HEALTH ECONOMICS AND HIV AND AIDS RESEARCH DIVISION
Evidence for Impact in Health and HIV
Sign up to our news feeds for automatic alerts whenever new content is added to the website.
Join our mailing list

Keep up to date with our
latest news.

Name: 
Email: 

Available Mailing Lists:
HEARD newsletters
HEARD Disability News
HEARD Latest News

HEARD is an UNAIDS
Collaborating Centre
Economic Reference Group

#########Member Login
Username: Password:  Remember me

Call for rapid response research: Health worker salaries and benefits in low and middle income countries

Project Status: Completed (March 2008 - December 2009)
Lead Researcher : Gavin George
Project Donor : JFA

Overview

The aim of the research is to describe current trends in "salaries and benefits" of health-care workers across different domains in South Africa and Zambia and the mechanisms through which these are effected, and to make recommendations for strategies to promote positive impacts and mitigate or prevent negative outcomes. The study focused on salaries, analysing a wide range of data to provide an assessment of determinants of salary packages. The purpose is to provide baseline empirical information for strategic review of the problem. An initial pilot study was completed in March 2008.

Conducted within South Africa and Zambia this study sought to cover, however crudely, the spectrum of health systems in southern Africa, in terms of capacity, infrastructure and reach. Simply put, Zambia represents one extreme of limited capacity and means. South Africa represents relatively abundant capacity and means. 

The research does not presume that South Africa's health-care capacity functions better than in the other countries. Rather, the expectation is that comparative research will reveal particular local political, economic and social contexts that hinder and stimulate effective responses to the extraordinary demands on health-care personnel. The spectrum framework is simply a practical means to establish a foundation for comparative research.

Study objectives:

  • To describe the health-worker "salaries and benefits" across cadres, within different domains and in the four nominated countries
  • To describe: the macro-economic and fiscal determinants, political factors, public sector reforms and policies affecting the civil service; government decisions about budget allocations; the pattern of health care financing in the four countries
  • To describe the impact of "salaries and benefits" on availability, deployment, morale and degree of stigma in personnel across health systems.

In Africa, 1.3% of the world's health workers contend with 25% of the global disease burden (World Health Organisation 3x5 Report, 2005). In 2004, 38 countries in sub-Saharan Africa (SSA) fell short of the WHO minimum standard of 20 physicians per 100 000 population; 13 of these countries had five or fewer physicians per 100 000 population. Seventeen SSA countries had fewer than 50 nurses per 100 000 population, whereas the WHO standard is 100:100 000. (Physicians for Human Rights, 2004).

This situation is due partly to the migration of individuals to better paid jobs in developed countries. For instance, the number of nurses in the UK from non-EU countries grew from approximately 2 000 in 1994 -1995, to more than 15 000 in 2001 - 2002 (Hamilton et al, 2004). African countries are a source of such professionals. For instance, in 2002 it was estimated that 5 000 doctors emigrated from South Africa. Zambia's public sector retained only 50 of the 600 physicians who had been trained in the country from approximately 1978 to 1999 (Physicians for Human Rights, 2004).

Finding appropriate solutions to this problem is the critical challenge. Improving salaries may be an answer, but there is no solid information on conditions and salaries that can serve as a foundation to guide changes in national policies and plans. Furthermore, the situation is complex, and not simply one of disparities between "developed" and "developing" countries.


Research Jobs at HEARD - apply now
Upcoming Events

New workshop dates will be released soon. Please email enquiries to

Previous MonthEvents: Jan 2015Next Month
SMTWTFS
    123
45678910
11121314151617
18192021222324
25262728293031
Our Development Partners
Sida - Swedish International Development Cooperation Agency
Sida - Swedish International Development Cooperation Agency
UNAIDS: The Joint United Nations Programme on HIV/AIDSUSAID
s
Live Feeds
SADC Military Health Services Firm in Ebola Virus Prevention - AllAfrica.com


SADC Military Health Services Firm in Ebola Virus Prevention
AllAfrica.com
Luanda — The military health services of the Southern African Development Community Countries (SADC) are firm in the implementation of mechanisms for the prevention of the spreading of the Ebola virus, responsible the...

Google Alerts
Retrieved: Wed, Jan 28, 2015

South Africa to assist in Ebola response - Health-e


Health-e
South Africa to assist in Ebola response
Health-e
“SADC doesn't really need a mobile lab because we have good communications systems… this is rather required for central or equatorial Africa because of the terrain.” Several South Africans, including at least two doctors and an...

Google Alerts
Retrieved: Wed, Jan 28, 2015

South Africa's health system shuns asylum seekers - IRINnews.org


South Africa's health system shuns asylum seekers
IRINnews.org
National health policy guarantees asylum seekers, refugees and undocumented migrants from other SADC (Southern African Development Community) countries, the same rights to treatment at public sector hospitals as South African citizens....

