M. Munga & D. Mbilinyi
EQUINET: Network for Equality in Health in Southern Africa, 2007
"The Tanzanian public health sector is losing its workers to internal migration (from poorer, rural areas to richer, urban areas), migration from the public sector to the private sector and international migration, usually to wealthy, developed nations in the north. Non-financial incentives are one way of encouraging workers to remain in their posts. In this paper, the authors examine the implementation of policies to govern non-financial incentives to retain health workers, to fill a gap in the literature dealing with non-financial incentives and health worker attrition in Tanzania. This study was undertaken within the Regional Network for Equity in Health in East and Southern Africa (EQUINET), in co-operation with the Regional Health Secretariat for East, Central and Southern Africa (ECSA) as part of a multi-country programme to explore the incentives that encourage workers to stay in African health systems and work in underserved areas. It was co-ordinated by the University of Namibia, with support from the Training and Research Support Centre, University of Limpopo and the ECSA Regional Health Secretariat.
The paper examines a range of non-financial incentives including: training; leave; promotion; housing; and a safe and supportive working environment. It also examines the systems for managing personnel and the implementation of incentives as a factor in retention, including the participatory personnel appraisal system; worker participation in discussing their job requirements and welfare; supervision; recognition and respect."