Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/30195
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMbuthia, D-
dc.contributor.authorZhao, Y-
dc.contributor.authorGathara, D-
dc.contributor.authorNicodemo, C-
dc.contributor.authorMcGivern, G-
dc.contributor.authorNzinga, J-
dc.contributor.authorEnglish, M-
dc.date.accessioned2024-11-19T20:22:20Z-
dc.date.available2024-11-19T20:22:20Z-
dc.date.issued2024-09-02-
dc.identifierORCiD: Catia Nicodemo https://orcid.org/0000-0001-5490-9576-
dc.identifier61-
dc.identifier.citationMbuthia, D. et al. (2024) 'Public service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective study', Human Resources for Health, 22 (1), 61, pp. 1 - 10, doi: 10.1186/s12960-024-00945-6.en_US
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/30195-
dc.descriptionAvailability of data and materials: The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.en_US
dc.descriptionSupplementary Information is available online at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-024-00945-6#Sec12 .-
dc.description.abstractBackground: Kenya grapples with a paradox; severe public sector workforce shortages co-exist with rising unemployment among healthcare professionals. Medical schools have increased trainee outputs, but only 45% of newly qualified/registered doctors were absorbed by the public sector during 2015–2018. In such a context, we explore what influences doctors’ career choices at labour market entry, specifically understanding the role of public service motivation (PSM). Methods: We conducted a cross-sectional and prospective study of interns and recently graduated doctors to examine PSM, their intention to work in the public sector and their final employment sector and status. We surveyed them on their PSM and job intentions and conducted a prospective follow-up survey of the interns, around one year later, to understand their employment status. Findings: We recruited 356 baseline participants and followed up 76 out of 129 eligible interns. The overall PSM score was high among all participants (rated 4.50/5.00) irrespective of sector preferences. 48% (171/356) of the participants preferred to work in the public sector immediately after internship, alongside 16% (57/356) preferring direct entry into specialist training—commonly in the public sector. Only 13% (46/356) and 7% (25/365) preferred to work in the private or faith-based sector. Despite the high proportion of interns preferring public sector jobs, only 17% (13/76) were employed in the public sector at follow-up and 13% (10/76) were unemployed, due to lack of job availability. Conclusion: High PSM scores irrespective of sector preferences suggest that doctors are generally committed to serving the ‘public good’. Many intended to work in the public sector but were unable to due to lack of job opportunities. Policymakers have an opportunity to tackle workforce gaps in the public sector as young doctors continue to express a preference for such work. To do this they should prioritise creating adequate and sustainable job opportunities.en_US
dc.description.sponsorshipThis work is supported by an Africa Oxford travel grant (AfOx-209). YZ is supported by the University of Oxford Clarendon Fund Scholarship, an Oxford Travel Abroad Bursary and a Keble Association grant. DG and ME are supported by the National Institute for Health Research, Learning to Harness Innovation in Global Health for Quality Care (HIGH-Q) using UK aid from the UK Government to support global health research [NIHR130812]. ME is supported by a Wellcome Trust Senior Research Fellowship (#207522). CN receives funding from the Economic and Social Research Council [grant number ES/T008415/1]. National Institute for Health Research Applied Research Collaboration Oxford and Thames Valley at Oxford Health NHS Foundation Trust. Consortium iNEST (Interconnected North-Est Innovation Ecosystem) funded by the European Union NextGenerationEU (Piano Nazionale di Ripresa e Resilienza (PNRR)—Missione 4 Componente 2, Investimento 1.5—D.D. 1058 23/06/2022, ECS_00000043).en_US
dc.format.extent1 - 10-
dc.format.mediumElectronic-
dc.languageEnglish-
dc.language.isoenen_US
dc.publisherBioMed Central (part of Springer Nature)en_US
dc.rightsAttribution 4.0 International-
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subjectpublic sectoren_US
dc.subjectpublic service motivationen_US
dc.subjectemploymenten_US
dc.subjectlabour marketen_US
dc.titlePublic service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective studyen_US
dc.typeArticleen_US
dc.date.dateAccepted2024-08-22-
dc.identifier.doihttps://doi.org/10.1186/s12960-024-00945-6-
dc.relation.isPartOfHuman Resources for Health-
pubs.issue1-
pubs.publication-statusPublished online-
pubs.volume22-
dc.identifier.eissn1478-4491-
dc.rights.licensehttps://creativecommons.org/licenses/by/4.0/legalcode.en-
dc.rights.holderThe Author(s)-
Appears in Collections:Brunel Business School Research Papers

Files in This Item:
File Description SizeFormat 
FullText.pdfCopyright © The Author(s) 2024. Rights and permissions: Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.700.65 kBAdobe PDFView/Open


This item is licensed under a Creative Commons License Creative Commons