Journal of Investment and Management

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Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief

Received: 17 January 2018    Accepted: 11 February 2018    Published: 17 April 2018
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Abstract

Human Resources for Health (HRH) constitute the most vital component of health systems. However, the HRH picture of Ethiopia has remained critically low and characterized by geographic mal-distribution. This brief aimed to show the major causes for poor health workforce distribution and to suggest possible policy options. We reviewed relevant evidence describing the problem and feasible options to address the problem, the barriers to implement those options, and implementation strategies to address these barriers. We searched electronic databases of systematic reviews and supplemented with local evidences. In our review, we found different options that help to improve health workforce distribution in the remote and rural areas of the country. Systematic reviews on impact of task shifting, clinical rotations in rural areas during studies and financial incentives have shown favourable results that may lead to increase the number of health workforce working in rural and underserved areas. But none of the studies assessed the costs and cost effectiveness of the suggested options. Therefore, given the limitations of the currently available evidence, there is a need for rigorous evaluative research on the cost effectiveness of each option prior to widespread implementation.

DOI 10.11648/j.jim.20180702.11
Published in Journal of Investment and Management (Volume 7, Issue 2, April 2018)
Page(s) 45-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Policy Brief, Health Workforce Distribution, Health System, Ethiopia

References
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Author Information
  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Technology Transfer and Research Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

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  • APA Style

    Serebe Abay, Amanuel Dibaba, Yosef Gebreyohannes, Desalegn Ararso, Fasil Mengistu, et al. (2018). Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief. Journal of Investment and Management, 7(2), 45-52. https://doi.org/10.11648/j.jim.20180702.11

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    ACS Style

    Serebe Abay; Amanuel Dibaba; Yosef Gebreyohannes; Desalegn Ararso; Fasil Mengistu, et al. Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief. J. Invest. Manag. 2018, 7(2), 45-52. doi: 10.11648/j.jim.20180702.11

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    AMA Style

    Serebe Abay, Amanuel Dibaba, Yosef Gebreyohannes, Desalegn Ararso, Fasil Mengistu, et al. Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief. J Invest Manag. 2018;7(2):45-52. doi: 10.11648/j.jim.20180702.11

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  • @article{10.11648/j.jim.20180702.11,
      author = {Serebe Abay and Amanuel Dibaba and Yosef Gebreyohannes and Desalegn Ararso and Fasil Mengistu and Mamuye Hadis},
      title = {Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief},
      journal = {Journal of Investment and Management},
      volume = {7},
      number = {2},
      pages = {45-52},
      doi = {10.11648/j.jim.20180702.11},
      url = {https://doi.org/10.11648/j.jim.20180702.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jim.20180702.11},
      abstract = {Human Resources for Health (HRH) constitute the most vital component of health systems. However, the HRH picture of Ethiopia has remained critically low and characterized by geographic mal-distribution. This brief aimed to show the major causes for poor health workforce distribution and to suggest possible policy options. We reviewed relevant evidence describing the problem and feasible options to address the problem, the barriers to implement those options, and implementation strategies to address these barriers. We searched electronic databases of systematic reviews and supplemented with local evidences. In our review, we found different options that help to improve health workforce distribution in the remote and rural areas of the country. Systematic reviews on impact of task shifting, clinical rotations in rural areas during studies and financial incentives have shown favourable results that may lead to increase the number of health workforce working in rural and underserved areas. But none of the studies assessed the costs and cost effectiveness of the suggested options. Therefore, given the limitations of the currently available evidence, there is a need for rigorous evaluative research on the cost effectiveness of each option prior to widespread implementation.},
     year = {2018}
    }
    

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    T1  - Improving the Health Workforce Distribution in Remote and Rural Areas of Ethiopia: An Evidence-Based Policy Brief
    AU  - Serebe Abay
    AU  - Amanuel Dibaba
    AU  - Yosef Gebreyohannes
    AU  - Desalegn Ararso
    AU  - Fasil Mengistu
    AU  - Mamuye Hadis
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    T2  - Journal of Investment and Management
    JF  - Journal of Investment and Management
    JO  - Journal of Investment and Management
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    EP  - 52
    PB  - Science Publishing Group
    SN  - 2328-7721
    UR  - https://doi.org/10.11648/j.jim.20180702.11
    AB  - Human Resources for Health (HRH) constitute the most vital component of health systems. However, the HRH picture of Ethiopia has remained critically low and characterized by geographic mal-distribution. This brief aimed to show the major causes for poor health workforce distribution and to suggest possible policy options. We reviewed relevant evidence describing the problem and feasible options to address the problem, the barriers to implement those options, and implementation strategies to address these barriers. We searched electronic databases of systematic reviews and supplemented with local evidences. In our review, we found different options that help to improve health workforce distribution in the remote and rural areas of the country. Systematic reviews on impact of task shifting, clinical rotations in rural areas during studies and financial incentives have shown favourable results that may lead to increase the number of health workforce working in rural and underserved areas. But none of the studies assessed the costs and cost effectiveness of the suggested options. Therefore, given the limitations of the currently available evidence, there is a need for rigorous evaluative research on the cost effectiveness of each option prior to widespread implementation.
    VL  - 7
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