Assessment of the Major Factors for Health Workers’ Motivation for Staying at Peripheral Level of the Health System in Government Health Service Delivery Institutions in Oromia Region.
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Date
2011-06
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Addis Ababa University
Abstract
Background: It’s important to note that human factors, socioeconomic strata, labor market demand and supply, policies and procedures play role in human resource management.The challenges of human resource management have many dimensions stretching from recruitment to separation.One of this is the prediction of human motivation factors.
Human resources for health are always the center point of health care. The quality of care depends on the number, knowledge, skills and commitment without forgetting the importance of other resources by which to serve. Low health workers density is very detrimental to health outcomes.That is why supply and retention strategies are being issues of critical importance.
Objective: To assess the major factors for health workers’ motivation for staying at peripheral level of the health system in government health service delivery institutions in Oromia region.
Methods: cross-sectional descriptive study using quantitative approach supplemented with qualitative research. Structured questionnaire, focus group discussion/key informants’ interview and record review were used.
Results: Age, marital status, location of the health facility and compulsory service year, were factors having strong association with the length of stay in peripheral health facilities. Other pull and push factors were also identified.
Discussion, conclusion and recommendation: As assessed by this study, those aged above 30 years, married couples, and those with longer service years motivated to stay longer than the younger, singleton and junior counterparts respectively. Proprietorship, achieved education, expected sponsorship and /or family responsibility could be the cause of settlement.Those who dispelled early might left intentionally to arrange for further studies, to search for better pays and to head marital plans. Frustrations from extended service years ahead and discomforts from lack of facilitated conditions for standard could be a cause of exit from posting for senior professionals as do in other African countries.
Human resource policies, guidelines and procedures should pay special consideration to these center pieces of the health system in development and application of sensible interventions to remove bottlenecks of HRH management thereby monitoring and evaluation of the outcomes.
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Health Workers’,Health System