discovering the real world: health workers' career choices and early work experience in ethiopia

8/9/2019 Discovering the Real World: Health Workers' Career Choices and Early Work Experience in Ethiopia

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=2

I V V E G M B S N

Dkn Qeirac

] ce seakgm-wive survey akgtibgs bghkrjitbkg inkut tce dkn seirac prkaess tce cei`tcwkrlers wegt tcrkuoc i er orimuitbkg. Kg`y 9= mkatkrs (98%) igm ?2 gurses (=5%)pirtbabpitem bg tce gitbkgi` `k ery i er orimuitbgo. ]ce jkst hrequegt`y repkrtem reiskgshkr gkt pirtbabpitbgo bg tce k ery were tce mesbre tk perskgi``y gm i dkn, bgmepegmegt`y kh

tce okvergjegt (5>%), igm tce ugwb``bgogess tk wkrl bg i reobkg tcit tce wkrler mbmgt `ble(9=%). Ci`h kh tce gurses stitem tcit tcey were issbogem tk pksts tcrkuoc reobkgi` quktis,suooestbgo tcit tce jigmitkry i``kaitbkg systej imjbgbsterem ny tce reobkgi` okvergjegtsbg exacigoe hkr hree emuaitbkg wis stb`` wkrlbgo bg >66=. 9

Is hurtcer evbmegae tcit tce i``kaitbkg tk pksts tcrkuoc tce `k ery wis gk `kgoer nbgmbgo is kh >66= igm >665, kg`y ci`h kh tce pirtbabpigts bg tce `k ery meabmem tk ok tk tcecei`tc nureiu kh tce reobkg tk wcbac tcey cim neeg i``kaitem ny tce `k ery, bg krmer tk neissbogem tk i speab a pkst wbtcbg tcit reobkg. Jkrekver, kge-hkurtc kh tcese cei`tc wkrlersaìbjem tcit bh tcey mbmgt `ble tce pkst i``kaitem tk tcej ny tce reobkgi` cei`tc nureiu, tceyaku`m mea`bge tce k er.

Hboure N9. Ckw tce Cei`tc _krlers Hkugm ]cebr Dkns

6 5 96 95 >6 >5 16 15 =6

tce estin`bscjegt spkgskrem ny emuaitbkg

request kh zkgi` ceims

bt bs jy a`bgba

akgtiats tcrkuoc akjjugbty, acurac eta.

ny issbogjegt

trigsher

imvertbsejegt bg pun`ba pìaes

akgtiats tcrkuoc reìtbves kh jigioer

perskgi``y ipp`bem tk tce reobkgi` cei`tc nureiu

tcrkuoc tce gitbkgi` `kttery

akgtiats tcrkuoc wkrlers bg tce hiab`bty

imvertbsejegt bg tce jembi

%

GU^QEQ MKA]K^Q


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56 _kr`m Nigl _krlbgo Viper

Is sckwg bg Hboure N.9, tce jidkrbty kh tce mkatkrs hkugm tcebr aurregt dkn tcrkuocimvertbsejegt bg tce jembi (1?%) kr tcrkuoc perskgi` akgtiats bg tce hiab`bty (>=%). Igimmbtbkgi` 9>% perskgi``y ipp`bem tk tce isskabitem reobkgi` cei`tc nureiu igm inkut 3%usem perskgi` akgtiats tcrkuoc re`itbves kh tce jigioer kh tce hiab`bty.

]ce dkn seirac prkaess hk``kwem ny tce gurses seejs tk cive neeg jkre mbverse. ]cksewck mbm gkt ok tcrkuoc tce gitbkgi` `k ery igm mbm gkt gm tcebr dkns tcrkuoc tce jembi,hkugm tcebr dkns tcrkuoc imvertbsejegts bg pun`ba p`iaes (?%), ny ipp`ybgo tk tce reobkgi`cei`tc nureiu (5%), kr tcrkuoc perskgi` akgtiats kh virbkus lbgm (inkut 91%). I sji``peraegtioe kh gurses were sbjp`y trigsherrem (8%) kr issbogem (=%) tk tce speab a hiab`btywcere tcey aurregt`y wkrl.

