wow-inequalities/02-data/intermediate/wos_sample/5262b9cd43aeaa64f39bcba786b175ce-tumlinson-katherine/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Public-sector healthcare providers are on the frontline of family
planning service delivery in low- and middle-income countries like
Kenya, yet research suggests public-sector providers are frequently
absent. The current prevalence of absenteeism in Western Kenya, as well
as the impact on family planning clients, is unknown. The objective of
this paper is to quantify the prevalence of public-sector healthcare
provider absenteeism in this region of Kenya, to describe the potential
impact on family planning uptake and to source locally-grounded
solutions to provider absenteeism. We used multiple data collection
methods including unannounced visits to a random sample of 60
public-sector healthcare facilities in Western Kenya, focus group
discussions with current and former family planning users, key informant
interviews with senior staff from healthcare facilities and both
governmental and non-governmental organizations, and journey mapping
activities with current family planning providers and clients. We found
healthcare providers were absent in nearly 60\% of unannounced visits
and, among those present, 19\% were not working at the time of the
visit. In 20\% of unannounced visits, the facility had no providers
present. Provider absenteeism took many forms including providers
arriving late to work, taking an extended lunch break, not returning
from lunch, or being absent for the entire day. While 56\% of provider
absences resulted from sanctioned activities such as planned vacation,
sick leave, or off-site work responsibilities, nearly half of the
absences were unsanctioned, meaning providers were reportedly running
personal errands, intending to arrive later, or no one at the facility
could explain the absence. Key informants and focus group participants
reported high provider absence is a substantial barrier to contraceptive
use, but solutions for resolving this problem remain elusive.
Identification and rigorous evaluation of interventions designed to
redress provider absenteeism are needed.'
affiliation: 'Tumlinson, K (Corresponding Author), Univ N Carolina, Gillings Sch Global
Publ Hlth, Dept Maternal \& Child Hlth, Chapel Hill, NC 27515 USA.
Tumlinson, K (Corresponding Author), Univ N Carolina, Carolina Populat Ctr, Chapel
Hill, NC 27515 USA.
Tumlinson, Katherine; Williams, Caitlin R., Univ N Carolina, Gillings Sch Global
Publ Hlth, Dept Maternal \& Child Hlth, Chapel Hill, NC 27515 USA.
Tumlinson, Katherine, Univ N Carolina, Carolina Populat Ctr, Chapel Hill, NC 27515
USA.
Britton, Laura E., Columbia Univ, Sch Nursing, New York, NY USA.
Williams, Caitlin R., Inst Clin Effectiveness \& Hlth Policy, Dept Mother \& Child
Hlth, Buenos Aires, DF, Argentina.
Wambua, Debborah Muthoki, Innovat Poverty Act Kenya IPA K, Nairobi, Kenya.
Onyango, Dickens Otieno, Kisumu Cty Dept Hlth, Kisumu, Kenya.
Onyango, Dickens Otieno, Inst Trop Med, Antwerp, Belgium.'
author: Tumlinson, Katherine and Britton, Laura E. and Williams, Caitlin R. and Wambua,
Debborah Muthoki and Onyango, Dickens Otieno
author-email: ktumlin@email.unc.edu
author_list:
- family: Tumlinson
given: Katherine
- family: Britton
given: Laura E.
- family: Williams
given: Caitlin R.
- family: Wambua
given: Debborah Muthoki
- family: Onyango
given: Dickens Otieno
da: '2023-09-28'
doi: 10.1093/heapol/czac022
earlyaccessdate: MAR 2022
eissn: 1460-2237
files: []
issn: 0268-1080
journal: HEALTH POLICY AND PLANNING
keywords: 'Absenteeism; low- and middle-income countries; universal health
coverage; Kenya; family planning; quality of care; maternal health'
keywords-plus: HEALTH-WORKERS; OUTCOMES; IMPACT
language: English
month: MAY 12
number: '5'
number-of-cited-references: '28'
orcid-numbers: 'Tumlinson, Katherine/0000-0001-8314-8219
Williams, Caitlin Rain/0000-0002-4925-869X'
pages: 575-586
papis_id: 7d1d3cc0e56f66c57f76fd474abbea74
ref: Tumlinson2022absenteeismfamily
researcherid-numbers: 'Tumlinson, Katherine/E-6975-2013
'
times-cited: '3'
title: 'Absenteeism Among Family Planning Providers: A Mixed-Methods Study in Western
Kenya'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000769088500001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '37'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'