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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
The internal migration between public and faith-based health providers: A cross-sectional, retrospective and multicentre study from southern Tanzania
Tropical Medicine and International Health, Volume 18, No. 7, Year 2013
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Description
Objective: To assess the magnitude, direction and underlying dynamics of internal health worker migration between public and faith-based health providers from a hospital perspective. Methods: Two complementary tools were implemented in 10 public and six faith-based hospitals in southern Tanzania. A hospital questionnaire assessed magnitude and direction of staff migration between January 2006 and June 2009. Interviews with 42 public and 20 faith-based maternity nurses evaluated differences in staff perspectives and motives for the observed migration patterns. Results: The predominant direction of staff movement was from the faith-based to the public sector: 69.1% (n = 105/152) of hospital staff exits and 60.6% (n = 60/99) of hospital staff gains. Nurses were the largest group among the migrating health workforce. Faith-based hospitals lost 59.3% (n = 86/145) of nurses and 90.6% (n = 77/85) of registered nurses to the public sector, whereby public hospitals reported 13.5% (n = 59/436) of nurses and 24.4% (n = 41/168) of registered nurses being former faith-based employees. Interviews revealed significantly inferior staff perspectives among faith-based respondents than their public colleagues. Main differences were identified regarding career development and training, management support, employee engagement and workload. Conclusion: This study revealed considerable internal health worker migration from the faith-based to the public sector. Staff retention and motivation within faith-based hospitals are not restricted to financial considerations, and salary gaps can no longer uniquely explain this movement pattern. The consequences for the catchment area of faith-based hospitals are potentially severe and erode cooperation potential between the public and private health sector. © 2013 Blackwell Publishing Ltd.
Authors & Co-Authors
Tabatabai, Patrik
Germany, Heidelberg
Universität Heidelberg
Prytherch, Helen
Germany, Heidelberg
Universität Heidelberg
Baumgarten, Inge
Tanzania, Dar es Salaam
Tanzanian-german Programme to Support Health
Kisanga, Oberlin M.E.
Tanzania, Dar es Salaam
Tanzanian-german Programme to Support Health
Schmidt-Ehry, Bergis
Tanzania, Dar es Salaam
Tanzanian-german Programme to Support Health
Marx, Michael
Germany, Heidelberg
Universität Heidelberg
Statistics
Citations: 12
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1111/tmi.12107
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Tanzania