Gkte9. Mkatkrs ire hugmem ny tce hemeri` okvergjegt. Ugmer tce k`m i``kaitbkg systej, kg`y stumegts wckse emuaitbkgwis hugmem ny tce hemeri` okvergjegt were requbrem tk pirtbabpite bg tce gitbkgi` `kttery. ]ce stumegts wckse

emuaitbkg wis hugmem ny i reobkgi` okvergjegt were i``kaitem tk i reobkgi` pkst ny tce cei`tc nureiu kh tcereobkg tcit hugmem tcebr emuaitbkg.


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59

I V V E G M B S A

Mbhheregaes bg Hiab`bty Bghristruature netweeg Urnig igm ûri` @kaitbkgs

] ce pcysbai` akgmbtbkg kh tce hiab`bty wcere tce cei`tc prkhessbkgi`s wkrl igm tceivibìnb`bty kh reskuraes hkr cei`tc aire prkvbsbkg were i`sk hkugm tk mb er sbogb aigt`ymepegmbgo kg wcetcer tce hiab`bty bs `kaitem bg ig urnig kr ruri` irei, igm wcetcer bt bspun`ba`y kr prbvite`y kwgem. Bgtervbews wbtc k abi`s it tce Jbgbstry kh Cei`tc murbgo tcemesbog pcise kh tce seakgm-wive survey suooest tcit kge kh tce reiskgs mkatkrs mk gktwigt tk wkrl bg ruri` ireis bs tce bjpkssbnb`bty kh mkbgo tce dkn tcey cive stumbem igmtribgem hkr. ]ce ìal kh imequite bghristruature jboct bjpeme i mkatkr wkrlbgo bg i ruriìrei hrkj perhkrjbgo nisba suroerbes. ]cbs jiy oegerite hrustritbkg igm mbssitbshiatbkg,espeabi``y ijkgo ykugo mkatkrs.

]inè A.9 sujjirbzes kur gmbgos wbtc respeat tk i hew ley aciriaterbstbas kh pun`baigm prbvite hiab`btbes kaitem bg urnig igm ruri` ireis, is repkrtem ny tce cei`tc prkhessbkgi`sbg kur akckrt.

]ce bgherbkr qui`bty kh tce ruri` cei`tc hiab`btbes bs strblbgo. Nesbmes tce cbocer gujner kh

miys bg wcbac tcese hiab`btbes experbegae eèatrbai` nìalkuts is akjpirem tk urnig hiab`btbes,tce ruri` hiab`btbes ire i`sk akgsbmerin`y èss `ble`y tk ne hurgbscem wbtc tce geaessiryequbpjegt hkr jidkr suroerbes, n`kkm nigls, igm ìpirksakpba prkaemures.

]inè A9. Qkje Aciriaterbstbas kh tce Cei`tc Hiab`btbes

Gujner kh _btc Equbpjegt Nìalkut Miys hkr Jidkr _btc _btc Ver Jkgtc (ivo.) Quroerbes @ipirksakpy N`kkm Nigl

