Labor Incomes of Health Care Workers and Multiple Jobs Holding in Urban Areas of Cameroon
Abstract
It is argued that the multiple job holding increases access inequality in health care services and results in adverse effects on the health care quality delivered in health centers. The aim of this paper is to analyze the... [ view full abstract ]
It is argued that the multiple job holding increases access inequality in health care services and results in adverse effects on the health care quality delivered in health centers. The aim of this paper is to analyze the effect of the labor income on the multiple Job holding of healthcare workers in urban areas of Cameroon by estimating a binary probit model. As hourly earnings in secondary jobs are observed only for the multiple job holders, they will be imputed for all individuals. But this method involves a potential selection bias due to unobserved earnings in the second jobs for the single job holders. This potential bias will be addressed using the Heckman two-step method. The data used were collected as part of the project on "Working conditions of health care workers in urban Cameroon" in 2013. The results from the statistical analysis show that doctors only seem to engage themselves in a second job while their main income is already relatively high. Doctors with multiple jobs earn in their main job a higher hourly wage compared to those with only one job. In contrary, there is any difference in the main job wages between multiple job holders and single job holders for nurses and health technicians. The econometric results show that the effect of labor income in the main job on the probability of health care workers to use a second job is low and not significant. In contrast, the effect of secondary income on the probability of using a second job is significantly high and positive. Also, the irregular payment of wages in the main job increases the probability of healthcare workers to be a multiple job holder.
Authors
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Gaston Brice NKOUMOU NGOA
(University of Yaoundé II, REMA University Paris Dauphine, DIAL)
Topic Areas
I. Research Collaborations 1.1 Scientific collaborations in geography and urban health 1.2 , V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He , I. Urbanization AND Health: what interactions? 1.1 New paradigms, concepts, methods, and t , II. Urban Health at the intersection of urban environment, social determinants and places , III. Urban Environments: what specificities? 3.1 Urban Environments as places of demograph
Session
PS-3 » POSTER SESSION 3 (12:15 - Sunday, 3rd April, TBA)
Paper
2016_Conference_in_urban_Health_MJH.docx
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