relevance

“…38 Programmes that provide reasonable benefi ts and support might be more costly than compulsory service without incentives but maximise the likelihood of eff ective service. 43,44 Evidence, albeit sparse, suggests that combining strategies can be very eff ective. 38,40 Additionally, geographical access to facilities can be an important determinant of use.…”

Section: Human Resource Availability and Geographical Accessmentioning

confidence: 99%

“…For example, reviews that considered strategies' eff ects on equity and found promising pro-poor eff ects included those assessing expanded roles for community health workers, 10,11,16 task shifting, 31,32 the expanded use of private service providers, 23,34 strategies to reduce fi nancial barriers to access, 37 and strategies to increase humanresource availability and geographical access. 38,39,43 The other paper in this Series 6 builds on our recommendations and uses data from 15 low-income and middleincome countries to describe how a UNICEF modelling team developed and applied a model that simulates the potential eff ect of implementation of the most promising of these strategies in the context of an equity-based approach to health and nutrition programming. 6 …”

Section: Equity-focused Approachesmentioning

confidence: 99%

See 1 more Smart Citation

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

et al. 2012

View full text Add to dashboard Cite

Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the eff ective coverage of essential interventions. First, we identify four diff erent intervention delivery channels-ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions' deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to examine the evidence for a range of strategies designed to overcome supply and demand bottlenecks to eff ective coverage of interventions that improve child survival, health, and nutrition. Although knowledge gaps exist, several strategies show promise for improving coverage of eff ective interventionsand, in some cases, health outcomes in children-including expanded roles for lay health workers, task shifting, reduction of fi nancial barriers, increases in human-resource availability and geographical access, and use of the private sector. Policy makers and planners should be informed of this evidence as they choose strategies in which to invest their scarce resources.

show abstract

Section: Human Resource Availability and Geographical Accessmentioning

confidence: 99%

Section: Equity-focused Approachesmentioning

confidence: 99%

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Para incrementar el número de profesionales de la salud en áreas vulnerables hay varios factores involucrados, que se pueden dividir en condiciones previas del sujeto que favorecen la decisión, los mecanismos de reclutamiento y de retención (3)(4)(5)38) . Los primeros involucran el reclutamiento de personas procedentes de zonas rurales para estudiar en profesiones de salud, el incluir actividades en zonas rurales en las mallas curriculares universitarias o como actividades extraacadémicas, conocer las intenciones de trabajo y permanencia en zonas rurales, entre otros (4) .…”

Section: Alternativas Para Distribuir Y Retener Recursos Humanos En Sunclassified

“…Sin embargo, pocos sistemas lo logran y como consecuencia se enfrenta una distribución inequitativa de los RHUS, perjudicando a las zonas rurales y urbanas marginales (2) . Por esta razón, los gobiernos han tratado de generar o adaptar estrategias para atraer y retener al personal de salud (3)(4)(5) .…”

Section: Introductionunclassified

El requisito obligatorio del servicio social en salud del Perú: discriminatorio e inconstitucional

Mayta‐Tristán

Poterico

Galán-Rodas

et al. 2014

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

RESUMENEl servicio rural y urbano marginal en salud (SERUMS) es una actividad que realizan solo los profesionales de la salud al Estado peruano, ya que constituye un requisito obligatorio para optar por la segunda especialidad o para trabajar en un centro de salud público, y obtener becas del gobierno para futura capacitación. Los escasos cambios legales en el reglamento de este programa social y el enfoque de "servicio" restringido a los profesionales de salud conllevan a que esta política sea discriminatoria e inconstitucional por atentar contra el derecho a la educación y al trabajo. No hay evidencia científica que sustente la utilidad y efectividad de este programa, tanto en la calidad de servicio y mejora de indicadores sanitarios, como en la adecuada distribución y retención de profesionales de salud. Sugerimos abolir el requisito de obligatoriedad y replantear una estrategia política que ayude a atraer y retener a los profesionales de la salud en zonas vulnerables del Perú. Palabras clave: Recursos humanos; Distribución de médicos; Trabajadores rurales; Salud pública; Políticas; Perú (fuente: DeCS BIREME). MANDATORY REQUIREMENT OF SOCIAL HEALTH SERVICE IN PERU:DISCRIMINATORY AND UNCONSTITUTIONAL RESUMENThe rural and urban-edge health service (SERUMS) is an activity that only health professionals perform for the Peruvian government, as it is a mandatory requirement to qualify for a second specialty or to work in public hospitals and public health care facilities, and obtain government scholarships for future training. The few legal changes in the rules of this social program and the focus of "service" restricted to health professionals lead to a perception of this policy as discriminatory and unconstitutional because it violates the right to education and work. There is no scientific evidence that supports the usefulness and effectiveness of this program in terms of quality of service and health indicator improvement, as well as in adequate distribution and retention of health professionals. We suggest to abolish the compulsory requirement and to reformulate a political strategy to help attract and retain health professionals in vulnerable areas of Peru.

show abstract

“…They will be officially issued in July 2010 but some of the papers presented in this issue have come out of the year-long consultative effort. [4][5][6][7][8][9] The key messages illustrated by papers in this issue and also reinforced by the WHO expert group are as follows:…”

mentioning

confidence: 99%

One piece of the puzzle to solve the human resources for health crisis

Dayrit

Dolea

Braichet

2010

Bull. World Health Organ.

View full text Add to dashboard Cite

Compulsory service programmes for recruiting health workers in remote and rural areas: do they work?

Cited by 185 publications

References 12 publications

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

El requisito obligatorio del servicio social en salud del Perú: discriminatorio e inconstitucional

One piece of the puzzle to solve the human resources for health crisis

Contact Info

Product

Resources

About