scholarly journals Work motivation and job satisfaction among health workers of primary health facilities: a mixed-methods study from Nepal

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Bishnu P Choulagai ◽  
Pawan Acharya ◽  
Sharad Onta
Keyword(s):  
Job Satisfaction ◽  
Mixed Methods ◽  
Career Development ◽  
Health Facility ◽  
Work Motivation ◽  
Health Workers ◽  
Health Facilities ◽  
Mixed Methods Study ◽  
Primary Health ◽  
Primary Health Facilities

Abstract Background Work motivation and job satisfaction are linked with the performance and retention of health workforce. Primary health facilities, mostly comprising of mid-level health workers, serve majority of the population in Nepal. The aim of the study was to assess the determinants of job satisfaction in relation to socio-demographics, job characteristics and work motivation status among health workers working in primary health facilities. Methods A mixed-methods study was conducted in Jhapa district in Eastern Nepal covering 40 primary health facilities. The data collection involved 151 self-administered questionnaire interviews and 16 in-depth interviews with the health workers. Mean differences in work motivation among those satisfied and unsatisfied with their job was examined using t tests. Logistic regression with 95% confidence interval at p<0.05 was used for identifying associated factors with job satisfaction. Thematic analysis was done for qualitative data. Results Among the study participants, 78.2% were either auxiliary health workers or auxiliary nurse midwives. The median employment period of health workers was 174 months. In the likert scale of five points, the mean score of work motivation was highest for team work (3.99) and lowest for financial motivation (2.21). Age of health workers and satisfaction with career development, and financial motivation were significantly associated with job satisfaction. The qualitative findings also revealed that majority of the health workers were not satisfied with the existing career development opportunities, availability of resources in health facility and financial motivation. Conclusions Dissatisfaction with career development and financial motivation was significantly associated with lower odds of job satisfaction among health workers. Additionally, resource availability in health facility, recognition of work and management support affected job satisfaction. A focus on improving work environment through increased financial motivation and career development opportunities as well as investing in primary health facilities with increased resource support is recommended to improve job satisfaction.

scholarly journals Work motivation and job satisfaction among health workers at primary health facilities: a cross-sectional study from Nepal

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Bishnu P Choulagai ◽  
Pawan Acharya ◽  
Sharad Onta
Keyword(s):  
Job Satisfaction ◽  
Career Development ◽  
Work Motivation ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Facilities

Abstract BackgroundWork motivation and job satisfaction are linked with the performance and retention of health workforce. Primary health facilities, mostly comprising mid-level health workers, serve the majority of the population in Nepal. The aim of the study was to assess the determinants of job satisfaction in relation to socio-demographics, job characteristics and work motivation status among health workers working in primary health facilities. MethodsA cross-sectional study was conducted in Jhapa district in Eastern Nepal covering 40 primary health facilities. The data collection involved 151 self-administered questionnaire interviews and 16 in-depth interviews with health workers. Mean differences in work motivation among those satisfied and unsatisfied with their job was examined using t tests. Logistic regression with 95% confidence interval at p<0.05 was used for identifying associated factors with job satisfaction. Thematic analysis was done to analyze qualitative data. ResultsAmong the study participants, 78.2% were either auxiliary health workers or auxiliary nurse midwives. The median employment period of health workers was 174 months. On the 5-point Likert scale, the mean score of work motivation was highest for team work (3.99) and lowest for financial motivation (2.21). Higher age of health workers and satisfaction with career development, and financial motivation were significantly associated with job satisfaction. The qualitative findings also revealed that the majority of the health workers were not satisfied with the existing career development opportunities, availability of resources in health facility, or financial motivation. ConclusionSatisfaction with career development and financial motivation significantly increased job satisfaction among health workers. Resource availability in health facility, recognition of work and management support affected work motivation and job satisfaction of health workers. A focus on improving work environment through increased financial motivation and career development opportunities as well as investing in primary health facilities with increased resource support is recommended to improve job satisfaction.

scholarly journals Patient perspectives on interpersonal aspects of healthcare and patient-centeredness at primary health facilities: A mixed methods study in rural Eastern Uganda

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0236524
Author(s):  
Everlyn Waweru ◽  
Tom Smekens ◽  
Joanna Orne-Gliemann ◽  
Freddie Ssengooba ◽  
Jacqueline Broerse ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Facilities ◽  
Mixed Methods Study ◽  
Patient Perspectives ◽  
Patient Centeredness ◽  
Primary Health ◽  
Primary Health Facilities ◽  
Eastern Uganda

scholarly journals Improving Tanzanian childbirth service quality

2018 ◽  
Vol 31 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Jennie Jaribu ◽  
Suzanne Penfold ◽  
Cathy Green ◽  
Fatuma Manzi ◽  
Joanna Schellenberg
Keyword(s):  
Health Facility ◽  
Low Income ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Rural District ◽  
Local Data ◽  
Content Type ◽  
Primary Health ◽  
Primary Health Facilities ◽  
Childbirth Care

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

scholarly journals The Functionality of Health Facility Governing Committees and Their Associated Factors in Selected Primary Health Facilities Implementing Direct Health Facility Financing in Tanzania

2022 ◽  
Author(s):  
Anosisye Kesale ◽  
Christopher Mahonge ◽  
Mikidadi Muhanga
Keyword(s):  
Community Health ◽  
Health Facility ◽  
Associated Factors ◽  
Fiscal Decentralization ◽  
Health Facilities ◽  
P Value ◽  
Primary Health ◽  
Sampling Procedures ◽  
Primary Health Facilities ◽  
The Impact

