Add wos sample results library

02-data/intermediate/wos_sample/4dcef09cf75f239deb414df3eea88865-chhea-c.-and-warren/info.yaml

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+abstract: 'Introduction: A decade after health sector reform, public health
+
+  services in rural Cambodia remain under-utilised for multiple reasons
+
+  related to financial, structural and personnel factors. Ineffectiveness
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+  of rural public health services has led to a significant increase in
+
+  private providers, often the same people who staff public facilities.
+
+  Public health clinics are often portrayed as low quality, with long
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+  waiting times and unexpected costs; in contrast, private clinics are
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+  seen to provide more convenient health care. Several strategies,
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+  including contract management and health equity funds, have been
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+  introduced to improve public sector performance and encourage
+
+  utilization; these efforts are ongoing. However, the feasibility of
+
+  these strategies remains in question, particularly in terms of
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+  cost-effectiveness and sustainability.
+
+  Methods: In this article the strategies of and barriers met by health
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+  workers who remain in rural areas and deliver public health services are
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+  elucidated. Ethnographic research conducted in 2008 with health
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+  providers involved in treating tuberculosis patients in Kampong Speu
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+  Province, Cambodia is drawn on. Participants were recruited from the
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+  provincial health department, provincial hospital and four health
+
+  centres. Data collection involved in-depth interviews, participation in
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+  meetings and workshops aimed at health workers, and observation of daily
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+  activities at the health facilities. Data were transcribed verbatim,
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+  imported into NVivo software (www.qsrinternational.com) for management,
+
+  and analysed using a grounded theory approach.
+
+  Results: Primary healthcare service delivery in rural Cambodia was
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+  reliant on the retention of mid-level of health staff, primarily
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+  midwives and nurses. Its performance was influenced by institutional
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+  characteristics relating to the structure of the health system. Personal
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+  factors were impacted on by these structural issues and affected the
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+  performance of health staff. Institutional factors worked against the
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+  provision of high-quality public health services, and included the
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+  fragmentation of service delivery and structure, limited capacity and
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+  shortage of high-qualified health staff, competition with the private
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+  sector, and shortage of medical supplies. These factors all de-motivated
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+  health staff, and undermined their performance in public service
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+  positions. Personal factors were paramount for staff retention. These
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+  included: optimism and appreciation of work responsibilities and
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+  position, the personal ability to cope with financial barriers, and
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+  institutional benefits such as opportunities for professional
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+  development, job security, financial opportunities (via
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+  performance-based allowances), and status in society. Individual
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+  financial coping strategies were the dominant factor underlying
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+  retention, but alone were often de-motivating: clients were diverted
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+  from the public services, which led to distrust, and thus undermined the
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+  capacity of public system. There was significant interaction between
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+  institutional and personal factors, which impacted on the effectiveness
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+  of health staff retention in rural areas. Health workers tended to
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+  remain in their government positions for prolonged periods of time
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+  because they experienced personal rewards. At the same time, however,
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+  their job performance in the public health services were hindered by
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+  challenges related to the institutional factors.
+
+  Conclusions: The interaction between institutional factors and personal
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+  factors was crucial for effectiveness of health staff retention in rural
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+  Cambodia. Efforts aimed at ensuring quality of care and encouraging
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+  health staff retention should attempt to remove the institutional
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+  barriers that discourage the use of rural public health services.'
+affiliation: 'Chhea, C (Corresponding Author), Monash Univ, Sch Psychol Psychiat \&
+  Psychol Med, Melbourne, Vic 3004, Australia.
+
+  Chhea, C.; Warren, N.; Manderson, L., Monash Univ, Sch Psychol Psychiat \& Psychol
+  Med, Melbourne, Vic 3004, Australia.'
+article-number: '1391'
+author: Chhea, C. and Warren, N. and Manderson, L.
+author_list:
+- family: Chhea
+  given: C.
+- family: Warren
+  given: N.
+- family: Manderson
+  given: L.
+da: '2023-09-28'
+files: []
+issn: 1445-6354
+journal: RURAL AND REMOTE HEALTH
+keywords: 'Cambodia; health personnel; institutional factors; personal factors;
+
+  retention; rural health services'
+keywords-plus: INFORMAL PAYMENTS; SECTOR REFORM; CARE; PRACTITIONERS; POOR
+language: English
+month: JUL-SEP
+number: '3'
+number-of-cited-references: '43'
+orcid-numbers: 'Warren, Narelle/0000-0003-2623-4078
+
+  Manderson, Lenore/0000-0002-7883-1790'
+papis_id: 413300881de3faabd8b32e1708ebba53
+ref: Chhea2010healthworker
+researcherid-numbers: 'Warren, Narelle/H-9318-2019
+
+  '
+times-cited: '24'
+title: Health worker effectiveness and retention in rural Cambodia
+type: Article
+unique-id: WOS:000286342600008
+usage-count-last-180-days: '0'
+usage-count-since-2013: '44'
+volume: '10'
+web-of-science-categories: Public, Environmental \& Occupational Health
+year: '2010'