The use of specialty training to retain doctors in Malawi: A discrete choice experiment

by Kate L. Mandeville, Godwin Ulaya, Mylène Lagarde et al.
Social Science & Medicine, Vol. 169, November 2016, pp. 109–118

10 pp. 770 kB

Emigration has contributed to a shortage of doctors in many sub-Saharan African countries. Speciality training is highly valued by doctors and a potential tool for retention. Yet not all types of training may be valued equally. Doctors preferred timely training outside of Malawi in core specialities (internal medicine, general surgery, paediatrics, obstetrics & gynaecology). The results indicate that indiscriminate expansion of postgraduate training to slow emigration of doctors from sub-Saharan African countries may not be effective unless doctors’ preferences are taken into account.

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