Health-care worker retention in post-conflict settings: a systematic literature review

Author:

Lin Tracy Kuo1ORCID,Werner Kalin12ORCID,Kak Mohini3,Herbst Christopher H3

Affiliation:

1. Institute for Health & Aging, Department of Social and Behavioral Sciences, University of California , 490 Illinois Street, San Francisco, CA 94158, USA

2. Division of Emergency Medicine, University of Cape Town , F51 Old Main Building, Groote Schuur Hospital, Observatory, Cape Town 7935, South Africa

3. Health, Nutrition and Population Global Practice, The World Bank , 1818 H Street, N.W., Washington, DC 20433, USA

Abstract

Abstract Conflicts affect health-care systems not only during but also well beyond periods of violence and immediate crises by draining resources, destroying infrastructure and perpetrating human resource shortages. Improving health-care worker (HCW) retention is critical to limiting the strain placed on health systems already facing infrastructure and financial challenges. We reviewed the evidence on the retention of HCWs in fragile, conflict-affected and post-conflict settings and evaluated strategies and their likely success in improving retention and reducing attrition. We conducted a systematic review of studies, following PRISMA guidelines. Included studies (1) described a context that is post-conflict, conflict-affected or was transformed by war or a crisis; (2) examined the retention of HCWs; (3) were available in English, Spanish or French and (4) were published between 1 January 2000 and 25 April 2021. We identified 410 articles, of which 25 studies, representing 17 countries, met the inclusion criteria. Most of the studies (22 out of 25) used observational study designs and qualitative methods to conduct research. Three studies were literature reviews. This review observed four main themes: migration intention, return migration, work experiences and conditions of service and deployment policies. Using these themes, we identify a consolidated list of six push and pull factors contributing to HCW attrition in fragile, conflict-affected and post-conflict settings. The findings suggest that adopting policies that focus on improving financial incentives, providing professional development opportunities, establishing flexibility and identifying staff with strong community links may ameliorate workforce attrition.

Funder

World Bank Group

Publisher

Oxford University Press (OUP)

Subject

Health Policy

Reference47 articles.

1. Did the post war repatriation of Lebanese physicians drive recent Lebanese medical graduates to emigrate? An observational study;Akl;BMC Health Services Research,2008

2. Why are you draining your brain? Factors underlying decisions of graduating Lebanese medical students to migrate;Akl;Social Science & Medicine,2007

3. ‘Being a midwife is being prepared to help women in very difficult conditions’: midwives’ experiences of working in the rural and fragile settings of Ituri Province, Democratic Republic of Congo;Baba;Rural and Remote Health,2020

4. Challenges of providing healthcare worker education and training in protracted conflict: a focus on non-government controlled areas in north west Syria;Bdaiwi;Conflict and Health,2020

5. Health workforce shortage: a global crisis;Bhatt;Internet Journal of World Health and Societal Politics,2012

Cited by 10 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3