What elements of the work environment are most responsible for health worker dissatisfaction in rural primary care clinics in Tanzania?

Mbaruku, Godfrey; Larson, Elysia; Kimweri, Angela; Kruk, Margaret E

doi:10.1186/1478-4491-12-38

Cited by 34 publications

(37 citation statements)

References 24 publications

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“…Unfavorable working conditions and lack of or poor social services were other major underlying factors for the migration of health workers in rural areas revealed by our study. ese findings are similar to what was found by other studies carried out in Tanzania [8,15,20,29,33,34]. As for the previous studies, lack of access to Banking services, good schools for the education of their children, good transport and reliable communication systems pushes the health workers to emigrate from rural remote areas to other places where the services are accessible.…”

Section: Tennant-landlord Cultural Differencessupporting

confidence: 90%

“…As revealed by the findings of our study the health workers' migration has another dimension that is o en given less attention, the rural-rural migration. Many studies have a focus on assessing the magnitude and causes of the rural-urban migration of health workers in many parts of the world including Tanzania [9,19,[27][28][29]. Migration of 42.5% among 174 health workers who participated in this study in a period of five years in only eight facilities rings an alarm on the magnitude of migration of health workers in rural districts.…”

Section: Discussionmentioning

confidence: 95%

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Understanding the Rural–Rural Migration of Health Workers in Two Selected Districts of Tanzania

Sirili

Simba

2020

Advances in Public Health

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Globally, rural–urban migration has been the focus in addressing the question of availability of health workers in rural areas. Often, the rural–rural migration of health workers, another important dimension is neglected. This study aimed to analyze the magnitude and the underlying factors for rural–rural migration of health workers in two rural districts of Tanzania. An exploratory comparative cross-sectional study adopting both quantitative and qualitative approaches was carried out in two districts of Kilwa in Lindi region, southern Tanzania, and Rombo in Kilimanjaro region, northern Tanzania. In a quantitative approach, 174 health workers (both clinicians and nonclinicians) filled in a self-administered questionnaire between August 2015 and September 2016. For the qualitative sub-study, 14 key informants that included health facilities in-charges and district health managers from the two districts were interviewed. In addition, three focus group discussions were conducted with members of the health facilities committee, in the two districts. Over 40% of health workers migrated from one workstation to another between 2011 and 2015. Close to 70% of the migrated health workers, migrated within the same districts. The proportion of health workers migrated was higher in Kilwa compared to Rombo. However, the difference was not statistically significant. The major underlying factors for migration in both districts were: Caring for the family and Unfavorable working and living conditions. In Kilwa, unlike Rombo, rejection by the community, superstitious beliefs, and lack of social services, were the other major factors underlying migration of the health workers. While addressing rural–urban migration, attention should be paid also to the rural–rural migration of health workers. Lastly, addressing the migration of health workers is a multi-dimensional issue that needs the engagement of all stakeholders within and beyond the health sector.

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Section: Tennant-landlord Cultural Differencessupporting

confidence: 90%

Section: Discussionmentioning

confidence: 95%

Understanding the Rural–Rural Migration of Health Workers in Two Selected Districts of Tanzania

Sirili

Simba

2020

Advances in Public Health

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“…In Vietnam, limited research has examined healthcare workers' job satisfaction, the findings suggest that job satisfaction is low because of insufficient salaries and benefits, poor facilities and equipment, and a lack of professional development opportunities (Tran, Van, & Hinh, 2013;Nguen, Duong, & Vu, 2016). These findings concur with the results of studies conducted in other developing countries such as Uganda (Luboga, Hagopian, Ndiku, Bancroft, & McQuide, 2011), Senegal (Rouleau, Fournier, Philibert, Mbengue, & Dumont, 2012), Tanzania (Mbaruku, Larson, Kimweri, & Kruk., 2014), Afghanistan, Malawi (Fogarty et al, 2014), and Ghana (Bonenberger, Aikins, Akweongo, & Wyss, 2014).…”

Section: Introductionsupporting

confidence: 80%

Altruism and Primary Healthcare Workers’ Job Satisfaction: Findings from Central Vietnam

Matsushima¹,

Yamada²,

Shimamura³

et al. 2017

JSD

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To achieve the Sustainable Development Goals, particularly to promote healthy living and well-being for all ages, we must ensure a high quality of healthcare services at primary facilities. However, the shortage of healthcare workers in primary facilities is a problem in many countries, including Vietnam. Despite concerns about the low job satisfaction of health workers and value of altruism in this field, no existing research has thus far addressed its effect on job satisfaction. This study thus contributes to the body of knowledge on healthcare workers' job satisfaction by observing the role of altruism.We conducted a quantitative analysis by using data collected from healthcare workers employed at primary facilities in central Vietnam in 2014. The survey administered to healthcare workers (n=241) included a hypothetical dictator game questionnaire to elicit their level of altruism. We then used an ordered probit model to examine the factors associated with healthcare workers' job satisfaction, focusing particularly on altruism by controlling for both individual-level attributes and the condition of their workplaces. We found that a higher level of altruism is associated with lower job satisfaction. Further analysis revealed that more altruistic workers are also likely to have a stricter self-evaluation of healthcare quality, including the availability of drugs. Altruistic healthcare workers may be frustrated when working in environments in which resources are constrained and workers cannot perform to their full ability despite a wish to help others.

