Cover image for Incentives and Dynamics in the Ethiopian Health Worker Labor Market.
Incentives and Dynamics in the Ethiopian Health Worker Labor Market.
Title:
Incentives and Dynamics in the Ethiopian Health Worker Labor Market.
Author:
Bank, The World.
ISBN:
9780821383643
Personal Author:
Physical Description:
1 online resource (103 pages)
Series:
World Bank Working Papers ; v.v. 192

World Bank Working Papers
Contents:
Title -- Copyright © 2010 -- Contents -- Foreword -- Acknowledgements -- Abstract -- Acronyms and Abbreviations -- CHAPTER 1 Studying the Health Labor Market in Ethiopia: An Overview -- Introduction -- Human Resources for Health in Ethiopia -- Empirical Methodology -- Descriptive Results: Facilities, People, and Jobs -- Analytic Results: The Performance of the Physician Labor Market -- Predictive Results: Rural Health Care-How Much Does It Cost? -- Bibliography -- CHAPTER 2 Long-Term Career Dynamics -- Introduction -- Ethiopia's Market for Physician Labor -- A Model of the Physician Labor Market -- Empirical Setup: Sampling, Data, and Model Validity -- Short-Run Impacts of the Lottery System on the Physician Labor Market -- Longer-Term Dynamics in the Physician Labor Market -- Conclusion -- References -- CHAPTER 3 Designing Incentives for Rural Health Workers -- Introduction -- Data and DCE Methodology -- Specification and Estimation -- Interpretation of Estimated Coefficients -- Attribute Interactions -- Wage Equivalents -- Results -- Direct Effects Model -- Full Model with Characteristic and Attribute Interactions -- Policy Experiments -- Wage Equivalents -- Conclusions -- References.
Abstract:
By international standards, the supply of health workers in Ethiopia is tiny. In addition, those who do enter the profession and remain in the country disproportionately live and work in the capital, Addis Ababa. This story is repeated across the developing world, and in particular in sub-Saharan Africa, where shortages of health workers are deemed chronic. Increasing the supply of health workers, and improving their geographic distribution, requires an understanding of their responsiveness to changes in the incentives and constraints they face, and the efficacy with which labor markets can be expected to allocate scare human resources for health (HRH). This book presents evidence on these and other HRH issues from a new survey of Ethiopian health workers. The detailed data we collected from nearly 1,000 health workers allows us to answer three sets of questions: (i) how do compensation levels vary with location, training, experience, etc.?; (ii) what kinds of incentive packages are potentially most effective in attracting workers to under-served rural areas?; and (iii) what can we learn about the health worker labor market from one of its unique institutional features, that is, that new graduates are assigned to their first jobs via a lottery? We first use this random assignment to evaluate the longer-term impacts of working in a rural area early on in a worker's career - is being sent to the end of the earth the end of the world? (answer: no), and second, we evaluate the long term efficiency effects of the lottery, which tends to obscure information about health worker quality, thereby leading to adverse selection - do high quality lottery participants quit the profession, thereby contributing to the medical brain drain? (answer: yes). The policy issues we can address with these data are broader in scope and more detailed in execution than most

of the extant empirical work on HRH in developing countries. The book is thus suitable for researchers and policy analysts with an interest in understanding and improving the allocation of human resources for health in the developing world.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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