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We divided the strategies in two broad categories based on previous work conducted in this area: incentives and design based strategies [ 2].
In Nigeria it was likely that policies based on rural area incentives of 25% of salary and other benefits contributed to higher staff turnover in the private sector than in the public sector [ 25].
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Government HRH policy focused on task shifting and improving distribution, including introducing the deprived area incentive scheme, augmenting salaries in 55 districts.
While rural and urban physicians receive the same base salary, the Ghana MoH provides rural officers an additional deprived area incentive.
It will therefore be useful for Ghana's Ministry of Health and the Ghana Mental Health Authority to expand on the existing deprived area incentive scheme to include CMHWs.
The largest macro program was the Deprived Area Incentive Scheme/Allowance (DAIA), which targeted 55 deprived districts; each district received an additional monthly allowance of 20-35% above basic salary.
Ghana's Ministry of Health has an existing deprived area incentive scheme to attract, retain and sustain staff in rural areas including discriminatory fellowship allocations in favour of those working in deprived areas and a reduced period for promotion by 1 year [ 36].
Ghana's Ministry of Health and the Ghana Mental Health Authority also need to comprehensively address the factors that have the potential to decrease attrition rates within these health cadres by expanding on the ministry's existing deprived area incentive scheme to provide enhanced security and logistics as well as enhanced salaries and clear career paths for CMHWs.
It is a short-term measure that is intended to increase exposure to rural conditions, and possibly attract those who are public health-minded, but it is not clear whether it is increasing willingness to stay in rural areas incentives for staff in rural areas - there are many local initiatives to offer accommodation, houses, supplements, lump sums for relocation and so on.
22 Although historically theories of workplace equity (and indeed the broad area of incentives) have focused on parity of financial incentives and remuneration, more recently equity has been considered from an organizational standpoint.
Make this complex part of the plan for rebuilding the World Trade Center area, offering incentives to developers.
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