Jegede Ayodele S, Adejumo Prisca, Ushie Boniface Ayanbekongshie
Ayodele S. Jegede, MHSc, PhD, Department of Sociology, Faculty of the Social Sciences, University of Ibadan, Ibadan.
World Health Popul. 2013;14(4):23-36. doi: 10.12927/whp.2013.23580.
Limited data exist on retention of primary healthcare (PHC) staff in rural areas, crippling the already fragile healthcare systems in Nigeria. This study investigated why PHC staff would or would not want to work in rural areas and how they could be retained.
Four hundred and twelve (412) health workers and caregivers, and 21 key informants were interviewed in Ona-Ara LGA. Logistic regression statistics was used to analyse quantitative data and narrative for qualitative data.
There was no significant factor influencing health workers' unwillingness to work in rural areas and, relationship between their demographic characteristics and perceived reasons to do so. Combined factors influencing PHC workers' willingness to work in rural areas influenced use of PHC.
Financial and non-financial incentives are responsible for workers' motivation to work in rural areas. The mal-distribution of health facilities and health workers between urban and rural areas must be addressed.
关于农村地区初级卫生保健（PHC）工作人员留用的数据有限，这削弱了尼日利亚本已脆弱的卫生保健系统。本研究调查了初级卫生保健工作人员愿意或不愿意在农村地区工作的原因以及如何留住他们。
在奥纳-阿拉地方政府辖区对412名卫生工作者和护理人员以及21名关键信息提供者进行了访谈。采用逻辑回归统计分析定量数据，对定性数据进行叙述分析。
没有显著因素影响卫生工作者不愿意在农村地区工作，以及他们的人口统计学特征与这样做的感知原因之间的关系。影响初级卫生保健工作者在农村地区工作意愿的综合因素影响了初级卫生保健的使用。
经济和非经济激励措施是工作人员在农村地区工作积极性的原因。必须解决城乡之间卫生设施和卫生工作者分布不均的问题。
