Abstract
The study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru. In-depth interviews were performed with 80 physicians, obstetricians, nurses, and nurse technicians in the poorest areas (20 per group), plus 11 health managers. Ayacucho lacks systematic policies for attracting and retaining human resources. The main incentives, in order of relevance, were higher wages, opportunities for further training, longer/permanent contracts, better infrastructure and medical equipment, and more staff. Interviewees also mentioned improved housing conditions and food, the opportunity to be closer to family, and recognition by the health system. Health workers and policymakers share perceptions on key incentives to encourage work in rural areas. However, there are also singularities to be considered when designing specific strategies. Public initiatives thus need to be monitored and evaluated closely in order to ensure the intended impact.
Highlights
The study aimed to identify the main incentives for attracting and retaining health workers in rural and remote health facilities in Ayacucho, Peru
Los instrumentos fueron probados en un estudio piloto conducido por el equipo de campo
Los entrevistados trabajaban en 56 establecimientos de salud, ubicados en 28 distritos de seis provincias: Huamanga (26%), Cangallo (18%), Víctor Fajardo (15%), Vilcashuamán (15%), La
Summary
Incentivos para atraer y retener personal de salud de zonas rurales del Perú: un estudio cualitativo. Incentives to attract and retain the health workforce in rural areas of Peru:. Departamento de Pediatría, Universidad Nacional Mayor de San Marcos, Lima, Perú
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