Vun`ba seatkr bg ruri` irei 8 >>% ?% ?%

Vun`ba seatkr bg urnig irei 1 88% 12% 11%

Vrbvite seatkr bg ruri` irei 3 >9% 5% 5%

Vrbvite seatkr bg urnig irei 1 89% >=% 9>%


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5>

I V V E G M B S M

Akgtbgoegt Xiùitbkg Yuestbkg hkrûri` versus Urnig Dkn

_ e mesbogem tce akgtbgoegt viùitbkg questbkgs wbtc tce ibj kh oegeritbgo i setkh speab a igm rei`bstba meabsbkg ackbaes hkr tce cei`tc prkhessbkgi`s. _e set tcereheregae siìry equi` tk tce cei`tc prkhessbkgi`s aurregt siìry ritcer tcig usbgo icypktcetbai` nise siìry neaiuse, i er ruggbgo mb eregt versbkgs kh tce questbkgs murbgotce pb`kt, we rei`bzem tcit reherrbgo tk tce aurregt siìry regmerem tce akgtbgoegt viùitbkgquestbkgs jkre rei`bstba, eimbgo tk aèir imvigtioes bg terjs kh tce qui`bty kh tce oegeritemmiti. ]ce questbkg, wcbac ibjs it revei`bgo tce reservitbkg wioe tcit wku`m jile i cei`tcwkrler iaaept i dkn bg i ruri` irei, wis pcrisem is hk``kws hkr tce gurses4

Bjiobge tcit yku ire k erem twk dkns is i cei`tc wkrler bg tce pun`ba seatkr, kge bgImmbs Inini igm kge bg i ruri` irei 566 lj hrkj Immbs Inini. Nktc akgtriats ire hkrit èist 1 yeirs. Rkur jkgtc`y siìry hkr tce dkn bg Immbs Inini wku`m ne equi` tk ykuraurregt siìry .

_cbac dkn wku`m yku ackkse bh . . .

Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt siìry) nbrr;Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt + 166) nbrr;Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt + 866) nbrr;Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt + 266) nbrr;Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt + 9,>66) nbrr;Rkur jkgtc`y siìry hkr tce ruri` dkn wku`m ne (aurregt + 9,566) nbrr;

]ce equbviègt questbkg hkr mkatkrs wis sbjbìr, tce kg`y mb eregae nebgo tcit tcesiìry bgarejegts were 566 nbrr ritcer tcig 166 nbrr. 9

_ceg i cei`tc wkrler expressem i preheregae hkr tce dkn bg Immbs Inini eveg it tcecbocest ruri` siìry (aurregt siìry pùs 9,566 nbrr hkr gurses igm aurregt siìry pùs>,566 nbrr hkr mkatkrs), tce cei`tc wkrler wis islem tk wrbte mkwg tce siìry tcit wku`mjile cbj iaaept i ruri` pkst.

Bg >66= we i`sk islem akgtbgoegt viùitbkg questbkgs bg krmer tk bmegtbhy tce jbgbjujsiìry hkr wcbac tce stumegts wku`m ne wb``bgo tk swbtac hrkj i dkn bg Immbs Inini tk i dknbg i ruri` irei, ebtcer >66 lj kr 566 lj hrkj Immbs Inini. ]ce reheregae siìry wis tcegset equi` tk ?66 nbrr hkr tce gurses igm 9,=66 nbrr hkr tce mkatkrs< tce siìry bgarejegts wereset equi` tk 966 nbrr hkr nktc gursbgo igm jembai` stumegts, igm tce jixbjuj pkssbnèsiìry wis set tk 9,>66 nbrr hkr tce gurses igm >,966 nbrr hkr tce mkatkrs. Bg >66=, bh tce cei`tcwkrlers were ugwb``bgo tk tile i ruri` pkst eveg wceg tcey were k erem jixbjuj wioes,we mbm gkt isl tcej tk stite tce jbgbjuj wioe tcey wku`m requbre bg krmer tk iaaept tce


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Mbsakverbgo tce ^ei` _kr`m 51

ruri` pkst< tcerehkre tce >66= miti ire trugaitem it 9,>66 nbrr hkr gurses igm >,966 nbrr hkrmkatkrs \hkr metib`s see Qergee`s et i`. (>665, >668)Z.

Gkte9. Bg tce pb`kt pcise kh tce seakgm wive kh tce survey we rei`bzem tcit bgarejegts kh 166 nbrr were bghkrjitbvehkr tce gurses nut gkt hkr tce mkatkrs. ]cerehkre we meabmem tk imkpt s`boct`y mbhheregt akgtbgoegt vi`uitbkghrijbgos hkr gurses igm mkatkrs.


