Survival and retention strategies for Malawian health professionals
This paper was produced under the theme of work on Human Resources for Health in the Regional Network for Equity in Health in east and southern Africa (EQUINET) in co-operation with Health Systems Trust South Africa. Malawi, like many southern African countries, is facing a critical human resourc...
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| Language: | English |
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University of malawi
2021
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| Online Access: | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/213 |
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| author | University of Malawi, College of Medicine |
| author_facet | University of Malawi, College of Medicine |
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| description | This paper was produced under the theme of work on Human Resources for Health in the
Regional Network for Equity in Health in east and southern Africa (EQUINET) in co-operation
with Health Systems Trust South Africa.
Malawi, like many southern African countries, is facing a critical human resources for health
(HRH) crisis, preventing it from delivering acceptable quality health care services to its
population. The reasons underlying the shortage of health professionals are multiple and
include limited output from training institutions, high attrition rates resulting from migration and
disease, and increased workloads because of HIV and AIDS.
Despite the increasing levels of migration of health professionals from Malawi which have
caught international attention, many continue to serve their country. The challenges
encountered by these health workers (which may eventually become push factors), and the
coping or survival strategies that they utilise deserve attention if any meaningful solutions to
retain health professionals in Malawi are to be developed.
Health professionals employ a range of survival strategies including:
• reliance on per diems/allowances from workshops and seminars
• saving on stipends from long-term training programs
• business activities
• working in places where the cost of living is perceived to be lower
• pilfering of drugs
• dual practice (working in both private and public sector),
• consultancy work
• being paid for work not done at one institution while working for another employer.
In order to retain health professionals in Malawi, we advocate for:
• debt relief and advocacy toward the IMF and World Bank to end restrictions on hiring
and increasing remuneration for health workers;
• mandatory public sector employment after graduation from health training
institutions;
• strengthening of the health professionals’ association to enhance unionism and
collective bargaining; and
• provision of free anti-retrovirals (ARVs) to health professionals. |
| format | Other |
| id | oai:nkhokwe.kuhes.ac.mw:20.500.12845-213 |
| institution | My University |
| language | English |
| publishDate | 2021 |
| publisher | University of malawi |
| record_format | dspace |
| spelling | oai:nkhokwe.kuhes.ac.mw:20.500.12845-2132023-03-12T00:00:31Z Survival and retention strategies for Malawian health professionals University of Malawi, College of Medicine This paper was produced under the theme of work on Human Resources for Health in the Regional Network for Equity in Health in east and southern Africa (EQUINET) in co-operation with Health Systems Trust South Africa. Malawi, like many southern African countries, is facing a critical human resources for health (HRH) crisis, preventing it from delivering acceptable quality health care services to its population. The reasons underlying the shortage of health professionals are multiple and include limited output from training institutions, high attrition rates resulting from migration and disease, and increased workloads because of HIV and AIDS. Despite the increasing levels of migration of health professionals from Malawi which have caught international attention, many continue to serve their country. The challenges encountered by these health workers (which may eventually become push factors), and the coping or survival strategies that they utilise deserve attention if any meaningful solutions to retain health professionals in Malawi are to be developed. Health professionals employ a range of survival strategies including: • reliance on per diems/allowances from workshops and seminars • saving on stipends from long-term training programs • business activities • working in places where the cost of living is perceived to be lower • pilfering of drugs • dual practice (working in both private and public sector), • consultancy work • being paid for work not done at one institution while working for another employer. In order to retain health professionals in Malawi, we advocate for: • debt relief and advocacy toward the IMF and World Bank to end restrictions on hiring and increasing remuneration for health workers; • mandatory public sector employment after graduation from health training institutions; • strengthening of the health professionals’ association to enhance unionism and collective bargaining; and • provision of free anti-retrovirals (ARVs) to health professionals. 2021-05-20T13:58:34Z 2021-11-03T06:19:44Z 2021-05-20T13:58:34Z 2021-11-03T06:19:44Z 2005-11-01 Other http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/213 en application/pdf University of malawi |
| spellingShingle | University of Malawi, College of Medicine Survival and retention strategies for Malawian health professionals |
| title | Survival and retention strategies for Malawian health professionals |
| title_full | Survival and retention strategies for Malawian health professionals |
| title_fullStr | Survival and retention strategies for Malawian health professionals |
| title_full_unstemmed | Survival and retention strategies for Malawian health professionals |
| title_short | Survival and retention strategies for Malawian health professionals |
| title_sort | survival and retention strategies for malawian health professionals |
| url | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/213 |
| work_keys_str_mv | AT universityofmalawicollegeofmedicine survivalandretentionstrategiesformalawianhealthprofessionals |