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Components of compulsory service program for health professionals in low- and middle-income countries: a scoping review.

Authors
  • Antonio, C T1, 2
  • Guevarra, J P3
  • Medina, P N4
  • Avelino, M D5
  • Agbon, A G5
  • Sepe, D C5
  • Bardelosa, D D5
  • Cengca, M M5
  • Ting, M L5
  • Lara, A B5
  • 1 Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, 625 Pedro Gil Street, Ermita, Manila 1000, Philippines. , (Philippines)
  • 2 Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong. , (Hong Kong SAR China)
  • 3 Department of Health Promotion & Education, College of Public Health, University of the Philippines Manila, Manila, Philippines. , (Philippines)
  • 4 Department of Family and Community Medicine, College of Medicine, University of the Philippines Manila, Manila, Philippines. , (Philippines)
  • 5 College of Public Health, University of the Philippines Manila, Manila, Philippines. , (Philippines)
Type
Published Article
Journal
Perspectives in public health
Publication Date
Jan 01, 2020
Volume
140
Issue
1
Pages
54–61
Identifiers
DOI: 10.1177/1757913919839432
PMID: 31112085
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The global health landscape has been characterized by shortfalls and imbalances in human resources for health (HRH), with more health workers concentrated in urban than rural areas. To address this maldistribution, some countries resorted to the implementation of a compulsory service policy for HRH. However, there is no comprehensive documentation describing the different components of such policies. This scoping review aims to determine the components for compulsory service for selected health professionals in low- and middle-income countries (LMICs). A search was conducted in MEDLINE, PLoS, Scopus, and ProQuest Central, using keywords for 'compulsory service', 'return service', 'mandatory service', 'physician', 'dentist', 'nurse', 'midwife', 'physical therapist', 'occupational therapist', and identified LMICs. A total of 6757 records were retrieved and assessed, from which 41 relevant records were included in the study. Common elements of a compulsory service program are the following: a comprehensive master plan, clearly articulated program goals, appropriate education and training, transparent recruitment and placement, strong institutional and system support, competitive benefits and incentives, and active management of exit from the program. Results presented in this article can serve to inform LMICs on policy, guide program development and management, and direct future research in the area of HRH to address challenges in maldistribution.

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