Job preferences of Japanese global health personnel: results from a discrete choice experiment

Background The disintegration of the boundary between global and national health due to emergence issues, such as COVID-19, led increasing need nurture experts so strengthen capacity. One approach is engage in work at health-related United Nations (UN) international organizations. However, issue member states underrepresentation exists, which poses a challenge both nurturing realizing equitable geographical distribution prescribed Article 101 Charter. Japan, among other states, remains underrepresented UN This study aimed understand job preferences Japanese wishing organizations present policy proposals for strengthening capacity development promoting dispatch. Methods discrete choice experiment (DCE) survey was conducted online determine health/non-health students – (i) who wished ( Seekers ), (ii) are currently working these Workers (iii) resigned from Resignees ). binary logit main effects model used examine relative importance various attributes. Results DCE analysis showed duty station, salary, work–life balance (WLB), satisfaction all groups return post employer’s contribution welfare benefits but not . Conclusions “uncertainty-avoidance” characteristics mainly perceived propose two separate approaches, entails supporting few selected ones, majority interested remain uncertain indecisive overseas. social structural associated with lack hospitals that value experiences gained needs be addressed by introducing systems sabbatical leaves or reemployment returnees. Furthermore, an incentive information package combining financial nonfinancial incentives focusing on favorable conditions relating WLB, satisfaction, could achieved organizations, actively publicized career seminars.