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Article Number - A82BFC951813

Vol.6(2), pp. 16-23 , March 2015
DOI: 10.5897/MPR.2014.0110
ISSN: 2141-2596

Full Length Research Paper

Retention challenges of human resources for health: What are the alternatives incentives for retention of skilled health workers in Uganda health sector?

Hizaamu Ramadhan
  • Hizaamu Ramadhan
  • C/O Uganda Management Institute, Plot 44 52, Jinja Road, P. O. Box 20131, Kampala, Uganda
  • Google Scholar

 Received: 05 March 2015  Accepted: 23 March 2015  Published: 31 March 2015

Copyright © 2015 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

Available literature shows that retention of human resources for health is underpinned by a number of factors in Motivation-Hygiene Theory key which include human resource development, financial incentives, and personal and professional support mechanisms. These are all linked to motivation and productivity. There is convergence of opinion that staff retentions required packaging different bundle of incentives depending on the staff cadres and location in the health service delivery system. This paper which was premised on literature review analyzes the main issues that impinge on retention of human resources for health in the region and Uganda in particular. It further delves into the options that the ministry of health and government of Uganda can consider to minimize staff migration from rural areas to greener pastures. The discourse in this paper ends with a conclusion against the backdrop of how these challenges can be addressed and the emphasis for pragmatic approaches as opposed to theoretical perception in addressing the challenges in human resources for health retention.


Key words: Human resources for health, human resource retention.

