Doctors Perception about Staying in or leaving Rural Health Facilities IN DISTRICT ABBOTTABAD
Abstract
Background: An imbalance exists between offered medical services and needed health care for the people in rural areas of Pakistan. Many studies have found non-availability, of health care providers as major contributors to the poor health indicators of the rural areas. Methods and Results: An endeavor to attend the issue has been made through a cross-sectional survey of the Medical Officers working in the different health facilities of District Abbottabad. The study found that the doctors are neither trained to work in rural setups nor they are given proper facilities and service structure to work there. They perceive to face disadvantages affecting their social, professional and family life, if they join in rural areas. Recommendations: This study recommends strengthening of Community Oriented Medical Education for motivating doctors towards participation in rural health services. Doctors working in rural health facilities might be given financial and professional incentives and a conducive environment to retain them.
Keywords: Health care providers, Health indicators, Rural
References
Park JE. Preventive & Social Medicine 17th ed. Jabal Pur:Banarsidas Bhanot Publishers;1998
Minsitry of Health. Situation Analysis of Health Sector in Pakistan,Govt. of Pakistan.1993;8&90
Minsitry of Health.Annual Report of Director General Health Govt. of Pakistan.1998;117-121
World Bank , World Bank Development Report New York ,Oxford University Press; 2001
Holub L, Williams B. The General Practice Rural Incentives Program, Development And Implementation: Progress To Date. The Australian Journal of Rural Health 1996;117-127.
Wise A, Nicholas, A, Chater, A, Craig M, Rural Doctors Spouses: Married To The Practice; Journal of Queens Land Medical Education Center. 1996;91-96.
Irene AA. Reforming Health Service Delivery at District Level in Ghana The Perspective of a District Medical Officer, Health Policy and Planning 1997;14;59-64
Humphreys JS, Frances R. A Modified Frame Work for Rural General Practice The Importance of recruitment and retention. Social Science and Medicine 1998;46(8):939-45.
Mubarak MM. Rural Health Programme, Health Coverage in Pakistan, An Evaluation for Future Strategy, Health For All. The Army Press;1990
Khattak FH. Health Economics and Planning in Pakistan 3rd Ed; 1996.
Connor RA, Hillson SD, Kralewski JE. An Analysis of Physician recruitment strategies in Rural Hospital, Health Care Management Review 1995;20(1):7-18.
Bolduc DB, Fortin, Fournier MA. The Impact of Incentive Policies to Influence Practice Location of General Practitioners, a Multinomial Probit Analysis; Journal of Labour Economics1999;16(1):199-9.
Rosenberg AM. Ontario's under serviced area Program Revisited: An indirect Analysis; Social Science and Medicine 1990;30(1):35-44.
Kristiansen IS. Medical Specialists Choice of Location The role of geographical attachment in Norway; Social Science and Medicine 1992;34(1):57-62
Kenneth MC, Azrul A, Gunawon S, Nasye I. What Do Doctors Want? World Bank Publication; 1999
Sharpston MJ. Uneven distribution of Medical Care .A Ghanian Case Study, Journal of developmental studies;1971:8
Zaidi A. The Political Economy of Health Care in Pakistan 1988
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