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Table 3 Summary of results regarding factors attracting and limiting retention of health professionals in rural areas

From: Understanding the factors affecting the attraction and retention of health professionals in rural and remote areas: a mixed-method study in Niger

Dimensions Explanation Factors of attraction Limiting factors
International environment NA
National environment
 Insecurity Political instability in neighbouring countries (Mali, Libya, Nigeria)   ++
 Salaries and financial compensation Low salary levels and absence of financial compensation incentives for geographic distance and living conditions in rural areas   ++
 Civil servant status Obtaining tenure in a civil servant position from the entry level ++  
 Career opportunities Absence of career development opportunities   +
Local environment
 Living conditions Poor infrastructures in roads, electricity, drinking water, means of communication, housing, and schools for children   +++
 Social dimension Social isolation, local insecurity, and disrupted family life (separation of couples, children)   ++
Work environment
 Infrastructures Poor equipment, technical services (ambulances, maternity leave), medicine, consumables   +++
 Workforce and work overload Limited number of health workers, excess quantity of work   ++
 Bonuses, promotions, responsibilities Promotions, responsibilities, access to equipment (a motorcycle), ongoing training +  
 Respect for workers’ rights Rights to annual leave, maternity leave, permission for absence   ++
Individual factors
 Gender and marital status Reluctance of married women to practise in rural areas: assignment of married women depends on their spouses due to family life, motherhood   +++
 Respect for religious life Full freedom to practice one’s religion   ++
  1. +++ Very important; ++ Important; + Less important