Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali
Autoři:
Cheick Sidya Sidibé aff001; Ousmane Touré aff001; Jacqueline E. W. Broerse aff002; Marjolein Dieleman aff002
Působiště autorů:
Institut National de Formation en Sciences de la Santé, Bamako, Mali
aff001; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Vrije Universiteit, Amsterdam, Netherlands
aff002
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222266
Souhrn
The availability and retention of healthcare professionals in rural areas and remote areas is a challenge to the health sector worldwide. Attracting people who are most likely to be interested in rural practice can be conducive to the sustainable availability of health services in rural areas where health facilities are typically understaffed and existing professionals often underqualified. This article aims to contribute to the rural pipeline evidence, and reports on the findings of a study that investigated the career choices of midwifery and obstetric nurse students in Mali. The article enquires into the relationship between their intention to practice in rural areas and the different components of the rural pipeline. A mixed method study using a survey, semi-structured interviews, and document analysis was conducted from October to December 2017 on third-year midwifery and obstetric nurse students and school-managers. Descriptive statistics and bivariate analysis were performed for quantitative data, and content analysis was carried out for the qualitative data. Key findings suggest that students prefer urban locations for living and for work. The intention to work in rural areas seems to be influenced by the current living situation (currently living in a rural area) or having attended secondary school or professional training in rural areas.
Klíčová slova:
Social sciences – Sociology – People and places – Population groupings – Professions – Geographical locations – Medicine and health sciences – Health care – Women's health – Obstetrics and gynecology – Health care providers – Nurses – Medical personnel – Economics – Africa – Labor economics – Employment – Jobs – Education – Schools – Earth sciences – Geography – Geographic areas – Rural areas – Nursing science – Midwives – Mali
Zdroje
1. Cellule de Planification et de Statistique, Institut National de la Statistique, Centre D’Etudes et d’Information Statistiques, ICF International. Enquête Démographique et de Santé au Mali (EDSM V) 2012–2013. Bamako, Mali et Calverton, Maryland, USA; 2014. p. 577.
2. United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. Vol. 16301, General Assembley 70 session. 2015.
3. Willcox ML, Peersman W, Daou P, Diakité C, Bajunirwe F, Mubangizi V, et al. Human resources for primary health care in sub-Saharan Africa: progress or stagnation? Hum Resour Health. 2015 Jan;13(1):76.
4. Direction des ressources humaines du secteur santé développement social et promotion de la famille. Annuaire statistique 2017 des ressources humaines du secteur santé, développement social et promotion de la famille. 2ème éd. Bamako; 2018. 153 p.
5. Council on Graduate Medical Education. Tenth Report, physician distribution and health care challenges in rural and inner-city areas. Rockville; 1998.
6. WHO | Increasing access to health workers in remote and rural areas through improved retention. WHO. 2014;
7. Laven G, Wilkinson D. Rural doctors and rural backgrounds: How strong is the evidence? A systematic review. Vol. 11, Australian Journal of Rural Health. 2003. p. 277–84. 14678410
8. Tesson G, Strasser R, Pong RW, Curran V. Advances in rural medical education in three countries: Canada, The United States and Australia. Rural Remote Health. 2005;5(4):397. 16283826
9. Henry JA, Edwards BJ, Crotty B. Why do medical graduates choose rural careers? Rural Remote Health. 2009;9(1):1083. 19257797
10. Fisher KA, Fraser JD. Rural health career pathways: Research themes in recruitment and retention. Aust Heal Rev. 2010;34(3):292–6.
11. Johnson GE, Wright FC, Foster K. The impact of rural outreach programs on medical students’ future rural intentions and working locations: A systematic review. BMC Med Educ. 2018;18(1):1–19. doi: 10.1186/s12909-017-1038-5
12. O’Sullivan BG, McGrail MR, Russell D, Chambers H, Major L. A review of characteristics and outcomes of Australia’s undergraduate medical education rural immersion programs. Hum Resour Health. 2018;16(1):1–10. doi: 10.1186/s12960-017-0265-5
13. MacQueen IT, Maggard-Gibbons M, Capra G, Raaen L, Ulloa JG, Shekelle PG, et al. Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices. J Gen Intern Med. 2018;33(2):191–9. doi: 10.1007/s11606-017-4210-z 29181791
14. Farmer J, Kenny A, McKinstry C, Huysmans RD. A scoping review of the association between rural medical education and rural practice location. Hum Resour Health. 2015;13(1).
