Per Diems in Polio Eradication: Perspectives From Community Health Workers and Officials.
Am J Public Health
; 107(9): 1470-1476, 2017 09.
Article
em En
| MEDLINE
| ID: mdl-28727538
ABSTRACT
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Poliomielite
/
Salários e Benefícios
/
Programas de Imunização
/
Agentes Comunitários de Saúde
Tipo de estudo:
Qualitative_research
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Africa
/
Asia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article