Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12960-016-0167-y
Title: Challenges for strengthening the health workforce in the Lao People's Democratic Republic: Perspectives from key stakeholders
Authors: Qian, Y
Yan, F
Wang, W
Clancy, S
Akkhavong, K
Vonglokham, M
Outhensackda, S
Østbye, T 
Keywords: budget
continuing education
doctor nurse relation
exploratory research
government
health care facility
human
human experiment
interview
laboratory personnel
Laos
lifespan
midwife
professional development
qualitative analysis
qualitative research
resource management
rural area
salary
staff
thematic analysis
economics
health care personnel
Laos
manpower
motivation
nurse
nurse midwife
personnel management
physician
policy
primary health care
rural health care
rural population
salary and fringe benefit
supply and distribution
Budgets
Education, Continuing
Government
Health Personnel
Humans
Laboratory Personnel
Laos
Motivation
Nurse Midwives
Nurses
Personnel Selection
Physicians
Policy
Primary Health Care
Rural Health Services
Rural Population
Salaries and Fringe Benefits
Staff Development
Issue Date: 2016
Citation: Qian, Y, Yan, F, Wang, W, Clancy, S, Akkhavong, K, Vonglokham, M, Outhensackda, S, Østbye, T (2016). Challenges for strengthening the health workforce in the Lao People's Democratic Republic: Perspectives from key stakeholders. Human Resources for Health 14 (1) : 72. ScholarBank@NUS Repository. https://doi.org/10.1186/s12960-016-0167-y
Rights: Attribution 4.0 International
Abstract: Background: The Lao People's Democratic Republic is facing a critical shortage and maldistribution of health workers. Strengthening of the health workforce has been adopted as one of the five priorities of the National Health Sector Strategy (2013-2025). This study aims to identify, explore, and better understand the key challenges for strengthening the Laotian health workforce. Methods: This study applied exploratory and descriptive qualitative methods and adapted a working life-span framework. Twenty-three key stakeholders with particular insights into the current situation of the health workforce were purposively recruited for in-depth interviews. Important policy documents were also collected from key informants during the interviews. Thematic analysis was employed for the textual data using MAXQDA 10. Results: The overarching problem is that there is a perceived severe shortage of skilled health workers (doctors, nurses, and midwives) and lab technicians, especially in primary health facilities and rural areas. Key informants also identified five problems: insufficient production of health workers both in quantity and quality, a limited national budget to recruit enough health staff and provide sufficient and equitable salaries and incentives, limited management capacity, poor recruitment for work in rural areas, and lack of well-designed continuing education programs for professional development. These problems are interrelated, both in how the issues arise and in the effect they have on one another. Conclusions: To improve the distribution of health workers in rural areas, strategies for increasing production and strengthening retention should be well integrated for better effectiveness. It is also essential to take the Laotian-specific context into consideration during intervention development and implementation. Furthermore, the government should acknowledge the inadequate health management capacity and invest to improve human resource management capacity at all levels. Finally, assessment of interventions for health workforce strengthening should be developed as early as possible to learn from the experiences and lessons in the Lao People's Democratic Republic. © 2016 The Author(s).
Source Title: Human Resources for Health
URI: https://scholarbank.nus.edu.sg/handle/10635/181324
ISSN: 14784491
DOI: 10.1186/s12960-016-0167-y
Rights: Attribution 4.0 International
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