Tag: Incentives

How to attract and retain health workers in rural areas of fragile states? Findings from a labour market survey in Guinea

Paper seeks to understand how health staff could be better motivated to work and remain in rural, under-served areas in Guinea


Health worker incentives in post-conflict Zimbabwe

Yotamu Chirwa of ReBUILD and Biomedical Training and Research Institute, Zimbabwe on health worker incentives in post-conflict Zimbabwe


Health Systems in Situations of Fragility

Presentation given by Professor Sophie Witter on 17th May 2018 for the American University of Beirut Global Health Institute’s Webinar series: “Global Health and Conflict”. This webinar theme: Health Systems in Situations of Fragility.


Why do people become health workers? Analysis from life histories in four post‐conflict and post‐crisis countries

Paper from ReBUILD’s health worker incentives research looking at motivation to join the profession in Uganda, Sierra Leone, Cambodia & Zimbabwe.


How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia

Paper draws together lessons from ReBUILD’s research on health worker incentives in northern Uganda, Sierra Leone, Zimbabwe and Cambodia.


Resources from ReBUILD’s work on health financing in conflict-affected and post-conflict settings

Health financing in conflict-affected and post-conflict settings: Resources from ReBUILD’s work


Incentives for health workers to stay in post and in rural areas: findings from four conflict- and crisis-affected countries

ReBUILD report presents a cross-cutting analysis into health worker incentives in post-crisis northern Uganda, Sierra Leone, Cambodia & Zimbabwe


Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings

This article draws on ReBUILD’s research on human resources for health across four post-conflict settings, shedding light on the patterns and drivers of post-conflict policy-making. It explores whether the post-conflict period offers increased chances for the opening of ‘windows for opportunity’ for change and reform and the potential to reset health systems.


Retention of health workers in rural Sierra Leone: findings from life histories

This article, published in Human Resources for Health, reports the findings from ReBUILD’s qualitative work in Sierra Leone on health worker incentives.


Health worker experiences of and movement between public and private not-for-profit sectors – findings from post-conflict Northern Uganda

This paper looks at the experiences of health workers during and after the 20 years of conflict in northern Uganda, and the factors that influenced their movement between public and private not-for-profit sectors. The findings highlight the need to ensure balanced health labour market incentives which take into account not only the changing context but also needs at different points in individuals’ life cycles and across all core service delivery sectors.


Understanding health worker incentives in post-crisis settings: lessons from health worker in-depth interviews and life histories in Zimbabwe

This is a report from the qualitative component of ReBUILD’s health worker incentives research in Zimbabwe, drawing on the ‘life histories’ interviews with health workers


Attraction and retention of Health Workers in Northern Uganda: Implications for faster reconstruction and Universal Coverage?

This brief outlines findings and recommendations from ReBUILD’s research on health worker incentives research in post-conflict northern Uganda, in support of universal health coverage.


Learning from the experiences of health workers in conflict-affected Cambodia to improve motivation and retention: analysis of life histories

This 2016 ReBUILD working paper looks at the evolution of health worker incentives in Cambodia, Sierra Leone, Uganda and Zimbabwe


What do health workers do, and why? A study of the activities performed by primary healthcare workers in Sierra Leone

Poster from ReBUILD/LSHTM affiliate study on Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone

This page lists all outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone


Impact of the policy to freeze posts on the deployment of health workers after the crisis in rural Zimbabwe

Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Fostering development of sustainable incentive policies for a resilient health workforce: lessons from post crisis Zimbabwe

Poster from ReBUILD’s health worker incentives study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.


Health worker experiences of and movement between public and private not-for-profit (PNFP) sectors in post conflict Northern Uganda: Lessons for health system resilience

Poster from ReBUILD’s health worker incentives study in Uganda, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.


