tailieunhanh - báo cáo sinh học:" Understanding informal payments in health care: motivation of health workers in Tanzania"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Understanding informal payments in health care: motivation of health workers in Tanzania | Human Resources for Health BioMed Central Research Understanding informal payments in health care motivation of health workers in Tanzania Silvia Stringhini 1 2 Steve Thomas1 Posy Bidwell1 Tina Mtui3 and Aziza Mwisongo3 Open Access Address Centre for Global Health Trinity College Dublin Dublin Ireland 2INSERM U687 Hôpital Paul Brousse Villejuif France and 3National Institute for Medical Research NIMR Dar Es Salaam Tanzania Email Silvia Stringhini - Steve Thomas - thomassd@ Posy Bidwell - bidwellp@ Tina Mtui - fongat@ Aziza Mwisongo - azizamwisongo@ Corresponding author Published 30 June 2009 Received 26 January 2009 Human Resources for Health 2009 7 53 doi 1478-4491-7-53 Accepted 30 June 2009 This article is available from http content 7 1 53 2009 Stringhini et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background There is growing evidence that informal payments for health care are fairly common in many low- and middle-income countries. Informal payments are reported to have a negative consequence on equity and quality of care it has been suggested however that they may contribute to health worker motivation and retention. Given the significance of motivation and retention issues in human resources for health a better understanding of the relationships between the two phenomena is needed. This study attempts to assess whether and in what ways informal payments occur in Kibaha Tanzania. Moreover it aims to assess how informal earnings might help boost health worker motivation and retention. Methods Nine focus groups were conducted in three health facilities of different levels in the health system. In total 64 .