Researching interventions to address the human resources for health crisis - an application of discrete choice experiments in Kenya, Thailand and South Africa

C
CREHSCREHS
RESEARCHING INTERVENTIONS TO ADDRESS  THE HUMAN RESOURCES FOR HEALTH CRISIS –  AN APPLICATION OF DISCRETE CHOICE EXPERIMENTS  IN KENYA, THAILAND AND SOUTH AFRICA
Identifying policies to improve nurse recruitment and retention in rural Kenya: Results of a discrete choice experiment Sandra Mudhune, Kethi Mullei, Jackline Wafula, Mike English, Catherine Goodman, Mylene Lagarde, Duane Blaauw
NURSES WORKING  IN HEALTH SYSTEMS MATERNAL  MORTALITY
Background ,[object Object],[object Object],[object Object],[object Object]
Objectives ,[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object]
Choice Experiment Design Labelled choice experiment  6 types of incentives in rural posts
Choice Experiment Design
Choice Experiment Design
Choice Experiment Design
Population Characteristics Variable Pre-service Nurses (n=166) Distance Learning Nurses (n=179) P value Mean age  (SD) 23.96  (2.32) 37.53  (6.39) <0.0001 Gender – female 68.07% 82.12% <0.0001 Marital status – married 10.24% 70.95% <0.0001 Rural background 90.36% 96.65% <0.0001 Maternal education 72.29% 40.22% <0.0001 Happy to accept rural posting 58.43% 46.37% <0.0001 Nursing 1 st  career choice 61.45% 77.65% <0.0001
Results: Job characteristics ,[object Object],[object Object]
Results: Socio-demographic ,[object Object],[object Object]
Predicted probabilities ,[object Object],[object Object]
Discussion  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
1 of 17

More Related Content

What's hot(20)

Magnet hospital dr wesamMagnet hospital dr wesam
Magnet hospital dr wesam
Wesam Thabet1.6K views
Positive Work Environments. Icn 09Positive Work Environments. Icn 09
Positive Work Environments. Icn 09
Sharon Weinstein 736 views
Psp performancePsp performance
Psp performance
paulthom1.8K views
Nursing Standards and PoliciesNursing Standards and Policies
Nursing Standards and Policies
KULDEEP VYAS5.1K views
Nursing Research Proposal TopicsNursing Research Proposal Topics
Nursing Research Proposal Topics
PhD Research Proposal Topics9K views
Quality nursing educationQuality nursing education
Quality nursing education
Bhushan Joshi2.6K views
CURRENT TRENDS OF NURSING IN INDIACURRENT TRENDS OF NURSING IN INDIA
CURRENT TRENDS OF NURSING IN INDIA
MAHESWARI JAIKUMAR 63.6K views
Current trends and issues in nsgCurrent trends and issues in nsg
Current trends and issues in nsg
Bharati vidyapeeth university26K views
Innovation & Recent trends in NursingInnovation & Recent trends in Nursing
Innovation & Recent trends in Nursing
Sujata Mohapatra10.1K views
Joan J MolnarJoan J Molnar
Joan J Molnar
Joan Molnar115 views
Trends and issues in nursingTrends and issues in nursing
Trends and issues in nursing
Nhelia Santos Perez19.7K views
Recruiting and Staffing for Clinical Nursing Expertise 5.30.08Recruiting and Staffing for Clinical Nursing Expertise 5.30.08
Recruiting and Staffing for Clinical Nursing Expertise 5.30.08
Leonard Davis Institute of Health Economics248 views
Anvin poster finalAnvin poster final
Anvin poster final
Anvin Thomas258 views

Similar to Researching interventions to address the human resources for health crisis - an application of discrete choice experiments in Kenya, Thailand and South Africa

1472-6920-10-47.pdf1472-6920-10-47.pdf
1472-6920-10-47.pdfmenuka3
2 views9 slides

Similar to Researching interventions to address the human resources for health crisis - an application of discrete choice experiments in Kenya, Thailand and South Africa(20)

1472-6920-10-47.pdf1472-6920-10-47.pdf
1472-6920-10-47.pdf
menuka32 views
DotsonDotson
Dotson
Virginia Rural Health Association405 views
Jnma professional bsnJnma professional bsn
Jnma professional bsn
BP KOIRALA INSTITUTE OF HELATH SCIENCS,, NEPAL758 views
2010 retention presentation2010 retention presentation
2010 retention presentation
learfield494 views
AACO's Client Services Unit (CSU) UpdateAACO's Client Services Unit (CSU) Update
AACO's Client Services Unit (CSU) Update
Office of HIV Planning967 views
AACO's Client Services Unit (CSU) UpdateAACO's Client Services Unit (CSU) Update
AACO's Client Services Unit (CSU) Update
Office of HIV Planning369 views
Improvement CollaborativesImprovement Collaboratives
Improvement Collaboratives
primary356 views
Views of the HS-BCP CredentialViews of the HS-BCP Credential
Views of the HS-BCP Credential
Dr. Narketta Sparkman-Key406 views

