wow-inequalities/02-data/intermediate/wos_sample/4e98fb979c2675f562c75e0564653dd8-gajewski-jakub-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Low-and middle-income countries (LMICs) are the worst
affected by a lack of safe and affordable access to safe surgery. The
significant unmet surgical need can be in part attributed to surgical
workforce shortages that disproportionately affect rural areas of these
countries. To combat this, Malawi has introduced a cadre of
non-physician clinicians (NPCs) called clinical officers (COs), trained
to the level of a Bachelor of Science (BSc) in Surgery. This study
explored the barriers and enablers to their retention in rural district
hospitals (DHs), as perceived by the first cohort of COs trained to BSc
in Surgery level in Malawi. Methods: A longitudinal qualitative research
approach was used based on interviews with 16 COs, practicing at DHs,
during their BSc training (2015); and again with 15 of them after their
graduation (2019). Data from both time points were analysed and compared
using a top-down thematic analysis approach. Results: Of the 16 COs
interviewed in 2015, 11 intended to take up a post at a DH following
graduation; however, only 6 subsequently did so. The major barriers to
remaining in a DH post as perceived by these COs were lack of promotion,
a more attractive salary elsewhere; and unclear, stagnant career
progression within surgery. For those who remained working in DH posts,
the main enablers are a willingness to accept a low salary, to generate
greater opportunities to engage in additional earning opportunities; the
hope of promotional opportunities within the government system; and
greater responsibility and recognition of their surgical knowledge and
skills as a BSc-holder at the district level. Conclusion: The
sustainability of surgically trained NPCs in Malawi is not assured and
further work is required to develop and implement successful retention
strategies, which will require a multi-sector approach. This paper
provides insights into barriers and enablers to retention of this
newly-introduced cadre and has important lessons for policy makers in
Malawi and other countries employing NPCs to deliver essential surgery.'
affiliation: 'Gajewski, J (Corresponding Author), Royal Coll Surgeons Ireland, Inst
Global Surg, Dublin 2, Ireland.
Gajewski, Jakub, Royal Coll Surgeons Ireland, Inst Global Surg, Dublin 2, Ireland.
Wallace, Marisa, Maastricht Univ, Fac Hlth Med \& Life Sci, Maastricht, Netherlands.
Pittalis, Chiara; Brugha, Ruairi, Royal Coll Surgeons Ireland, Div Populat Hlth
Sci, Dublin 2, Ireland.
Mwapasa, Gerald; Borgstein, Eric, Coll Med Malawi, Dept Surg, Blantyre, Malawi.
Bijlmakers, Leon, Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands.'
author: Gajewski, Jakub and Wallace, Marisa and Pittalis, Chiara and Mwapasa, Gerald
and Borgstein, Eric and Bijlmakers, Leon and Brugha, Ruairi
author-email: jakubgajewski@rcsi.ie
author_list:
- family: Gajewski
given: Jakub
- family: Wallace
given: Marisa
- family: Pittalis
given: Chiara
- family: Mwapasa
given: Gerald
- family: Borgstein
given: Eric
- family: Bijlmakers
given: Leon
- family: Brugha
given: Ruairi
da: '2023-09-28'
doi: 10.34172/ijhpm.2020.142
earlyaccessdate: AUG 2020
eissn: 2322-5939
files: []
journal: INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
keywords: Non-physician Clinicians; Task-Sharing; Global Surgery; Malawi
keywords-plus: 'HEALTH-PROFESSIONALS; BRAIN-DRAIN; NONPHYSICIAN CLINICIAN; INTERNATIONAL
NGOS; WORKFORCE; AFRICA; PROGRAM; CARE'
language: English
month: MAR
number: '3'
number-of-cited-references: '49'
orcid-numbers: 'Brugha, Ruairi/0000-0003-0729-0197
Bijlmakers, Leon/0000-0003-2252-0579
Pittalis, Chiara/0000-0003-3465-9850'
pages: 354-361
papis_id: 23a369294e810dabcf5dbb4a7fbb4728
ref: Gajewski2022whydo
researcherid-numbers: 'Brugha, Ruairi/C-8420-2012
Bijlmakers, Leon/P-6949-2015
'
times-cited: '5'
title: Why Do They Leave? Challenges to Retention of Surgical Clinical Officers in
District Hospitals in Malawi
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000719922500001
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '11'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'