Salaries and incomes of health workers in sub-Saharan Africa
Article
Article Title | Salaries and incomes of health workers in sub-Saharan Africa |
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ERA Journal ID | 15320 |
Article Category | Article |
Authors | McCoy, David (Author), Bennett, Sara (Author), Witter, Sophie (Author), Pond, Bob (Author), Baker, Brook (Author), Gow, Jeff (Author), Chand, Sudeep (Author), Ensor, Tim (Author) and McPake, Barbara (Author) |
Journal Title | The Lancet |
Journal Citation | 371 (9613), pp. 675-681 |
Number of Pages | 7 |
Year | 2008 |
Place of Publication | United Kingdom |
ISSN | 0140-6736 |
1474-547X | |
Digital Object Identifier (DOI) | https://doi.org/10.1016/S0140-6736(08)60306-2 |
Abstract | We aimed to investigate pay structures for health workers in the public sector in sub-Saharan Africa; the adequacy of incomes for health workers; the management of public-sector pay; and the fiscal and macroeconomic factors that impinge on pay policy for the public sector. Because salary differentials affect staff migration and retention, we also discuss pay in the private sector. We also surveyed historical trends in the pay of civil servants in Africa over the past 40 years. We used some empirical data, but found that relevant data were scarce. The available data suggested that pay structures vary across countries, and are often structured in complex ways. Health workers also commonly use allowances and other sources of income to supplement their formal pay. The pay of health workers varies widely, whether between countries, by comparison with cost of living, or between public and private sector roles. To optimise the distribution and mix of health workers, policy options to address their pay and incomes are needed. Fiscal constraints to increased salaries and non-financial incentives might needs to be overcome in many countries. |
Keywords | salaries; health workers; sub Saharan Africa; cost of living; health care financing; health care personnel |
ANZSRC Field of Research 2020 | 440603. Economic geography |
380108. Health economics | |
420306. Health care administration | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University College London, United Kingdom |
World Health Organization, Switzerland | |
University of Aberdeen, United Kingdom | |
Northeastern University, United States | |
University of KwaZulu-Natal, South Africa | |
Queen Margaret University, United Kingdom |
https://research.usq.edu.au/item/9yyy5/salaries-and-incomes-of-health-workers-in-sub-saharan-africa
1971
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