Recently uploaded(20)

NMP-4.pptxNMP-4.pptx
NMP-4.pptx
Sai Sailesh Kumar Goothy32 views
Pediatric IntussusceptionPediatric Intussusception
Pediatric Intussusception
DrArjunPawar53 views
Melanie SquireMelanie Squire
Melanie Squire
Melanie Squire15 views
Pediatric ConstipationPediatric Constipation
Pediatric Constipation
DrArjunPawar41 views
MEDICAL RESEARCH.pptxMEDICAL RESEARCH.pptx
MEDICAL RESEARCH.pptx
rishi278941 views
Classical conditioning theoryClassical conditioning theory
Classical conditioning theory
Kavitha R11 views
Depression PPT templateDepression PPT template
Depression PPT template
EmanMegahed618 views
Pregnancy tips.pptxPregnancy tips.pptx
Pregnancy tips.pptx
reachout732 views
Anaemia,jaundice.pptxAnaemia,jaundice.pptx
Anaemia,jaundice.pptx
Reena Gollapalli13 views
LMLR 2023 Back and Joint Pain at 50LMLR 2023 Back and Joint Pain at 50
LMLR 2023 Back and Joint Pain at 50
Allan Corpuz313 views
POWDERS.pptxPOWDERS.pptx
POWDERS.pptx
SUJITHA MARY8 views
 Fastest Growing Pharmaceutical Companies in India Fastest Growing Pharmaceutical Companies in India
Fastest Growing Pharmaceutical Companies in India
Unimarck Pharma India Ltd.32 views
Scalp Cooling 101Scalp Cooling 101
Scalp Cooling 101
bkling36 views

Researching interventions to address the human resources for health crisis - an application of discrete choice experiments in Kenya, Thailand and South Africa

  • 1. RESEARCHING INTERVENTIONS TO ADDRESS THE HUMAN RESOURCES FOR HEALTH CRISIS – AN APPLICATION OF DISCRETE CHOICE EXPERIMENTS IN KENYA, THAILAND AND SOUTH AFRICA
  • 2. Identifying policies to improve nurse recruitment and retention in rural Kenya: Results of a discrete choice experiment Sandra Mudhune, Kethi Mullei, Jackline Wafula, Mike English, Catherine Goodman, Mylene Lagarde, Duane Blaauw
  • 3. NURSES WORKING IN HEALTH SYSTEMS MATERNAL MORTALITY
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Choice Experiment Design Labelled choice experiment 6 types of incentives in rural posts
  • 12. Population Characteristics Variable Pre-service Nurses (n=166) Distance Learning Nurses (n=179) P value Mean age (SD) 23.96 (2.32) 37.53 (6.39) <0.0001 Gender – female 68.07% 82.12% <0.0001 Marital status – married 10.24% 70.95% <0.0001 Rural background 90.36% 96.65% <0.0001 Maternal education 72.29% 40.22% <0.0001 Happy to accept rural posting 58.43% 46.37% <0.0001 Nursing 1 st career choice 61.45% 77.65% <0.0001
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.  

Editor's Notes

  1. HR plays a critical role in any attempt to improve health outcome The world redrawn according to the presence of nurses in health systems (for the map on top) and redrawn according to maternal mortality – this juxtaposition of maps illustrates one of the issues of the HR global crisis, which is the shortage of nurses where they are needed the most.
  2. This shortage of HW is particularly seen in virtually all countries in rural areas. In Kenya the nursing HR crisis is of particular importance and over the years only short terms solutions have been found to solve this issue
  3. Work is part of a larger study exploring RNs employment preferences
  4. one of the objectives of the study was to test the effects of potential policies to attract nurses to rural areas, we wanted to be able to have job characteristics that were different for rural and urban positions.
  5. Policy options identified as successful in promoting rural recruitment or retention from lit reviews or HR policy docs KII used to identify feasible local strategies FGDs used with nurses to make sure attributes and levels were relevant
  6. Focused on RN students in their final year of which we have two types: pre-service students who have no work experience and are 1 st time college students Distance learners who are ENs seeking to upgrade to RNs and have upto 10 years worth of work experience
  7. Focusing on the ORs for rural jobs so urban ORs are not represented here All job attributes were found to significantly influence the utility associated with a job, except type of facility, housing and management style in the DL All coefficients estimated were in the expected direction.. That is the better the working conditions, the greater the utility associated with the job, either in a rural or urban area.    
  8. The base case is a rural posting in a hospital, with a salary of USD 228, a single room provided, a 3 year contract, no guaranteed further training, personal management style and a guaranteed promotion after 4 years. Each bar represents what effect of the improved attribute has on the uptake of a rural post.