Bradley S, McAuliffe E (2009). Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system. Hum. Resour. Health 7:14.
Budhwar PS (2000). Strategic Integration and Development of Human Resource Management in the UK Manufacturing Sector. Br. J. Manag. 11(4):285-302.
Chirwa M, Bowie C, Lungu D, Maseko F, Nkosi L (2008). Study Report on Locum System in the Health Sector, Malawi. College of Medicine, Blantyre, Malawi.
Clemens MA, Pettersson G (2006). Medical Leave: A New Database of Health Professional Emigration from Africa. Washington DC: Center for Global Development. Working Paper No. 95.
Flippo EB (1984). Personnel Management (Sixth Edition), McGrawHill Book Company, New York.
Ensor T, Chapman G, Barro M (2006). Paying and motivating CSPS staff in Burkina Faso: evidence from two districts. Initiative for Maternal Mortality Programme Assessment. Aberdeen, Scotland: University of Aberdeen.
German Technical Corporation (GTZ) (2007). Human resources for health. Health Management Unit.
Gilson L, Erasmus E (2005). Supporting the retention of health resources for health: SADC policy context. Centre for Health Policy, School of Public Health University of Witwatersrand. Regional Network for Equity in Health in Southern Africa (EQUINET) Health Systems Trust (HST) Equinet Discussion Paper No. 26.
Gupta MD, Gauri V, Khemani S (2003). Decentralized delivery of primary health services in Nigeria: survey evidence from the states of Lagos and Kogi (Ingles). Development Research Group, Human Development Sector, Africa Region, World Bank.
Herzberg F (1959). The Motivation to Work. Print book: English, 2nd ed. New York: Wiley.
Imani Development (2005). NGO Remuneration Survey: Imani Enterprise, Blantyre, Malawi.
Inyang BJ (2000). Human resource planning (HRP) and budgeting: An agenda for a functional public service. Afr. J. Bus. Econ. Res. 1(1):138-146.
Inyang BJ (2001). Harmonizing human resource management (HRM) practice in the public and private sector. Hum. Resour. Manag. 10(7):8-14, 21.
Joint Learning Initiative (2004). Human Resources for Health: Overcoming the Crisis. Boston, MA: Harvard University, USA.
Lehmann U, Dieleman M, Martineau T (2008). Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention. BMC Health Serv. Res. 8:19.
Marek T, O'Farrell C, Yamamoto C, Zable I (2005). Trends and Opportunities in Public-private Partnerships to Improve Health Service Delivery in Africa. Africa Region Human Development Working Paper Series, World Bank.
Maseko FC, Nkunika HZ, Bowie C (2008). The impact of a relief scheme as an incentive in tackling human resources for health shortage in Malawi: a comparative case study of Chiradzulu and Mchinji district health offices. College of Medicine, Blantyre, Malawi.
Mathauer I, Imhoff I (2006). Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum. Resour. Health 2:24.
Mathias J (2008). To evaluate the impact of skilled health personnel incentives, provided by Ministry of Health and Dowa District Health Management Team, on facility based maternal morbidity and mortality in Dowa district. College of Medicine, Blantyre, Malawi.
McCoy D, Bennett S, Witter S, Pond B, Baker B, Gow J, Chand S, Ensor T, McPake B (2008). Salaries and incomes of health workers in Sub-Saharan Africa. Lancet 371(9613):675-681.
Ministry of Finance, Planning and Economic Development Uganda (2013). Health workers' shortage in Uganda: Where should the government focus its efforts? Budget Monitoring and Accountability Unit (BMAU), Briefing Paper (6/13).
Ministry of Health Uganda (2008). Motivation and retention strategy for human resources for health. Ministry of Health.
Ministry of Health Uganda (2013). Annual Health Sector Performance Report Financial Year 2012/2013.
Ministry of Health Zambia (2007). The Zambia public expenditure tracking and quality of service delivery survey in the health sector. Lusaka, Zambia: Ministry of Health.
Muula AS, Maseko FC (2006). How are health professionals earning their living in Malawi? BMC Health Serv. Res. 6:97.
Ogbonna E, Whipp R (1999). Strategy, Culture and HRM: Evidence from the UK Food Relating Sector. Hum. Res. Manag. J. 9(4):75-90.
Oribabor PE (2000). Human resource management: Strategic planning approach. Hum. Res. Manag. 9(4):21-27.
Schrecker T, Labonte R (2004). Taming the brain drain: a challenge for public health systems in southern Africa. Int. J. Occup. Environ. Health 10(4):409-415.
Siddique NA (2003). Human Resource Management in Bangladesh Civil Service: Constraints and contradictions. Int. J. Public Adm. 26(1):35-60.
Storey J (1995). Development in management of human resources. Oxford: Blackwell.
Strandberg C (2009). The role of human resource management in corporate social responsibility: issue brief and roadmap. Report For Industry Canada. Principal, Strandberg Consulting. 6325 Sperling Avenue, Burnaby, BC.
Uganda National Development Plan (2013). Uganda National Development Plan; 2010/11-2014/15-April 2010.
Witter S, Kusi A, Aikins M (2007). Working practices and incomes of health workers: evidence from an evaluation of a delivery fee exemption scheme in Ghana. Hum. Resour. Health 5:2.
Wood S (1999). Human Resource Management and Performance. Int. J. Manag. Rev. 1(4):367-413.
World Health Organization (WHO) (2006). The World Health Report 2006. Working Together for Health. Geneva, Switzerland.
World Health Organization (WHO) (2010). Increasing access to health workers in remote and rural areas through improved retention: Global policy recommendations. World Health Organization. Geneva, Switzerland.


APA Ramadhan, H. (2015). Retention challenges of human resources for health: What are the alternatives incentives for retention of skilled health workers in Uganda health sector?. Medical Practice and Reviews, 6(2), 16-23.
Chicago Hizaamu Ramadhan. "Retention challenges of human resources for health: What are the alternatives incentives for retention of skilled health workers in Uganda health sector?." Medical Practice and Reviews 6, no. 2 (2015): 16-23.
MLA Hizaamu Ramadhan. "Retention challenges of human resources for health: What are the alternatives incentives for retention of skilled health workers in Uganda health sector?." Medical Practice and Reviews 6.2 (2015): 16-23.
DOI 10.5897/MPR.2014.0110

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