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5=

I V V E G M B S E

Akgtbgoegt Xiùitbkg Yuestbkg hkrMkjestba Dkn versus Jboritbkg

_ e mesbogem tce akgtbgoegt viùitbkg questbkgs wbtc tce ibj kh oegeritbgo i setkh speab a igm rei`bstba meabsbkg ackbaes hkr tce cei`tc prkhessbkgi`s. _e set tcereheregae siìry equi` tk tce cei`tc prkhessbkgi`s aurregt siìry ritcer tcig i cypktcetbai` nise siìry neaiuse, i er ruggbgo mb eregt versbkgs kh tce questbkgs murbgo tce pb`kt, werei`bzem tcit reherrbgo tk tce aurregt siìry regmerem tce akgtbgoegt viùitbkg questbkgsjkre rei`bstba, èimbgo tk aèir imvigtioes bg terjs kh tce qui`bty kh tce oegeritem miti.

Bg krmer tk bmegtbhy tce reservitbkg wioes tcit wku`m bgmuae i gurse tk stiy bg Etcbkpbibh ce kr sce cim tce acigae tk jkve inrkim, we presegtem tce gurses wbtc questbkgs kh tcehk``kwbgo hkrj4

Bjiobge tcit yku ire k erem i dkn is i cei`tc wkrler bg tce pun`ba seatkr bg ImmbsInini hkr bhe. Bjiobge tcit yku ire i`sk obveg tce pkssbnb`bty tk ejborite tk tce UgbtemQtites . Ckwever, yku mk gkt lgkw wcetcer yku wb`` ne inè tk gm i dkn inrkim, wcit

type kh dkn, igm ckw juac yku wb`` eirg.

_cit wku`m yku ackkse bh

Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 166) nbrr;Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 866) nbrr;Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 266) nbrr;Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 9,>66) nbrr;Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 9,566) nbrr;Rkur jkgtc`y siìry hkr tce dkn bg Immbs wku`m ne (aurregt siìry + 9,366) nbrr;

_e islem tce sije questbkgs tk tce mkatkrs, acigobgo tce siìry bgarejegts tk 566 nbrr._e ackse i pun`ba dkn bg Immbs Inini is tce reheregae dkn neaiuse we ibjem tk bgvestboitetce cei`tc prkhessbkgi`s preheregae hkr jboritbkg wceg tce kppkrtugbty akst kh jboritbgobs very cboc. _cbè mesbogbgo tce questbkgs we issujem tcit ck`mbgo i pun`ba pkst bg ImmbsInini represegts tce preherrem dkn sbtuitbkg hkr jkst cei`tc prkhessbkgi`s. Ex pkst surveymiti suooest tcit jkre tcig 56% kh tce mkatkrs igm 18% kh tce gurses wku`m preher tk wkrlbg Immbs Inini hkr tce `kgo terj.


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55

êheregaes

Aegtre hkr Gitbkgi` Cei`tc Meve`kpjegt bg Etcbkpbi. >66=. Cei`tc igm Cei`tc Meve`kpjegtBgmbaitkrs, >66=>665. ]ce Eirtc Bgstbtute it Akùjnbi Ugbversbty, Gew Rkrl.

Aèjegs, J., igm O. Ve ersskg. >663. Gew Miti kg Ihrbaig Cei`tc Vrkhessbkgi`s Inrkim.Cujig êskuraes hkr Cei`tc 849.

@bgme`kw, J., igm V. Qergee`s. >668. ]ce Verhkrjigae kh Cei`tc _krlers bg Etcbkpbi4êsu`ts hrkj Yui`btitbve eseirac.. Qkabi` Qabegae Jembabge 8> (2)4 >>>5-15.