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“…Podobne wyniki można odnaleźć w pracy GM. Mbaruku et al [9] -73,9% respondentów, praca EH. Engeda et al [10], w której na 423 przebadanych pielęgniarek 64,5 % jest usatysfakcjonowana swoją pracą oraz badania przeprowadzone przez S. Kaur et al [11] wśród lekarzy rodzinnych, z których wynika, że 74% z nich jest usatysfakcjonowana ze swojej pracy.…”

Section: Omówienieunclassified

Job satisfaction among medical staff with particular reference to the nurses

Kozak-Putowska

Putowski

Piskorz³

et al. 2015

Pielęg XXI w

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STRESZCZENIESATYSFAKCJA PERSONELU MEDYCZNEGO Z WYKONYWANEJ PRACY, ZE SZCZEGÓLNYM UWZGLĘDNIENIEM PIELĘGNIAREK Wprowadzenie. Satysfakcja z pracy zarówno lekarzy jak i pielęgniarek, oraz pozostałego personelu medycznego, prowadzi do lepszej jakości opieki oraz poprawia satysfakcję pacjenta. Istnieje wiele czynników determinujących zadowolenie z pracy. Główne powody niskiej lub braku satysfakcji zawodowej to nieadekwatne do pracy wynagrodzenie, środowisko pracy, relacje z przełożonym, godziny pracy oraz niski prestiż zawodu. Istotne jest stałe monitorowanie satysfakcji zawodowej pracowników oraz podejmowanie działań zmierzających do jej podnoszenia. Cel pracy. Celem pracy jest ocena poziomu satysfakcji zawodowej wśród personelu medycznego. Materiał i metoda. Badanie przeprowadzono wśród personelu medycznego -73 osób losowo wybranych i pracujących w szpitalach państwowych w Lublinie, Warszawie i Tarnobrzegu. Zastosowano metodę sondażu diagnostycznego, jako narzędzie badawcze wykorzystano kwestionariusz ankiety własnego autorstwa. Wyniki. Zdecydowana większość -83,5% personelu medycznego lubi swoją pracę. Osoby, które lubią swoją pracę, 84,9% odczuwają jednocześnie satysfakcję z jej wykonywania. Prawie wszyscy ankietowani nie są zadowoleni z otrzymywanego wynagrodzenia za pracę -94,5%. Warunki pracy w miejscu zatrudnienia badanych są z reguły zadowalające. Zdecydowana większość, bo 89% respondentów zadeklarowało, że praca, którą wykonują, wywołuje u nich zmęczenie. Ponad połowa uważa swoją pracę za niebezpieczną. Badani w 56,1% poleciliby wykonywany zawód przyszłym pokoleniom studentów. Wnioski. Personel medyczny deklaruje, że lubi swoją pracę i odczuwa satysfakcję z jej wykonywania. Zdecydowana większość personelu medycznego nie jest zadowolona z otrzymywanego wynagrodzenia. Istnieje zależność między relacjami z przełożonym a tym czy pracownik lubi swoją pracę. Słowa kluczowe: satysfakcja zawodowa, praca, pielęgniarki, personel medyczny ABSTRACT JOB SATISFACTION AMONG MEDICAL STAFF WITH PARTICULAR REFERENCE TO THE NURSESIntroduction. The higher the doctors' and nurses' work satisfaction rates are, the better the quality of patient care. There are many factors influencing job satisfaction. Low salaries, working environment, relations with superiors, working hours and low prestige, especially of the nursing job is the main causes of dissatisfaction. Measuring the nurses' professional satisfaction and constant improvements in this field are necessary. Aim. The aim of the work was to assess the level of job satisfaction among the medical staff. Material and methods. The research was conducted on a group of health care employees of different hospitals in Lublin, Warszawa and Tarnobrzeg -73 people selected at random. A diagnostic survey using the authors' own questionnaires was applied.Results. The vast majority (83.5%) of the medical staff likes their job. Among those respondents, some 84.9%, take satisfaction from their work. Practically every respondent is dissatisfied with the salaries they receive -94.5%. Working cond...

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What elements of the work environment are most responsible for health worker dissatisfaction in rural primary care clinics in Tanzania?

Cited by 34 publications

References 24 publications

Understanding the Rural–Rural Migration of Health Workers in Two Selected Districts of Tanzania

Understanding the Rural–Rural Migration of Health Workers in Two Selected Districts of Tanzania

Altruism and Primary Healthcare Workers’ Job Satisfaction: Findings from Central Vietnam

Job satisfaction among medical staff with particular reference to the nurses

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