The shortage of health workers in many low-income countries poses a threat to the quality of health services. When the number of patients per health worker grows sufficiently high, there will be insufficient time to diagnose and treat all patients adequately. This paper tests the hypothesis that high caseload reduces the level of effort per patient in the diagnostic process. We observed 159 clinicians in 2095 outpatient consultations at 126 health facilities in rural Tanzania. Surprisingly, we find no association between caseload and the level of effort per patient. Clinicians appear to have ample amounts of idle time. We conclude that health workers are not overworked and that scaling up the number of health workers is unlikely to raise the quality of health services. Training has a positive effect on quality but is not in itself sufficient to raise quality to adequate levels.
Factors influencing the use of reproductive health care services among married adolescent girls in Dang District, Nepal: a qualitative study
Binita Maharjan, Poonam Rishal and Joar Svanemyr
BMC Pregnancy and Childbirth
Open data for transparency and accountability in health service delivery: What's new in the digital age?
Violence against women in the context of urban poverty in Angola
Iselin Åsedotter Strønen, Margareth Nangacovie
The role of ICT in property tax administration: Lessons from Tanzania
William McCluskey, Chyi-Yun Huang
Civil society’s role in petroleum sector governance: The case of Tanzania
Kendra Dupuy, Lise Rakner, Lucas Katera
Policy implementation under stress: Central-local government relations in property tax administration in Tanzania
Odd-Helge Fjeldstad, Merima Ali and Lucas Katera
Journal of Financial Management of Property and Construction
Når kan kvoteringsordninger for kvinner i politikken fjernes?
Introducing post-discharge malaria chemoprevention (PMC) for management of severe anemia in Malawian children: a qualitative study of community health workers’ perceptions and motivation
Thandile Nkosi-Gondwe, Bjarne Robberstad, Björn Blomberg, Kamija S. Phiri, Siri Lange
BMC Health Services Research