Google Alerts
Retrieved: Wed, Jan 28, 2015

SADC health ministers call for Ebola action - Health24.com


SADC health ministers call for Ebola action
Health24.com
Urgent preventive measures must be put in place across the Southern African Development Community to ensure there is no outbreak of Ebola, SADC health ministers agreed on Wednesday. South Africa should also become the "centre of excellence...

Google Alerts
Retrieved: Wed, Jan 28, 2015

HIV/AIDS: Community models of care explained - Médecins Sans Frontières (MSF) International


Médecins Sans Frontières (MSF) International
HIV/AIDS: Community models of care explained
Médecins Sans Frontières (MSF) International
The adherence clubs model was piloted in the urban township of Khayelitsha in South Africa. Under this approach, patients, led by a lay worker, gather...

Google Alerts
Retrieved: Wed, Jan 28, 2015

The SADC Wrap - Health Problems for Zambia's Sata and Condom Confusion in ... - AllAfrica.com


The SADC Wrap - Health Problems for Zambia's Sata and Condom Confusion in ...
AllAfrica.com
Muslim traditional leaders in Malawi have urged for condoms to be banned - for fueling the HIV/Aids pandemic. They're apparently grand with condoms being used IN marriage, but not OUTSIDE it. This...

Google Alerts
Retrieved: Wed, Jan 28, 2015

HIV/AIDS, South Africa, and the United States - Council on Foreign Relations (blog)


Council on Foreign Relations (blog)
HIV/AIDS, South Africa, and the United States
Council on Foreign Relations (blog)
U.S. Secretary of State Hillary Clinton talks with South Africa's Health Minister Aaron Motsoaledi after attending a PEPFAR (U.S. President's Emergency Plan for AIDS Relief)...

Google Alerts
Retrieved: Wed, Jan 28, 2015

It Takes a Village to Raise a HIV Free Generation - The Star


The Maravi Post
It Takes a Village to Raise a HIV Free Generation
The Star
The county not only has the highest HIV prevalence rate at 25.7 per cent, but is also among five counties which accounted for an estimated 75 per cent of new HIV infections among children, this is according to the...

Google Alerts
Retrieved: Wed, Jan 28, 2015

Restrained South African Reaction to the Murder of Pierre Korkie - Council on Foreign Relations (blog)


Council on Foreign Relations (blog)
Restrained South African Reaction to the Murder of Pierre Korkie
Council on Foreign Relations (blog)
The South African non-governmental organisation Gift of the Givers has said that it had secured Korkie's release, scheduled for the following day with the...

Google Alerts
Retrieved: Wed, Jan 28, 2015

Dar Urges SADC to Intensify War On Ebola - AllAfrica.com


Dar Urges SADC to Intensify War On Ebola
AllAfrica.com
Moving a motion at the 36th Plenary Assembly of the SADC Parliamentary Forum here over the weekend, Mr Mohamed Habib Mnyaa said the Ebola Virus Disease (EVD) is not only a serious health challenge, but also a socio-economic, cultural and...

Google Alerts
Retrieved: Wed, Jan 28, 2015

SADC Military Health Services Firm in Ebola Virus Prevention - AllAfrica.com


SADC Military Health Services Firm in Ebola Virus Prevention
AllAfrica.com
Luanda — The military health services of the Southern African Development Community Countries (SADC) are firm in the implementation of mechanisms for the prevention of the spreading of the Ebola virus, responsible the...

Google Alerts
Retrieved: Tue, Jan 27, 2015

South Africa to assist in Ebola response - Health-e


Health-e
South Africa to assist in Ebola response
Health-e
“SADC doesn't really need a mobile lab because we have good communications systems… this is rather required for central or equatorial Africa because of the terrain.” Several South Africans, including at least two doctors and an...

Google Alerts
Retrieved: Tue, Jan 27, 2015

South Africa's health system shuns asylum seekers - IRINnews.org


South Africa's health system shuns asylum seekers
IRINnews.org
National health policy guarantees asylum seekers, refugees and undocumented migrants from other SADC (Southern African Development Community) countries, the same rights to treatment at public sector hospitals as South African citizens....

Google Alerts
Retrieved: Tue, Jan 27, 2015

SADC health ministers call for Ebola action - Health24.com


SADC health ministers call for Ebola action
Health24.com
Urgent preventive measures must be put in place across the Southern African Development Community to ensure there is no outbreak of Ebola, SADC health ministers agreed on Wednesday. South Africa should also become the "centre of excellence...

Google Alerts
Retrieved: Tue, Jan 27, 2015

HIV/AIDS: Community models of care explained - Médecins Sans Frontières (MSF) International


Médecins Sans Frontières (MSF) International
HIV/AIDS: Community models of care explained
Médecins Sans Frontières (MSF) International
The adherence clubs model was piloted in the urban township of Khayelitsha in South Africa. Under this approach, patients, led by a lay worker, gather...

Google Alerts
Retrieved: Tue, Jan 27, 2015


This page was last updated : Thursday, April 24, 2014
Sitemap  |  Terms and Conditions  |  Privacy Policy  |  Contact Us
 


All information © HEARD - Health Economics and HIV and AIDS Research Division