15. Rabinowitz HK, Diamond JJ, Markham FW, Wortman JR. Medical school programs to increase the rural physician supply: A systematic review and projected impact of widespread replication. Acad Med. 2008;83(3):235–43. doi: 10.1097/ACM.0b013e318163789b 18316867
16. Wenghofer EF, Hogenbirk JC, Timony PE. Impact of the rural pipeline in medical education: Practice locations of recently graduated family physicians in Ontario. Hum Resour Health. 2017;15(1):1–6. doi: 10.1186/s12960-016-0176-x
17. O’Sullivan B, McGrail M, Russell D, Walker J, Chambers H, Major L, et al. Duration and setting of rural immersion during the medical degree relates to rural work outcomes. Med Educ. 2018;52(8):803–15. doi: 10.1111/medu.13578 29676022
18. Mcgrail MR, Sullivan BGO, Russell DJ. Rural training pathways : the return rate of doctors to work in the same region as their basic medical training. Hum Resour Health. 2018;7:1–10.
19. Quinn KJ, Kane KY, Stevermer JJ, Webb WD, Porter JL, Williamson HA, et al. Influencing residency choice and practice location through a longitudinal rural pipeline program. Acad Med. 2011;86(11):1397–406. doi: 10.1097/ACM.0b013e318230653f 21952065
20. Carson DB, Schoo A, Berggren P. The “rural pipeline” and retention of rural health professionals in Europe’s northern peripheries. Health Policy (New York). 2015;119(12):1550–6.
21. De Villiers M, Moodley K. Innovative strategies to improve human resources for health in Africa: The SURMEPI story. African J Heal Prof Educ. 2015;7(1):70.
22. Van Schalkwyk SC, Bezuidenhout J, Conradie HH, Fish T, Kok NJ, Van Heerden BH, et al. “Going rural”: Driving change through a rural medical education innovation. Rural Remote Health. 2014;14(2).
23. Voss M, Coetzee JF, Conradie H, van Schalkwyk SC. “We have to flap our wings or fall to the ground”: The experiences of medical students on a longitudinal integrated clinical model. African J Heal Prof Educ. 2015;7(1):119–24.
24. de Vries E, Reid S. Do South African medical students of rural origin return to rural practice? South African Med J. 2003;93(10):789–93.
25. Silvestri DM, Blevins M, Afzal AR, Andrews B, Derbew M, Kaur S, et al. Medical and nursing students’ intentions to work abroad or in rural areas: a cross-sectional survey in Asia and Africa. Bull World Health Organ. 2014;92(10):750–9. doi: 10.2471/BLT.14.136051 25378729
26. Serneels P, Montalvo JG, Pettersson G, Lievens T, Butera JD, Kidanu A. Who wants to work in a rural health post? The role of intrinsic motivation, rural background and faith-based institutions in Ethiopia and Rwanda. Bull World Health Organ. 2010;88(5):342–9. doi: 10.2471/BLT.09.072728 20461138
27. Kotha SR, Johnson JC, Galea S, Agyei-Baffour P, Nakua E, Asabir K, et al. Lifecourse factors and likelihood of rural practice and emigration: A survey of Ghanaian medical students. Rural Remote Health. 2012;12(3):1–13.
28. Kibore MW, Daniels JA, Child MJ, Mph MPA, Mph M, Njiri FJ, et al. Kenyan medical student and consultant experiences in a pilot decentralised training program at the University of Nairobi. Educ Heal. 2015;27(2):170–6.
29. Kizito S, Baingana R, Mugagga K, Akera P, Sewankambo NK. Influence of community-based education on undergraduate health professions students’ decision to work in underserved areas in Uganda. BMC Res Notes. 2017;10(1):1–9. doi: 10.1186/s13104-016-2345-3
30. Belaid L, Mahaman M, Dagenais C, Ridde V. Motivations des agents obstétricaux qui décident d’exercer en milieu rural au Niger. Sante Publique (Paris). 2018;S1(HS):141.
31. Van Dormael M, Dugas S, Kone Y, Coulibaly S, Sy M, Marchal B, et al. Appropriate training and retention of community doctors in rural areas: A case study from Mali. Hum Resour Health. 2008;6:1–8. doi: 10.1186/1478-4491-6-1
32. Institut National de la Statistique. Enquête par Grappes à Indicateurs Multiples au Mali (MICS- Mali), 2015, Rapport final. Bamako, Mali, INSTAT. 2016.
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