What do Health Workers say About Rural Practice?

Okyere, Eunice; Ward, Paul; Marfoh, Kissinger; Mwanri, Lillian

doi:10.1177/23333936211054812

Cited by 5 publications

(11 citation statements)

References 55 publications

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“…This includes appropriate leadership skills in recognizing the efforts of health-care workers and involving them in decision making (Afolabi et al, 2018). Career progression options available to these workers (access to workshops, in-service training and opportunity for further studies) have a strong link with motivation as well as retention (Okyere et al, 2021). Lack of career opportunities in rural areas has led to health-care workers' in Sierra Leone and South Africa, vacating post (Wurie et al, 2016;Zihindulai et al, 2018).…”

Section: Financial and Non-financial Incentivesmentioning

confidence: 99%

“…, 2018). Career progression options available to these workers (access to workshops, in-service training and opportunity for further studies) have a strong link with motivation as well as retention (Okyere et al. , 2021).…”

Section: Factors Influencing the Motivation And Retention Of Health-c...mentioning

confidence: 99%

“…While some health-care workers are unwilling to work in rural areas, others vacate post or make frequent demands to be relocated to urban areas. Health-care professionals in Ghana, have often regarded rural posting as less desirable, and linked with high workloads as well as lack of motivation (Okyere et al, 2021). Motivation is important since majority of health-care workers leave rural areas to urban and foreign countries, in search of better fortunes and opportunities.…”

Section: Introductionmentioning

confidence: 99%

“…Apart from economic reasons, migration of health-care workers' from rural areas are linked to poor working environment, inadequate equipment, insufficient supervision, lack of career progression and inadequate schools and recreational centers for children (Okyere et al, 2017(Okyere et al, , 2021. Considering that the health-care facilities in these rural localities are already understaffed, migration of health-care workers worsen the situations and affect quality health-care delivery.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incentives management among health workers in primary health-care facilities: addressing important issues in rural Ghana

Okyere

Ward

Marfoh

et al. 2022

JHOM

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PurposeThis study seeks to explore health workers' perceptions and experiences on incentives for motivating and retaining them in primary health-care facilities in rural Ghana.Design/methodology/approach Phenomenological research design was used to explore health workers’ experiences and perceptions on their incentive packages. Sixty-eight in-depth interviews were conducted with health-care workers in primary health-care facilities and analyzed using thematic analysis approach.Findings The findings show health-care workers’ perceptions on their incentives, ranging from low awareness, unfair distribution, favoritism, means of punishment and incentives regarded unattractive. The preferred incentive packages identified were salary increase, housing availability, recognition, adequate supplies, and risk and responsibility allowances. Health-care workers suggested for the modification of incentives including vehicle importation waiver, reduction in study leave years and opportunity to pursue desired courses.Originality/value The findings suggest that incentives that align with health-care workers’ preferences can potentially improve their motivation and influence retention. Health-care workers’ concern on incentives having been used as favors and punishment as well as unfair distribution should be addressed by health managers and policymakers, to achieve the desired purpose of motivating and retaining them in rural areas. Appropriate internal monitoring mechanisms are needed for incentives regulation and to improve health workers’ retention in rural Ghana.

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Section: Financial and Non-financial Incentivesmentioning

confidence: 99%

Section: Factors Influencing the Motivation And Retention Of Health-c...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Incentives management among health workers in primary health-care facilities: addressing important issues in rural Ghana

Okyere

Ward

Marfoh

et al. 2022

JHOM

Self Cite

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Group boundary salience and nonaccommodation between healthcare workers and community members in Ghana

Aboba

Montgomery

2023

Language Sciences

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Perceptions and attitudes of women in the perinatal period towards male midwives in a rural district of Ghana: a descriptive, exploratory qualitative study

Boakye,

Amoah,

Amoah

et al. 2024

BMJ Open

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ObjectiveThe study sought to explore the perceptions and attitudes of women in the perinatal period towards the reproductive health services of male midwives.DesignThe study adopted an in-depth exploratory descriptive design for data collection and themes extracted using thematic analysis.SettingAntenatal and postpartum units of two primary healthcare facilities in the Kwabre-East District of Ghana.Participants20 women in the perinatal period who were receiving antenatal care and delivery services from the facilities included in the study were recruited through purposive sampling.FindingsDivergent views emerged among our participants regarding the acceptability and utilisation of perinatal services provided by male midwives. Some participants perceived male midwives as patient, supportive, caring, compassionate and skilful at their work while the negative attitude related to some participants perceiving their interactions with male midwives as an opportunity for sexual violation. Positive attitudes emanated from male midwives’ empathetic behaviour, reception, privacy and confidentiality of information. Conversely, negative attitudes arose from a lack of awareness of the changing female gender domination in midwifery, fear and misconceptions. Finally, participants faced various challenges, rooted in culture, which impacted their acceptance of male midwifery services.ConclusionsFactors influencing participants’ negative perceptions and attitudes towards male midwives were born out of culturally motivated and gender-sensitive stereotyping rather than male professional midwifery competencies. The study outcome provides the basis and the need for a community-based intervention to effect changes in the perception and attitude of women in the perinatal period towards male midwifery practice in the affected communities. Increasing awareness of the existence of male midwives in the communities would contribute to increasing acceptance and utilisation of their services among women in the perinatal period in Ghana.

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What do Health Workers say About Rural Practice?

Cited by 5 publications

References 55 publications

Incentives management among health workers in primary health-care facilities: addressing important issues in rural Ghana

Incentives management among health workers in primary health-care facilities: addressing important issues in rural Ghana

Group boundary salience and nonaccommodation between healthcare workers and community members in Ghana

Perceptions and attitudes of women in the perinatal period towards male midwives in a rural district of Ghana: a descriptive, exploratory qualitative study

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