Resources from ReBUILD’s work on health worker incentives in Sierra Leone, and on health worker experiences during the Ebola outbreak

Details of all outputs from ReBUILD’s work on health worker incentives and remuneration in Sierra Leone, and on health worker experiences during the Ebola outbreak.


Resources from ReBUILD’s work on health worker incentives and deployment in post-conflict and post-crisis settings

This document includes details of all outputs from ReBUILD’s work on human resources for health in post-conflict and post-crisis settings.


The evolution of human resources for health policies in post-conflict Cambodia: findings from key informant interviews and document reviews

ReBUILD Working Paper 19. Sovonarith So and Sophie Witter. February 2016. This working paper was an output of ReBUILD’s research into the evolution of health worker incentives in four post-conflict contexts (Cambodia, Sierra Leone, Uganda and Zimbabwe) in order to understand how to establish equitable access to quality health care in these health systems. The… Read more


Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone

The study investigates the absolute and relative contribution of performance-based financing (PBF) to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes. The study confirms the complex and interrelated nature of health workers’ remuneration and that the different financial incentives cannot be examined independently from one. It also shows that the way PBF schemes are implemented has an impact on health worker motivation.


Investigating health workers remuneration in Sierra Leone – preliminary results and reflections on methods

Presentation given by Maria Paola Bertone at the 3rd Conference of the African Health Economics and Policy Association (11-13 March, 2014, Nairobi).


Human Resources in Fragile and Conflict-Affected settings – cross sectoral issues between health and education

A 2016 overview presentation on human resources in health and education in fragile and conflict-affected settings


Maintaining an effective health workforce during and after conflict: Evidence from ReBUILD’s research in northern Uganda

This research brief gives an overview and key findings/recommendations from ReBUILD’s research on health worker incentives in northern Uganda


Understanding health worker incentives in three districts of Zimbabwe: survey report

This 2015 report describes the findings from a health workers study in Zimbabwe which aimed to understand the incentive environment.


Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone

This 2016 ReBUILD paper investigates the formal and informal payments available to health workers in Sierra Leone


Increasing access to health services in remote and rural areas through improved retention of health workers: evidence from Sierra Leone

This 2014 poster describes a study on the effectiveness of incentive packages in attracting and retaining health workers in Sierra Leone


Health worker remuneration and incentive policies in post crisis Zimbabwe: challenges and Implications for retention of human resources for health

ReBUILD Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: The study examines how incentive environments have evolved during and after the crisis in Zimbabwe


Understanding health worker incentives in post-crisis settings: policies to attract and retain public health workers in Zimbabwe: key informant interviews

Report from key-informant interview element of ReBUILD’s research into health worker incentives environment in Zimbabwe.


Incentives to improve health workers’ retention and motivation: implementation challenges and informal practices at district level. The role of DHMTs and NGOs

This policy brief describes findings and gives recommendations from ReBUILD research on the actual implementation of policies on human resources for health at local level in Sierra Leone. The brief includes reflections on the challenges of translating knowledge not only into policy but also into effective practice. You can download the brief here.


Exploring the remuneration of primary healthcare workers: findings on incomes and income use strategies in Sierra Leone. What lessons can be learnt to design effective financial incentives?

This policy brief describes ReBUILD research to explore all of the financial incentives that make up health workers’ remuneration in Sierra Leone


Health workers’ incentives in post-conflict settings – a review of the literature and framework for research

This 2012 ReBUILD literature review identifies research gaps in relation to health worker incentives in post-conflict contexts.


The challenge of retaining health workers in Zimbabwe: findings from ReBUILD research

A briefing paper summarising the findings ReBUILD’s work on health worker incentives in ZImbabwe and giving policy recommendations


The challenge of retaining health workers in Zimbabwe: Implications for Universal Health Coverage

This 2015 brief focuses on ReBUILD’s work on the challenge of retaining health workers in Zimbabwe and implications for UHC


Evidence for supporting a skilled health workforce for all in Sierra Leone

This brief outlines ReBUILD’s research on health worker incentives in Sierra Leone, and gives recommendations for the post-Ebola recovery strategy, based on the research findings, focusing on the strand for in-creasing a skilled workforce, especially in under-served areas.


