Assessments of Intention to Turnover and Associated Factors among Health Professionals working in Hospitals in Central Oromia, Ethiopia
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Date
2017
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Addis Ababa University
Abstract
Background: Human resources for Health are a center point in improving global health
problems. A health sector especially in developing countries is characterized by a high turnover
by internal as well as external brain drain. The quality of health care depends on number,
knowledge, skill and commitment without forgetting the importance of other resources by which
to serve. Without sufficient numbers of adequately trained, supported and appropriately
motivated health workers, there is a significant risk of not achieving national and global health
goals. However, turnover of health workers critically affects the health system particularly in
countries with limited resources. There is little information on intention to turnover among
health professionals working in hospitals in Central Oromia regional state. Aim of this study is to
assess turnover intention and associated factors among health professionals working in Central
Oromia Hospitals.
Methods: Cross sectional study design using quantitative research method was applied. To
collect data, structured questionnaire were used in six randomly selected Hospitals. A total of
408 sample sizes were used for the study. Factor analysis was used for all Liker scale
instruments to identify factors representing each of the scale using Epi-info version and
transferred for analysis to SPSS version 21.0.
Results: Three Hundred seventy-one (91%) of health professionals are participated in the study.
Out of the respondents (75.5%) had intention to turnover. Among variables: job factor 0.55
(95%CI, (0.44 – 0.69), working environment 1.89 (95% CI 1.51 – 2.39), and organizational factor
1.89 (95% CI, (1.51 – 2.39) had statistically significant association with intention to turnover of
health professionals working in Central Oromia Hospitals.
Conclusion: The overall intention to turnover among health professionals was high. Working
environments: (Coworker relation, work pressure, etc…), job related factors: (Work load, nature
of work, working schedule, etc…), and organizational factors: (Leaders, payment, work place
condition, etc…) have statistically significant association with intention to turnover of health
professionals working in Central Oromia Hospitals. The Federal Ministry of Health needs to
strengthen human resources for health management especially at Hospital level in collaborating
with regional state governments through implementing different retention strategies (like: BPR,
BSC, Transfer Policy, Promotion Policy,…etc).
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Assessments of Intention to Turnover