The effect of private wing set up on work performance of health professionals at public hospitals in Addis Ababa
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Date
2018-10
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Addis Ababa Universty
Abstract
Introduction Private Wing is an official arrangement implemented as one component of health
care financing with the primary objective of improving health workers’ retention, providing
alternatives and choices to private health service users, and generating additional income for
health facilities. Despite the government’s effort to tackle this problem, the shortage and high
turnover of health workers has become a severe setback in Ethiopia.
Objective: To assess the effect of private wing set up on interest to provide service during
private wing hours and work performance of health professionals at public hospitals in Addis
Ababa.
Methods: Institutional based cross- sectional study was conducted. The total sample size is 299.
The data was entered and analyzed using SPSS version 22 statistical package and multiple
logistic regression models were used to assess factors driving the interest of health workers to
participate in private wing services and the effect of private wing set up on work performance. A
95 % confidence interval and 5% level of precision utilized to check for association between
variables of interest.
Results: Based on the results monthly income, occupation and par time working were the major
determinant factors for willingness (interest) to participate at private wing. From the total
participants who are not working at private wing (n=141), 57(40%) of professionals have interest
to participate at private wing and 84(60%) do not have interest. Monthly income, working per
time in private clinics, and professions were influencing the interest of individuals to participate
in private wing set up. Participating in private wing set up was found to be negatively affecting
the regular time activities of the health workers [(AOR=0.25, 95% CI 0.15-0.43)]
Conclusion: This study has gone some way towards enhancing our understanding of the major
determinant factors that professionals interest to participate at private wing set up of and effect of
private wing set up on their work performance as well. It is found that those professionals have
low income have more interest to participate than those have high monthly income and
profession also a factor to the interest to participate at private wing thus, medical doctors are
more interested to participate at private wing than other professionals and private wing set up
participation has a negative effect on professional’s work performance.
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Keywords
component of health care financing