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Table 2 Summary of findings

From: Health worker experiences of and movement between public and private not-for-profit sectors—findings from post-conflict Northern Uganda

Themes Public sector PNFP
Training experiences
 Management   Stricter rules
 Quality of training Good tutors but some absences More limited clinical exposure Good and present tutors Good exposure to clinical experience
 Workload   High workload
 Incentives Wider range of incentives, including financial Limited (mainly non-financial) incentives
Working experiences
 Management and organisational culture Perceived greater flexibility about leave arrangements Exposure to expatriate (NGO) staff—appreciated—especially during conflict More restrictions (e.g. on dual practice and time management) Exposure to expatriate (missionary) staff, with positive effects on learning, especially during conflict
 Workload High workload in IDP camps High workload during and after conflict—but helps to maintain skills
 Incentives Low salaries, especially important later in middle of life cycle; irregular or absent during conflict; various coping strategies described Benefit from monetary incentives such as consolidated allowance and hard to reach allowance Low salaries, especially important in middle of life cycle; various coping strategies described Only access short-term, externally funded monetary incentives Package of non-financial incentives, which vary across facilities
Reasons for moving, staying and factors influencing future intentions
 Attraction Better overall package—leave, pension, allowances, higher salary Flexibility on leave and dual practice Lower workload Able to exercise skills better Better job security More access to training Bonding (but sometimes perceived as detention) Good working relationships and ties of family obligation Availability of free health care for them and their families
 Retention Loyalty to sector which trained you Promotion Frequent short trainings Strict rules on dual practice/inflexibilities on leave Perceived high work load No job security (mainly contractual) Limited access to training