Haja Wurie speaks about Ebola in Sierra Leone

In this 2015 video Haja Wuried of the ReBUILD consortium shared her insights on post-Ebola health system reconstruction in Sierra Leone


Understanding health worker incentives in post conflict settings: Project protocol summary

This document is a summary of the protocol for ReBUILD’s research on understanding health worker incentives in post-conflict settings. It details the approach used for this research across all four of the study countries. You can download the document here.


Financial incentives for human resources for health: What do we know? What do we do? The case of Sierra Leone

Abstract of an oral presentation given by Maria Paola Bertone at the “Health Services Research: Evidence-Based Practice” conference in July 2014


Performance-Based Financing in the context of the ‘complex remuneration’ of Health Workers – Findings from a mixed-methods study in rural Sierra Leone

Presentation by ReBUILD Affiliate researcher Maria Paola Bertone given at the International Health Economics Association Congress in Milan 15th July 2015


An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone

This 2015 ReBUILD paper focuses on health worker incentives and payments in Sierra Leone and presents an exploration of district-level implementation processes


Human resource management in post-conflict health systems: review of research and knowledge gaps

Effective human resource management strategies and policies are critical to addressing systemic effects of conflict on the health workforce. This paper reviews published literatures across three functional areas of HRM in post-conflict settings: workforce supply, workforce distribution, and workforce performance.


The complex remuneration of human resources for health in low-income settings: policy implications and a research agenda for designing effective financial incentives

This paper argues that research focusing on the health workers’ “complex remuneration” is critical to address some of the most challenging issues affecting human resources for health. An empirical research agenda is proposed to fill the gap in our understanding.


Health worker incentives: survey report, Sierra Leone

A 2015 RBUILD report on the need to reach and maintain incentive environments for health workers to support access to equitable health services


Building a motivated health workforce – During and Post Ebola Outbreak in Sierra Leone

Drawing on ReBUILD’s research on health worker experiences and incentives in Sierra Leone, this briefing paper was produced to inform key actors involved in maintaining basic health services during the 2014-15 Ebola outbreak.


Health worker incentive environments during and postconflict

ReBUILD presentation from 2013 on early work on health worker incentive environments during and post-conflict


Understanding health worker incentives in post-crisis settings – a document review of Zimbabwe

A 2014 ReBUILD report on health worker incentives in post-crisis settings: policies to attract and retain health workers in rural Zimbabwe


The Free Health Care Initiative: how has it affected health workers in Sierra Leone

This 2014 ReBUILD report pulls together findings relating to the Free Health Care Initiative (FHCI), as part of ReBUILD’s wider research on the evolution of incentives for health workers in post-conflict Sierra Leone.


Staffing the public health sector in Sierra Leone, 2005‐11: findings from routine data analysis

A 2014 ReBUILD report on staffing the public health sector in Sierra Leone, 2005‐11: findings from routine data analysis


Policies to attract and retain health workers in Northern Uganda during and after conflict: findings of key informant interviews

A 2014 ReBUILD report on policies to attract and retain health workers in Northern Uganda during and after conflict


Serving through and after conflict: life histories of health workers in Sierra Leone

This 2014 ReBUILD study in Sierra Leone used a life history approach to explore health workers’ experiences over time


Human Resources for Health in Post Conflict Settings – A Literature Review

A 2011 ReBUILD scoping review to identify the then current knowledge about human resources for health in post-conflict settings


Health workers career paths livelihoods and coping strategies in conflict and post conflict Uganda

Report of ReBUILD’s ‘life history’ study of serving health workers in four districts of the Acholi sub-region in northern Uganda, as part of ReBUILD’s wider work on health worker experiences and incentives during and after conflict.