Stakeholders perceptions on shortage of healthcare workers in primary healthcare in Botswana : focus group discussions

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dc.contributor.authorNkomazana, Oathokwaen_ZA
dc.contributor.authorMash, Roberten_ZA
dc.contributor.authorShaibu, Sheilaen_ZA
dc.contributor.authorPhaladze, Nthabisengen_ZA
dc.date.accessioned2016-08-26T13:26:15Z
dc.date.available2016-08-26T13:26:15Z
dc.date.issued2015-08en_ZA
dc.descriptionCITATION: Nkomazana, O., et al. 2015. Stakeholders perceptions on shortage of healthcare workers in primary healthcare in Botswana : focus group discussions. PLoS ONE, 10(8):1-15, doi:10.1371/journal.pone.0135846.en_ZA
dc.descriptionThe original publication is available at http://journals.plos.org/plosoneen_ZA
dc.description.abstractBackground: An adequate health workforce force is central to universal health coverage and positive public health outcomes. However many African countries have critical shortages of healthcare workers, which are worse in primary healthcare. The aim of this study was to explore the perceptions of healthcare workers, policy makers and the community on the shortage of healthcare workers in Botswana. Method: Fifteen focus group discussions were conducted with three groups of policy makers, six groups of healthcare workers and six groups of community members in rural, urban and remote rural health districts of Botswana. All the participants were 18 years and older. Recruitment was purposive and the framework method was used to inductively analyse the data. Results: There was a perceived shortage of healthcare workers in primary healthcare, which was believed to result from an increased need for health services, inequitable distribution of healthcare workers, migration and too few such workers being trained. Migration was mainly the result of unfavourable personal and family factors, weak and ineffective healthcare and human resources management, low salaries and inadequate incentives for rural and remote area service. Conclusions: Botswana has a perceived shortage of healthcare workers, which is worse in primary healthcare and rural areas, as a result of multiple complex factors. To address the scarcity the country should train adequate numbers of healthcare workers and distribute them equitably to sufficiently resourced healthcare facilities. They should be competently managed and adequately remunerated and the living conditions and rural infrastructure should also be improved.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0135846en_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent15 pagesen_ZA
dc.identifier.citationNkomazana, O., et al. 2015. Stakeholders perceptions on shortage of healthcare workers in primary healthcare in Botswana : focus group discussions. PLoS ONE, 10(8):1-15, doi:10.1371/journal.pone.0135846en_ZA
dc.identifier.issn1932-6203 (online)en_ZA
dc.identifier.otherdoi:10.1371/journal.pone.0135846en_ZA
dc.language.isoen_ZAen_ZA
dc.provenanceZM201609en_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectHealthcare workersen_ZA
dc.subjectBotswanaen_ZA
dc.subjectPrimary health careen_ZA
dc.subjectScarcityen_ZA
dc.titleStakeholders perceptions on shortage of healthcare workers in primary healthcare in Botswana : focus group discussionsen_ZA
dc.typeArticleen_ZA
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