Specialty training for the retention of Malawian doctors: A cost-effectiveness analysis.

ABSTRACT: Few medical schools and sustained emigration have led to low numbers of doctors in many sub-Saharan African countries. The opportunity to undertake specialty training has been shown to be particularly important in retaining doctors. Yet limited training capacity means that doctors are often sent to other countries to specialise, increasing the risk that they may not return. Expanding domestic training, however, may be constrained by the reluctance of doctors to accept training in their home country. We modelled different policy options in an example country, Malawi, to examine the cost-effectiveness of expanding specialty training to retain doctors in sub-Saharan Africa. We designed a Markov model of the physician labour market in Malawi, incorporating data from graduate tracing studies in

SUBMITTER: Mandeville KL 

PROVIDER: S-EPMC5710765 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature