Per Diems in Polio Eradication: Perspectives From Community Health Workers and Officials.

Autor: Closser S; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Rosenthal A; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Justice J; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Maes K; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Sultan M; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Banerji S; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Amaha HB; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Gopinath R; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Omidian P; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda., Nyirazinyoye L; Svea Closser, Marium Sultan, and Sarah Banerji are with the Department of Sociology/Anthropology, Middlebury College, Middlebury, VT. Anat Rosenthal is with the Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva, Israel. Judith Justice is with the Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley. Kenneth Maes is with the Department of Anthropology, Oregon State University, Corvallis. Hailom Banteyerga Amaha is with Addis Ababa University, Addis Ababa, Ethiopia. Ranjani Gopinath is an independent consultant based in Hyderabad, India. Patricia Omidian is an independent consultant based in Corvallis, OR. Laetitia Nyrazinyoye is with the School of Public Health, Kigali, Rwanda.
Jazyk: angličtina
Zdroj: American journal of public health [Am J Public Health] 2017 Sep; Vol. 107 (9), pp. 1470-1476. Date of Electronic Publication: 2017 Jul 20.
DOI: 10.2105/AJPH.2017.303886
Abstrakt: Nearly all global health initiatives give per diems to community health workers (CHWs) in poor countries for short-term work on disease-specific programs. We interviewed CHWs, supervisors, and high-level officials (n = 95) in 6 study sites across sub-Saharan Africa and South Asia in early 2012 about the per diems given to them by the Global Polio Eradication Initiative. These per diems for CHWs ranged from $1.50 to $2.40 per day. International officials defended per diems for CHWs with an array of arguments, primarily that they were necessary to defray the expenses that workers incurred during campaigns. But high-level ministry of health officials in many countries were concerned that even small per diems were unsustainable. By contrast, CHWs saw per diems as a wage; the very small size of this wage led many to describe per diems as unjust. Per diem polio work existed in the larger context of limited and mostly exploitative options for female labor. Taking the perspectives of CHWs seriously would shift the international conversation about per diems toward questions of labor rights and justice in global health pay structures.
Databáze: MEDLINE
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