Project Description

Author: et al.


Health system performance and the achievement of universal health coverage (UHC) require an adequately skilled and motivated healthcare workforce including medical doctors. The departure of doctors from rural workplaces poses a significant obstacle to the effective delivery of healthcare in Bangladesh. However, a comprehensive analysis of the factors driving this phenomenon in the Bangladeshi context has yet to be explored. Therefore, this cross-sectional study is designed to investigate the factors influencing doctors’ intentions to leave their rural workplaces using a Discrete Choice Experiment (DCE). This study will be conducted over a ten-month period following ethical approval. Based on the literature review and qualitative research, necessary attributes will be chosen and model for DCE will be prepared. Enumeration areas (EA) will be selected by using stratified cluster sampling methods in accordance with the Bangladesh Bureau of Statistics (BBS). A total of 48 EAs will be selected, with six from each of the eight administrative divisions of the country. A total of 384 doctors will be interviewed who is currently serving in the primary health care setting in rural areas. Data collection will be performed by trained data collector and will be analysed using NLOGIT software V.6. By incorporating doctors’ intentions and preferences into policy formulation and implementation, feasible interventions can be developed to enhance their motivation and ensure sustained, high-quality service delivery.

Status: Ongoing

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