Health personnel needs and attitudes to rural service in KwaZulu-Natal.
To ascertain the urban/rural distribution of health personnel and the opinions of the medical fraternity in KwaZulu-Natal on compulsory rural service for medical practitioners.
Cross-sectional analysis of geographical distribution of health personnel in KwaZulu-Natal based on 1991/92 South African Medical and Dental Council, South African Nursing Council and Pharmacy Council registration data.
Opinion survey by administration of a structured questionnaire to a simple, random sample of private practitioners, academic consultants, postgraduate and undergraduate medical students and key informants in senior health service management in KwaZulu-Natal.
Peripheral rural areas had health personnel/population ratios higher than or equivalent to those of urban areas, whereas the ratios were 15 - 40 times lower in deep rural areas.
The key finding of the opinion survey was that the majority of all sectors except fifth-year medical students felt that rural service should be compulsory, either post-internship, prior to specialisation or prior to entry into private practice.
However, respondents were significantly more likely to agree to rural service that would not affect them personally.
The majority (54 - 87%) of all'sectors felt that an option of'buying out'of rural service should not be permitted.
Respondents identified a range of financial, health service, academic, infrastructural and social incentives for rural practice. (...)
Mots-clés Pascal : Répartition géographique, Zone rurale, Zone urbaine, Personnel sanitaire, République Sud Africaine, Afrique, Homme, KwaZulu-Natal
Mots-clés Pascal anglais : Geographic distribution, Rural area, Urban area, Health staff, South Africa, Africa, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0273469
Code Inist : 002B30A05. Création : 15/07/1997.