Human resource for health reform in peri-urban areas: a cross-sectional study of the impact of policy interventions on healthcare workers in Epworth, Zimbabwe

Human Resources for Health

Research

Yogan Pillay¹  Stephen James Heinrich Hendricks²  Bernard Hope Taderera³ 

[1] National Department of Health of the Republic of South Africa, Civitas Building, 222 Thabo Sehume St, Pretoria, South Africa;School of Health Systems and Public Health, University of Pretoria, 31 Bophelo Road, Gezina, Pretoria, South Africa;School of Health Systems and Public Health, University of Pretoria, 31 Bophelo Road, Gezina, Pretoria, South Africa;Department of Political and Administrative Studies, University of Zimbabwe, P.O. Box MP 167, Mount Pleasant, Harare, Zimbabwe;

关键词: Human resources;    Health reform;    Peri-urban;    Policy;    Epworth;    Zimbabwe;   

DOI  :  10.1186/s12960-017-0260-x

 received in 2017-01-17, accepted in 2017-12-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe need to understand how healthcare worker reform policy interventions impact health personnel in peri-urban areas is important as it also contributes towards setting of priorities in pursuing the universal health coverage goal of health sector reform. This study explored the impact of post 2008 human resource for health reform policy interventions on healthcare workers in Epworth, a peri-urban community in Harare, Zimbabwe, and the implications towards health sector reform policy in peri-urban areas.MethodsThe study design was exploratory and cross-sectional and involved the use of qualitative and quantitative methods in data collection, presentation, and analysis. A qualitative study in which data were collected through a documentary search, five key informant interviews, seven in-depth interviews, and five focus group discussions was carried out first. This was followed by a quantitative study in which data were collected through a documentary search and 87 semi-structured sample interviews with healthcare workers. Qualitative data were analyzed thematically whilst descriptive statistics were used to examine quantitative data. All data were integrated during analysis to ensure comprehensive, reliable, and valid analysis of the dataset.ResultsThree main factors were identified to help interpret findings. The first main factor consisted policy result areas that impacted most successfully on healthcare workers. These included the deployment of community health workers with the highest correlation of 0.83. Policy result areas in the second main factor included financial incentives with a correlation of 0.79, training and development (0.77), deployment (0.77), and non-financial incentives (0.75). The third factor consisted policy result areas that had the lowest satisfaction amongst healthcare workers in Epworth. These included safety (0.72), equipment and tools of trade (0.72), health welfare (0.65), and salaries (0.55).ConclusionsThe deployment of community health volunteers impacted healthcare workers most successfully. This was followed by salary top-up allowances, training, deployment, and non-financial incentives. However, health personnel were least satisfied with their salaries. This had negative implications towards health sector reform interventions in Epworth peri-urban community between 2009 and 2014.

【 授权许可】

CC BY   
© The Author(s). 2017