What do health professionals think about working in rural areas? Evidence from South Africa, Kenya and Thailand

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CREHS

Delivering Effective Health Care for All Monday 29 th March, 2010

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1. Working in rural areas is difficult everywhere ,[object Object],[object Object],“… when you stay in rural community as a health worker, you might end up missing some of the privileges that people in town do enjoy […] when you are in rural area, you just stagnate there, there is no advancement ” Nursing student, Kenya “… you know our country how it is, infrastructure is bad, if you take me to a remote area, there is no accessibility, there is no infrastructure, there are no telephones , and there are no roads, it rains ……” Nursing student, Kenya % %

2. Yet, there is also a reservoir of goodwill towards rural areas everywhere ,[object Object],[object Object],“… in the villages you will be performing your managerial functions , you will manage yourself, the drugs…” Nursing student, Kenya “ My experience is when we went to the rural areas the people actually kind of trust you and they like you because you are the nurse and you are helping them” Nursing student, Johannesburg %

3.Diversity of individual attitudes ,[object Object],[object Object],“ I think even before they post you, they should consider the community where they are taking you , because if I am taken to a community where I know I will be rejected, I cannot accept that one” Nursing student, Kenya “ And there is a language barrier because we have 11 languages and I only speak 2.” Nursing student, Johannesburg %

4.The importance of training centres in rural areas ,[object Object],[object Object],[object Object],“ I haven’t been in a rural area so I might stand corrected, I am sorry but I’m scared to go there .” Nursing student, Johannesburg “ I wouldn’t work [in a rural area]. It’s not that I don’t want to but I’ve got so much of my life built here so it’s not easy for me to make that transition from this side to the other.” Nursing student, Pretoria ,[object Object],%

Implications for policy and practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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