Health worker experiences of and movement between public and private not-for-profit sectors—findings from post-conflict Northern Uganda

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dc.contributor.authorNamakula, Justine
dc.contributor.authorWitter, Sophie
dc.contributor.authorSsengooba, Freddie
dc.date.accessioned2022-03-11T13:13:54Z
dc.date.available2022-03-11T13:13:54Z
dc.date.issued2016
dc.description.abstractNorthern Uganda suffered 20 years of conflict which devastated lives and the health system. Since 2006, there has been investment in reconstruction, which includes efforts to rebuild the health workforce. This article has two objectives: first, to understand health workers’ experiences of working in public and private not-for-profit (PNFP) sectors during and after the conflict in Northern Uganda, and second, to understand the factors that influenced health workers’ movement between public and PNFP sectors during and after the conflict. Methods: A life history approach was used with 26 health staff purposively selected from public and PNFP facilities in four districts of Northern Uganda. Staff with at least 10 years’ experience were selected, which resulted in a sample which was largely female and mid-level. Two thirds were currently employed in the public sector and just over a third in the PNFP sector. A thematic data analysis was guided by the framework analysis approach, analysis framework stages and ATLAS.ti software version 7.0. Results: Analysis reveals that most of the current staff were trained in the PNFP sector, which appears to offer higher quality training experiences. During the conflict period, the PNFP sector also functioned more effectively and was relatively better able to support its staff. However, since the end of the conflict, the public sector has been reconstructed and is now viewed as offering a better overall package for staff. Most reported movement has been in that direction, and many in the PNFP sector state intention to move to the public sector. While there is sectoral loyalty on both sides and some bonds created through training, the PNFP sector needs to become more competitive to retain staff so as to continue delivering services to deprived communities in Northern Ugandaen_US
dc.identifier.citationNamakula, J., Witter, S., & Ssengooba, F. (2016). Health worker experiences of and movement between public and private not-for-profit sectors—findings from post-conflict Northern Uganda. Human Resources for Health, 14(1), 1-11.10.1186/s12960-016-0114-yen_US
dc.identifier.otherDOI 10.1186/s12960-016-0114-y
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2743
dc.language.isoenen_US
dc.publisherHuman Resources for Healthen_US
dc.subjectHealth workersen_US
dc.subjectPublic sectoren_US
dc.subjectPrivate not-for-profiten_US
dc.subjectUgandaen_US
dc.subjectPost-conflicten_US
dc.subjectAttractionen_US
dc.subjectRetentionen_US
dc.titleHealth worker experiences of and movement between public and private not-for-profit sectors—findings from post-conflict Northern Ugandaen_US
dc.typeArticleen_US
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