Abstract Background: Decentralization has dominated the agenda for the reforms of the organization of service delivery in Lower and Middle-Income Countries (LMICs). Decentralization faces a formidable challenge of fiscal decentralization in primary healthcare facilities. Of now, LMICs are implementing fiscal decentralization reforms to empower health facilities and their Health Facility Governing Committees (HFGCs). Given the paucity of the impact of fiscal decentralization, this study was conducted to assess the functionality of HFGCs and their associative factors in primary health care facilities implementing fiscal decentralization through Direct Health Facility Financing (DHFF) in Tanzania.Methods: A cross-sectional design was employed to gather both qualitative and quantitative data. The study was conducted in 32 selected primary health facilities implementing DHFF in Tanzania. Probability and nonprobability sampling procedures were employed, in which a multistage sampling procedure was used to select 280 respondents. Data were collected through a structured questionnaire, in-depth interviews and focus group discussions. Descriptive analysis was employed to determine the functionality of HFGCs and binary logistic regression was employed to determine associated factors for the functionality of HFGC. Qualitative analysis was done through thematic analysis.Result: HFGC functionality under DHFF has been found to be good by 78.57%. Specifically, HFGCs have been found to have good functionality in mobilizing communities to join Community Health Funds 87.14%, participating in the procurement process 85%, discussing community health challenges 81.43% and planning and budgeting 80%. The functionality of HFGCs has been found to be associated with the planning and budgeting aspects p-value of 0.0011, procurement aspects p-value 0.0331, availability of information reports p-value 0.0007 and Contesting for HFGC position p-value 0.0187.Conclusion: The study has revealed that fiscal decentralization through DHFF significantly improves the functionality of HFGCs. Therefore, the study recommends more effort be put into facilitating the availability of finances to the health facilities.

scholarly journals Exploring the perspectives and experiences of health workers at primary health facilities in Kenya following training

2013 ◽  
Vol 7 (1) ◽  
Author(s):  
Rachel Jenkins ◽  
Caleb Othieno ◽  
Stephen Okeyo ◽  
Julyan Aruwa ◽  
Jan Wallcraft ◽  
...  
Keyword(s):  
Health Workers ◽  
Health Facilities ◽  
Primary Health ◽  
Primary Health Facilities

scholarly journals An Examination of the Determinants of The Mode of Transport to Primary Health Facilities in A Developing Region

2014 ◽  
Vol 46 (2) ◽  
pp. 167
Author(s):  
Olayinka Otun ◽  
Adeolu Dina ◽  
Adeola Bamigboye
Keyword(s):  
Health Facility ◽  
Care Service ◽  
Health Care Service ◽  
Health Facilities ◽  
Rural Regions ◽  
Public Facilities ◽  
Primary Health ◽  
Developing Region ◽  
Primary Health Facilities ◽  
Primary Health Facility

Access to primary health facilities is a key determinant of the overall well being of the population in an area.   In rural regions were distances to public facilities are usually longer compared to urban areas, it is not clear if people are still willing to walk to use these facilities. It is pertinent therefore to clarify such uncertainty since walking distance is a standard measure used to plan such public facilities particularly in rural regions. The objective  of this study therefore is to provide a framework to determine the factors that will influence a health care service seeker in a developing region to walk or use other means of transport to a primary health facility.  The case study for this research is Ijebu North Local Government Area of Ogun state made up of eleven urban and rural wards. One hundred and fifty households were selected at random for interview. Logit regression was used to describe how some predictor variables were used to explain the likelihood of a particular household walking to a primary health facility. The predicting model  in this study was able to classify 80.0% of the cases correctly.   This simply shows that the predictors (independent variables) contribute to the predicting power of the logistic regression model.   The  pseudo R-squares of Cox and Snell’s R-square and Nagelkerke’s R also show that our logistic model is relevant to predicting whether a household will walk or use a vehicle while attending a health facility.   In our study, we noted that settlement status (p=0.00)  and transport cost to health facility (p=0.00) contributed significantly to the prediction.  This study also reveals that the odds for household members in an urban area to walk to the health facility often used  is 88.1%  lower than the odds for a household in a rural area.   It was revealed that households that are poor are 49% times more likely to walk to the health facility they frequently used. The knowledge of the factors that will determine whether health care service seekers in a developing region will want to walk or not will assist government in the planning and provision of health facilities.

scholarly journals The Direct Health Facility Financing Impact on Financial Management in Kaliua District Council, Tabora Tanzania

2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Batamaga Akimu Kajuni ◽  
Deogratias Faustine Mpenzi
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Financial Management ◽  
Planning Process ◽  
Health Facilities ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Primary Health ◽  
District Council ◽  
Primary Health Facilities

This study assessed the implementation of Direct Health Facility Financing (DHFF) on financial management among primary health facilities of Kaliua District Council. The assessment conducted because Kaliua District is the one among 184 councils where the government introduced DHFF; the study adopted case study design whereby, both qualitative and quantitative approaches were used. A structured questionnaire, Interview, FDGs, Documentary review were used in obtaining data which were classified into planning process, rate of fund utilization, adherence to financial management guidelines and perceptions of employees on fund utilization which were administered to 238 respondents who sampled through simple random and purposeful sampling techniques. Data analysed using excel and SPSS for quantitative data and content analysis for qualitative data.Study revealed that, planning process work in excellent way (72.9%); utilization capacity of funds disbursed has been acknowledged at 70%; Fund utilization perceived positively impacting on the quality of health services delivery like availability of medicines and medical equipment in health facilities unlike the time before DHFF. Financial and procurement guidelines to some extent are adhered for about 50%. However, study observed some problems like lack of funds to facilitate HFGCs’ activities, late disbursement of funds that affected utilization. Conclusively based on findings, financial management at health facilities is effective as it attributed to significantly positive impacts on general improvement of health services delivery in public primary health facilities.

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