Research should investigate actual barriers in the professions regarding qualification and skills, norms and values and contextual constraints like workload, and payment.
A non-private practice allowance of US$4000 a month was given to doctors who agreed not to engage in private practice, and special workload-related payments were implemented for service in non-official hours.
To increase productivity, the MoPH in 1995 also started non-official-hours services for elective patients (before that, these services were available only for emergency patients) with special workload-related payments [ 29].
In the case of capitation based payment, workload is not directly linked to income since the fees per patient are fixed.
A study in South Africa indicated that private sector nurses were more satisfied than those in the public sector due to their low payment, workload and shortage of resources at the later [ 26].
Participants reported awkwardness and embarrassment in raising chlamydia screening with men, particularly if unrelated to the consultation; however, other unrelated health matters were often raised, tied to contracts, payment and workload.
When we visit clients they want us to support them.' (Ndere CHW Interview number 15) In contrast, Sauri CHWs cited challenges related to their workload and level of payment.
The estimated total amount of payments and workload is in line with the guidelines for respectively compensation and duties of CHWs from the Ministry of Health.
This, in theory, helps developers who use other products, such as Stripe for payments, offload part of their development workload onto Box.
The objective of introducing the allocation formula was to ensure equity, so that practices with the same clinical workload would receive the same, case-mix corrected, payments.
