Institute of Tropical Medicine Antwerp
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Health workforce development and retention in Guinea: a policy analysis post-Ebola

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dc.contributor.author Van de Pas, R. en_US
dc.contributor.author Kolie, D. en_US
dc.contributor.author Delamou, A. en_US
dc.contributor.author Van Damme, W. en_US
dc.date.accessioned 2020-08-25T09:58:10Z
dc.date.available 2020-08-25T09:58:10Z
dc.date.issued 2019 en_US
dc.identifier.issn 1478-4491 en_US
dc.identifier.doi http://dx.doi.org/10.1186/s12960-019-0400-6 en_US
dc.identifier.other http://lib.itg.be/pdf/itg/2019/2019hrhe0063.pdf en_US
dc.identifier.other 12 pp. en_US
dc.identifier.other 36 en_US
dc.identifier.other ITG-H1B; ITG-HLA; DPH; U-HPOL; JIF; DOI; PDF; PMC; Abstract; ITMPUB; DSPACE68 en_US
dc.identifier.uri http://hdl.handle.net/10390/11287
dc.description.abstract BACKGROUND: The state of the Guinean health workforce is one of the country's bottlenecks in advancing health outcomes. The impact of the 2014-2015 Ebola virus disease outbreak and resulting international attention has provided a policy window to invest in the workforce and reform the health system. This research constitutes a baseline study on the health workforce situation, professional education, and retention policies in Guinea. The study was conducted to inform capacity development as part of a scientific collaboration between Belgian and Guinean health institutes aiming to strengthen public health systems and health workforce development. It provides initial recommendations to the Guinean government and key actors. METHODOLOGY: The conceptual framework for this study is inspired by Gilson and Walt's health policy triangle. The research consists of a mixed-methods approach with documents and data collected at the national, regional, and district levels between October 2016 and March 2017. Interviews were conducted with 57 resource persons from the Ministry of Health, other ministries, district health authorities, health centers and hospitals, health training institutions, health workers, community leaders, NGO representatives, and development partners. Quantitative data included figures obtained from seven health professionals' schools in each administrative region of Guinea. A quantitative analysis was conducted to determine the professional graduate trends by year and type of personnel. This provided for a picture of the pool of professional graduates available in the regions in relation to the actual employment possibilities in rural areas. The districts of Forecariah and Yomou were chosen as the main study sites. RESULTS: Limited recruitment and a relative overproduction of medical doctors and nurse assistants have led to unemployment of health personnel. There was a mismatch between the number of civil servants administratively deployed and those actually present at their health posts. Participants argued for decentralization of health workforce management and financing. Collaboration between government actors and development partners is required to anticipate problems with the policy implementation of new health workers' deployment in rural areas. Further privatization of health education has to meet health needs and labor market dynamics. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/31382972 en_US
dc.subject Public health en_US
dc.subject Health services en_US
dc.subject Health personnel en_US
dc.subject Guinea en_US
dc.subject Africa-West en_US
dc.title Health workforce development and retention in Guinea: a policy analysis post-Ebola en_US
dc.type Article-E en_US
dc.citation.issue 1 en_US
dc.citation.jtitle Human Resources for Health en_US
dc.citation.volume 17 en_US
dc.citation.pages 63 en_US
dc.citation.abbreviation Hum Resour Health en_US


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