VICK (Vig Ijerbaig Cei`tc Kroigbzitbkg). 9223. Cujig êskuraes4 I Arbtbai` Hiatkr bgCei`tc Qeatkr êhkrj. êpkrt kh i jeetbgo bg Qig Dks, Aksti ^bai, Meaejner 15,922?. _iscbgotkg, MA.

Qergee`s V., igm J. @bgme`kw. >665. Ig Ckgkurinè Ai``bgo; Hbgmbgos hrkj tce Hbrst _ive khi Akckrt Qtumy wbtc Hbgi` Reir Gursbgo igm Jembai` Qtumegts bg Etcbkpbi. êseiracrepkrt hkr tce _kr`m Nigl igm tce Jbgbstry kh Cei`tc, Etcbkpbi (hkrtcakjbgo is igIhrbai êseirac _krlbgo Viper hkr tce _kr`m Nigl).

Qergee`s V., J. @bgme`kw, D. Jkgti`vk, igm I. Nirr >66?. Hkr Vun`ba Qervbae kr Jkgey4Ugmerstigmbgo Oekoripcbai` Bjniìgaes bg tce Cei`tc _krlhkrae. Cei`tc Vk`bay igmVìggbgo >> (1)4 9>313.

Qerri, M. >668. êpkrt kg Jbssbkg tk Immbs Inini, 19 Du`y5 Iuoust . _iscbgotkg, MA4 _kr`mNigl.

_kr`m Nigl. >66>. Vun`ba Cei tc igm _kr`m Nigl Kperitbkgs. Cujig Meve`kpjegt Getwkrl,Cei`tc Gutrbtbkg igm Vkpuìtbkg Qerbes. _iscbgotkg, MA4 _kr`m Nigl.

_kr`m Nigl. >661.. Vun`ba Expegmbture evbew4 Vun`ba Qpegmbgo bg tce Qkabi` Qeatkrs.. _iscbgotkg,MA4 _kr`m Nigl.

_kr`m Nigl. >66?. Etcbkpbi Cei`tc Qeatkr Meve`kpjegt Vrkorij4 Bjpèjegtitbkg Akjpètbkg igmêsu`ts êpkrt ., êpkrt Gk4 BA^6666131. _iscbgotkg, MA4 _kr`m Nigl.

_CK. >666.) _cit eskuraes Ire Geemem; Acipter = bg _kr`m Cei`tc epkrt>666 . Oegevi4_kr`m Cei`tc Kroigbzitbkg.

_CK. >668. _kr`m Cei`tc êpkrt4 _krlbgo ]koetcer hkr Cei`tc . Oegevi4 _kr`m Cei`tcKroigbzitbkg.


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Eak-Iumbt

Egvbrkgjegti` Nege ts Qtitejegt

]ce _kr`m Nigl bs akjjb em tk preservbgo Egmigoerem Hkrests igm gituri` reskuraes. _eprbgt _kr`m Nigl _krlbgo Vipers igm Akugtry Qtumbes kg pkstakgsujer reayaèm piper,prkaessem ac`krbge hree. ]ce _kr`m Nigl cis hkrji``y ioreem tk hk``kw tce reakjjegmemstigmirms hkr piper usioe set ny Oreeg Vress Bgbtbitbvei gkgprk t prkorij suppkrtbgopun`bscers bg usbgo ner tcit bs gkt skuraem hrkj Egmigoerem Hkrests. Hkr jkre bghkrjitbkg,

vbsbt www.oreegpressbgbtbitbve.kro.

Bg >663, tce prbgtbgo kh tcese nkkls kg reayaèm piper sivem tce hk``kwbgo4

]rees* Qk`bm _iste _iter Get OreegckuseOises ]kti` Egeroy

>32 3,699 919,2== >?,128 2> jb`.*=6 heet bgceboct igm

83 bgaces bg

mbijeter

Vkugms Oi``kgs Vkugms AK>Equbviègt N]Us


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discovering the real world: health workers' career choices and early work experience in ethiopia

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