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dc.contributor.authorBertone, Maria Paola
dc.contributor.authorWitter, Sophie
dc.date.accessioned2018-06-29T22:03:49Z
dc.date.available2018-06-29T22:03:49Z
dc.date.issued2015-07
dc.identifierER3968
dc.identifier.citationBertone, M. & Witter, S. (2015) The complex remuneration of human resources for health in low-income settings: policy implications and a research agenda for designing effective financial incentives, Human Resources for Health, vol. 13, , ,
dc.identifier.issn1478-4491
dc.identifier.urihttp://dx.doi.org/10.1186/s12960-015-0058-7
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3968
dc.description.abstractBackground Human resources for health represent an essential component of health systems and play a key role to accelerate progress towards universal health coverage. Many countries in sub-Saharan Africa face challenges regarding the availability, distribution and performance of health workers, which could be in part addressed by providing effective financial incentives. Methods Based on an overview of the existing literature, the paper highlights the gaps in the existing research in low-income countries exploring the different components of health workers' incomes. It then proposes a novel approach to the analysis of financial incentives and delineates a research agenda, which could contribute to shed light on this topic. Findings The article finds that, while there is ample research that investigates separately each of the incomes health workers may earn (for example, salary, fee-for-service payments, informal incomes, top-ups- and per diems, dual practice and non-health activities), there is a dearth of studies which look at the health workers' complex remuneration-, that is, the whole of the financial incentives available. Little research exists which analyses simultaneously all revenues of health workers, quantifies the overall remuneration and explores its complexity, its multiple components and their features, as well as the possible interaction between income components. However, such a comprehensive approach is essential to fully comprehend health workers' incentives, by investigating the causes (at individual and system level) of the fragmentation in the income structure and the variability in income levels, as well as the consequences of the complex remuneration- on motivation and performance. This proposition has important policy implications in terms of devising effective incentive packages as it calls for an active consideration of the role that complex remuneration- plays in determining recruitment, retention and motivation patterns, as well as, more broadly, the performance of health systems. Conclusions This paper argues that research focusing on the health workers' complex remuneration- is critical to address some of the most challenging issues affecting human resources for health. An empirical research agenda is proposed to fill the gap in our understanding.
dc.description.abstractThis article is about public relations expertise. It presents the results of an extensive empirical enquiry and is framed by the concept of profession and the sociological debates that surround it.
dc.publisherBioMed Central
dc.relation.ispartofHuman Resources for Health
dc.subjectHuman resources for health
dc.subjectLow-income countries
dc.subjectFinancial incentives
dc.subjectComplex remuneration
dc.subjectPay
dc.titleThe complex remuneration of human resources for health in low-income settings: policy implications and a research agenda for designing effective financial incentives
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume13
dc.identifier.doihttp://doi:10.1186/s12960-015-0058-7
dc.description.ispublishedpub
dc.description.eprintid3968
rioxxterms.typearticle
qmu.authorWitter, Sophie
qmu.authorBertone, Maria Paola
qmu.centreInstitute for Global Health and Development
dc.description.statuspub
dc.description.number62


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