In Hungary, the majority of the young doctors preferred to work in large cities or major teaching/central hospitals due to high salary, availability of professional standards, satisfactory working environment, access to skilled colleagues and modern equipment [ 30].
Key interview topics were chosen based on a literature review of previous studies related to nurse retention, including job satisfaction factors such as preparedness, salary, availability of quality housing, availability of supplies, workload, opportunities for advancement, and relationships with coworkers and management.
Reported reasons for this intent to quit included poor salaries, availability of better employment opportunities abroad, lack of professional development, job instability and lack of managerial support.
In Mozambique, according to a recent study, after salary, the availability of housing is the most important incentive for health workers to accept a placement outside of the capital [40].
Health personnel in both Bangladesh and Uganda responded to a questionnaire covering questions on the effects of reforms regarding issues such as management, supervision, training, promotion, salaries, the availability of drugs and supplies and incentives for remote deployment (see Table 5).
Recommendations were made on improving training programs, recruiting out-of-province workers, improving workload standards, adding staff, increasing salary, ensuring greater availability of continuing education and academic programs, and changing the funding formula to a per case basis.
Job satisfaction is more commonly explained by factors such as salaries, working conditions, availability of supplies, and opportunities for advancement.
Tuition costs continue to rise, debt continues to rise, yet the desired payoffs of job availability and salary are lacking.
Previous stated preference studies in low-income countries have examined the impact of incentives related to: deprived area allowance or salary top up; workload; availability of equipment and drugs; facility infrastructure; contract length; housing; transportation; educational opportunities and training; promotion; and management and supervision [ 5, 17- 22].
"Researchers love what they do," the authors state, but "[i]n many cases our vocation and enthusiasm is translated into unreasonable working schedules, continuous availability, inappropriate salaries and unstable contract conditions".
It is hoped that the improvement in salaries, medicine and equipment availability will lead to a drastic reduction in the country's serious maternal and child mortality rates.
