Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis
This article was published in Human Resources for Health [ © 2015 Rawal et al.; licensee BioMed Central] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0030-6
| Prif Awduron: | , , , , |
|---|---|
| Awduron Eraill: | |
| Fformat: | Erthygl |
| Iaith: | English |
| Cyhoeddwyd: |
© 2015 Rawal et al.; licensee BioMed Central.
2016
|
| Pynciau: | |
| Mynediad Ar-lein: | http://hdl.handle.net/10361/7177 http://doi.org/10.1186/s12960-015-0030-6 |
| id |
10361-7177 |
|---|---|
| record_format |
dspace |
| spelling |
10361-71772018-03-27T04:54:45Z Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis Rawal, Lal B Joarder, Taufique Islam, Sheikh Md. Shariful Uddin, Aftab Ahmed, Syed Masud James P Grant School of Public Health, BRAC University Bangladesh Human resource for health Policies Rural retention Rural retention Policies Human resource for health Bangladesh This article was published in Human Resources for Health [ © 2015 Rawal et al.; licensee BioMed Central] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0030-6 Introduction: Retention of human resources for health (HRH), particularly physicians and nurses in rural and remote areas, is a major problem in Bangladesh. We reviewed relevant policies and provisions in relation to HRH aiming to develop appropriate rural retention strategies in Bangladesh. Methods: We conducted a document review, thorough search and review of relevant literature published from 1971 through May 2013, key informant interviews with policy elites (health policy makers, managers, researchers, etc.), and a roundtable discussion with key stakeholders and policy makers. We used the World Health Organization's (WHO's) guidelines as an analytical matrix to examine the rural retention policies under 4 domains, i) educational, ii) regulatory, iii) financial, and iv) professional and personal development, and 16 sub-domains. Results: Over the past four decades, Bangladesh has developed and implemented a number of health-related policies and provisions concerning retention of HRH. The district quota system in admissions is in practice to improve geographical representation of the students. Students of special background including children of freedom fighters and tribal population have allocated quotas. In private medical and nursing schools, at least 5% of seats are allocated for scholarships. Medical education has a provision for clinical rotation in rural health facilities. Further, in the public sector, every newly recruited medical doctor must serve at least 2 years at the upazila level. To encourage serving in hard-to-reach areas, particularly in three Hill Tract districts of Chittagong division, the government provides an additional 33% of the basic salary, but not exceeding US$ 38 per month. This amount is not attractive enough, and such provision is absent for those working in other rural areas. Although the government has career development and promotion plans for doctors and nurses, these plans are often not clearly specified and not implemented effectively. Conclusion: The government is committed to address the rural retention problem as shown through the formulation and implementation of related policies and strategies. However, Bangladesh needs more effective policies and provisions designed specifically for attraction, deployment, and retention of HRH in rural areas, and the execution of these policies and provisions must be monitored and evaluated effectively Published 2016-12-11T08:42:34Z 2016-12-11T08:42:34Z 2015 Article Rawal, L. B., Joarder, T., Islam, S. M. S., Uddin, A., & Ahmed, S. M. (2015). Developing effective policy strategies to retain health workers in rural bangladesh: A policy analysis. Human Resources for Health, 13(1) doi:10.1186/s12960-015-0030-6 14784491 http://hdl.handle.net/10361/7177 http://doi.org/10.1186/s12960-015-0030-6 en https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0030-6 © 2015 Rawal et al.; licensee BioMed Central. |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
English |
| topic |
Bangladesh Human resource for health Policies Rural retention Rural retention Policies Human resource for health Bangladesh |
| spellingShingle |
Bangladesh Human resource for health Policies Rural retention Rural retention Policies Human resource for health Bangladesh Rawal, Lal B Joarder, Taufique Islam, Sheikh Md. Shariful Uddin, Aftab Ahmed, Syed Masud Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| description |
This article was published in Human Resources for Health [ © 2015 Rawal et al.; licensee BioMed Central] and the definite version is available at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-015-0030-6 |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University Rawal, Lal B Joarder, Taufique Islam, Sheikh Md. Shariful Uddin, Aftab Ahmed, Syed Masud |
| format |
Article |
| author |
Rawal, Lal B Joarder, Taufique Islam, Sheikh Md. Shariful Uddin, Aftab Ahmed, Syed Masud |
| author_sort |
Rawal, Lal B |
| title |
Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| title_short |
Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| title_full |
Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| title_fullStr |
Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| title_full_unstemmed |
Developing effective policy strategies to retain health workers in rural Bangladesh: a policy analysis |
| title_sort |
developing effective policy strategies to retain health workers in rural bangladesh: a policy analysis |
| publisher |
© 2015 Rawal et al.; licensee BioMed Central. |
| publishDate |
2016 |
| url |
http://hdl.handle.net/10361/7177 http://doi.org/10.1186/s12960-015-0030-6 |
| work_keys_str_mv |
AT rawallalb developingeffectivepolicystrategiestoretainhealthworkersinruralbangladeshapolicyanalysis AT joardertaufique developingeffectivepolicystrategiestoretainhealthworkersinruralbangladeshapolicyanalysis AT islamsheikhmdshariful developingeffectivepolicystrategiestoretainhealthworkersinruralbangladeshapolicyanalysis AT uddinaftab developingeffectivepolicystrategiestoretainhealthworkersinruralbangladeshapolicyanalysis AT ahmedsyedmasud developingeffectivepolicystrategiestoretainhealthworkersinruralbangladeshapolicyanalysis |
| _version_ |
1814307530917019648 |