Table 3 Coding framework
From: Retention of health workers in rural Sierra Leone: findings from life histories
Themes | Subthemes |
|---|---|
1. Decision to join the medical profession | 1.1 Individuals who influenced decision to become a health worker (personal, family or other) 1.2 Factors influencing decision to become a health worker  ᅟ1.2.1 Respect for the profession in society ᅟ 1.2.2 Availability of funding  ᅟ1.2.3 Other |
2. Training | 2.1 Initial training ᅟᅟᅟ 2.1.1 Location of training  ᅟᅟᅟ2.1.2 Length of initial training ᅟ ᅟᅟ2.1.3 Source of funding ᅟᅟ ᅟ2.1.4 Experience of training ᅟᅟᅟ 2.1.5 Reasons for returning home 2.2 Subsequent training/upgrading  ᅟᅟᅟ2.2.1 Reasons for subsequent training ᅟ ᅟᅟ2.2.2 Location(s) for subsequent training ᅟᅟ ᅟ2.2.3 Source of funding ᅟᅟᅟ 2.2.4 Length of subsequent  ᅟᅟᅟ2.2.5 Experience of subsequent training ᅟ ᅟᅟ2.2.6 Reasons for returning to work to home after the training |
3. Career trajectory | 3.1 Job description 3.2 Reason for job change  ᅟ3.3.1 Self-develop  ᅟ3.3.2 Posting ᅟ 3.3.3 Conflict  ᅟ3.3.4 Family reasons 3.3 Future career plans ᅟ 3.3.1 Reasons for career plan |
4. Overall perception of career | 4.1 Satisfaction 4.2 Dissatisfaction 4.3 Motivating factors  ᅟ4.3.1 Religion ᅟ 4.3.2 Community service  ᅟ4.3.3 Satisfaction about role ᅟ 4.3.4 Financial incentives (salary and allowances)  ᅟ4.3.5 Working conditions  ᅟ4.3.6 Level of autonomy 4.4 Demotivating factors ᅟ 4.4.1 Professional relationships (with colleagues and superiors)  ᅟ4.4.2 Level of autonomy  ᅟ4.4.3 Political interference ᅟ 4.4.4 Relationship with communities  ᅟ4.4.5 Security ᅟ 4.4.6 Separation of family ᅟ 4.4.7 Limited opportunities for training (regional disparities) |
5. International migration | 5.1 Factors for migrating 5.2 Reasons for coming back |
6. Context of conflict | 6.1 Pre-conflict ᅟ 6.1.1 Health workers ᅟ 6.1.2 Health system ᅟ 6.1.3 Coping strategies 6.2 Situation during the conflict ᅟ 6.2.1 Effect on health workers ᅟ 6.2.2 Effect on health system ᅟ 6.2.3 Coping strategies 6.3 Post-conflict situation ᅟ 6.3.1 Health workers ᅟ 6.3.2 Health system ᅟ 6.3.3 Coping strategies |
7. Sources of income | 7.1 Salary 7.2 Allowances (PBF, RAA) 7.3 User fees 7.4 Gifts from patients 7.5 Private business 7.6 Other sources of income |
8. Experiences and perception of Incentive policies | 8.1 Incentive policies experienced/heard of 8.2 FHCI ᅟ 8.2.1 Personal effects ᅟ 8.2.2 Health system effects 8.3 RAA ᅟ 8.3.1 Personal effects ᅟ 8.3.2 Health system effects 8.4 PBF ᅟ 8.4.1 Personal effects ᅟ 8.4.2 Health system effects 8.5 Salary uplift ᅟ 8.5.1 Personal effects ᅟ 8.5.2 Health system effects 8.6 Other ᅟ 8.6.1 Personal effects ᅟ 8.6.2 Health system effects |
9. Recommendations for a retention package for rural and hard-to-reach areas | Â |
10. General recommendation | Â |