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To understand the rural migrants of health workers in two selected areas of Tanzania

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Document pages: 10 pages

Abstract: Globally, rural-urban migration has been the focus of solving the availability of health workers in rural areas. Another important aspect is that Rural-rural migration of health workers is often ignored. The purpose of this study is to analyze the scale and potential factors of health workers migration from rural to rural areas in two rural areas of Tanzania. An exploratory comparative cross-sectional study was conducted in kirwa, Lindi region in southern Tanzania and Longbo, Kilimanjaro region in northern Tanzania. Using quantitative methods, 174 health workers (including clinicians and non clinicians) completed a self-administered questionnaire between August 2015 and September 2016. For determinator research 14 key informants that included health facilities in-charges and district health managers from the two districts were interviewed. In addition, three focus group discussions were conducted with members of the health facilities committee, in the two districts. Over 40 of health workers migrated from one workstation to another between 2011 and 2015. Close to 70 of the migrated health workers, migrated within the same districts. The proportion of health workers migrated was higher in Kilwa compared to Rombo. However, the difference was not statistically significant. The major underlying factors for migration in both districts were: Caring for the family and Unfavorable working and living conditions. In Kilwa, unlike Rombo, rejection by the community, superstitious beliefs, and lack of social services, were the other major factors underlying migration of the health workers. While addressing rural–urban migration, attention should be paid also to the rural–rural migration of health workers. Lastly, addressing the migration of health workers is a multi-dimensional issue that needs the engagement of all stakeholders within and beyond the health sector.

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