Perceived level of Social Accountability and Knowledge of Healthcare Workers: The Case of Yeka Sub-City of Addis Ababa

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Date

2021-08

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AAU

Abstract

This study attempted to examine perceived level of social accountability and knowledge of healthcare workers in selected health facilities. It also assesses if the perceived level of social accountability varies by socio- demographic characteristics and identify the factors that affect the perceived level of social accountability of healthcare workers. A mix of qualitative and quantitative survey design was used in the study. A combination of qualitative and quantitative data gathered through semi-structured questionnaires and interviews as a primary source of information for the study. A sample of 212 healthcare workers (59 males and 153 females) was employed as data sources. Quantitative data were collected using self-constructed Likert type rating scale to measure perceived level of social accountability. Key informant interview was also conducted with the facility medical directors to explore factors influencing social accountability. The data that were gathered through the questionnaires was analyzed and interpreted using descriptive statistics like frequency, percentage and mean and was described using tables. A correlation was also worked out if there are any significant relationship between perceived knowledge factor with overall perception of social accountability and the data further examined for difference between perceived level of social accountability with socio demographic characteristics using ANOVA. The qualitative data was summarized in relation to the study questions were presented thematically and discussed in relation to the secondary data of the study. Moreover, the data was triangulated with the quantitative method and presented in line with the research basic questions. Findings indicated that there is a high level of perceived social accountability. Findings also indicated that demographic factors including age and year of service of health care workers have statistically significant difference with their perception of social accountability. It was also shown that there is high level of perceived knowledge among the health care workers which is significantly associated with perceived social accountability. However, there was a clearly indicated gap in health delivery activities in relation to accepting criticism towards health care workers. Recommendations were forward as to how to further promote social accountability among healthcare workers.

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Moreover, the data was triangulated with the quantitative method and presented in line with the research basic questions.

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