Distribution of doctors’ workforce in Erbil Governorate

  • Moayad A. Wahab kurdistan board of medical specialties, Erbil, Iraq.
  • Vian M. Husein ministry of health, Erbil, Iraq.
  • Tariq S. Al-Hadithi Department of community medicine, college of medicine, Hawler Medical University, Erbil, Iraq.
Keywords: health workforce, Erbil

Abstract

Background and objective: Imbalance in the distribution of health workforce might result in inequities in health services delivery. The aim of this study was to assess the distribution of doctors’ workforce in Erbil governorate and identify the possible reasons for rapid turnover of doctors.      

Methods: This descriptive cross-sectional study included all the 962 doctors working in the health facilities of Erbil governorate. A questionnaire was used to collect data that included 40 questions divided into four broad sections of identification information, socio-demographic characteristics, information on professional characteristics and factors influencing employment process in rural areas.   

Results: There were 5.1 doctors per 10,000 populations. Most of the doctors were deployed in urban areas (83.6%). Most doctors were working in hospitals (74.2%) and 23.3% in primary health centers. Specialists constituted the largest categories of doctors (33.5%) and general practitioners the smallest (6.7%). Doctors’ willingness to stay at the current workplace was significantly associated with being married, having opportunities to select workplace, working in private clinics and having the workplace inside Erbil.      

Conclusion: The density of doctors per 10,000 populations in Erbil governorate is below the regional and international average, with a remarkable urban-rural imbalance in numerical, geographical and institutional terms.

References

Egger D, Lipson D, Adams O. Achieving the right balance: The role of policy-making processes in managing human resources for health problems. Geneva: WHO; 2000.

Blumenthal DS. Geographic imbalances of physician supply: an international comparison. J Rural Health 1994; 10(2):109-18.

Dussault G, Franceschini MC. Not enough there, too many here: Understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health 2006; 4:12.

Zurn P, Dal Poz M, Stilwell B, Adams O. Imbalances in the health workforce.Hum Resour Health 2004; 2(1):13.

Alwan A. Health in Iraq: the current situation, our vision for the future, and areas of Work. 2nd Edition. Baghdad: Al-Adib Press; 2004.

Shabila NP, Al-Taweel N, Tahir R, Shwani FH, Saleh AM, Al-Hadithi T:Iraqi health system in Kurdistan region: medical professionals' perspectives on challenges and priorities for improvement. Confl Health 2010; 4:19.

DOH. EPI and disease surveillance in Erbil governorate. Erbil: DOH; 2007.

DOH. Health Facilities in Erbil governorate. Erbil: DOH; 2009.

Kurdistan Regional Statistical Office (KRSO). The Statistics Group Report No.1.Erbil, Iraq: KRSO; 2008.

KRSO. [Population of Erbil, official correspondence from KRSO to DOH–Erbil dated 8th Sep]. [Letter].[In Kurdish]; 2009.

Zurn P, Dal Poz M, Stilwell B, Adams O. Imbalances in the health workforce: briefing paper. Geneva: WHO; 2002.

WHO. WHO report: Health workers: a global profile. Geneva: WHO; 2006.

LaftaRK, Khudhairi JM. Evaluation of the PHC system in Iraq. JABHS 2009; 10(3):51-9.

Khidr YJ, Ismail SA. Applications of geographical information system (GIS) in planning of health services in Erbil City, Kurdistan Region. Zanco J Med Sci 2010; 14(1):1-8.

Bilbas OA. Distribution of health manpower in Erbil governorate. M.Sc thesis. Salahaddin University, College of Medicine. Iraq; 2004.

MOH. [Annual report for 2008]. Baghdad: MOH; 2009. [In Arabic].

Khafaji N, Dawood A. Statistics guide. Baghdad: MOH; 2004.

Al-Eisa IS, Al-Mutar MS, Al-Abduljalil HK. Job satisfaction of primary health care physicians at capital health region in Kuwait. MEJFM 2005; 3(3):1-5.

WHO. Health system profile of Iraq. Cairo: WHO; 2006.

Farooq U, Ghaffar A, Narru IA, Khan D, Irshad R. Doctors perception about staying or leaving rural health facilities in district Abbottabad. J Ayub Med Coll 2004; 16(2):64-9.

Keck AE, Culbertson AR. Influencers on physician choice to practice in rural areas. Literature review. Louisiana: Tulane University Health Sciences Center; 2004.

Mehrdad R. Health system in Iran. JMAJ2009; 52(1):69-73.

WHO. Health system profile of Jordan. Cairo: WHO; 2006.

Gupta P, Ghai PO. Textbook of preventive and social medicine. 2nd Edition. New Delhi: Satish Kumar Jain; 2007.

UNICEF. The state of the world s' children 2009: Executive summary: Maternal and newborn health. New York: UNICEF; 2008.

Published
2016-04-10
How to Cite
Wahab, M., Husein, V., & Al-Hadithi, T. (2016). Distribution of doctors’ workforce in Erbil Governorate. Zanco Journal of Medical Sciences (Zanco J Med Sci), 20(1), 1138_1146. https://doi.org/10.15218/zjms.2016.0001
Section
Original Articles