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Table 2 Regulatory mechanisms against absenteeism [138]

From: Human resources for health interventions in high- and middle-income countries: findings of an evidence review

Regulatory mechanism

Findings

Changes in organizational culture, including attendance policies

Effective and increased performance, reduced absenteeism

Restriction or prohibition of private practice

Workers only engaged in public sector work

Changes in employment contracts from fixed to permanent posts

Higher absence rates for those in permanent posts. Higher job security, but higher rates of dual practice in public and private sectors

Improving work environments (five dimensions of recurrent change: supervisor, task, colleagues, working hours, or location)

Job satisfaction increased, less burnout, less sickness-related absence. Changes perceived both as positive and as negative by employees, with some preferring change and others preferring stability

Financial and incentive mechanisms, such as providing financial rewards for good attendance

Sometimes effective, others inconclusive

Health intervention mechanisms, such as vaccination and exercise programs that aim at reducing work-related ill-health and absence

Was effective in reducing absenteeism where the program was prolonged and by including vaccination for seasonal prolonged epidemics

Mandatory attendance and surveillance of absenteeism behavior during disaster

Ethical concerns against public liberties