What question did this study set out to answer?

To examine the factors driving poor retention of primary healthcare workers in severely deprived districts to guide health workforce policies tailored toward Universal Health Coverage.

August 9, 2026SSM - Health SystemsOpen Access

To leave or stay towards Universal Health Coverage: qualitative analysis of factors influencing poor retention of primary healthcare workers in deprived districts of Ghana

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To examine the factors driving poor retention of primary healthcare workers in severely deprived districts to guide health workforce policies tailored toward Universal Health Coverage.
Conducted 21 face-to-face in-depth interviews with purposively selected primary healthcare workers in March 2024.
Held nine focus group discussions with community members across three deprived districts in the Eastern Region of Ghana.
Analyzed qualitative transcripts using a conceptually guided thematic framework approach supported by NVivo version 12.
Identified primary infrastructure barriers to retention, including poor transportation networks, substandard accommodation, and a lack of basic social amenities.
Demonstrated that inadequate incentives, personal safety concerns, family commitments, and weak health worker-community relationships directly drive workforce departures.

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Implication

Qualitative study identifies systemic workplace and community drivers of poor retention among primary healthcare workers, highlighting key policy targets for achieving universal health coverage.

Cite This Study

Amon et al. (2026) studied this question.

synapsesocial.com/papers/6a844cae165e087ca0f2f91a https://doi.org/10.1016/j.ssmhs.2026.100295

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Implication

Qualitative study identifies systemic workplace and community drivers of poor retention among primary healthcare workers, highlighting key policy targets for achieving universal health coverage.

To leave or stay towards Universal Health Coverage: qualitative analysis of factors influencing poor retention of primary healthcare workers in deprived districts of Ghana

Key Points

Discussion

Implication

Cite This Study

To leave or stay towards Universal Health Coverage: qualitative analysis of factors influencing poor retention of primary healthcare workers in deprived districts of Ghana

Key Points

Discussion

Implication

Cite This Study

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