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Comparing the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa

机译:比较坦桑尼亚,马拉维和南非不同类别的卫生工作者的工作满意度和离职意向

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Background: Job satisfaction is an important determinant of health worker motivation, retention, and performance, all of which are critical to improving the functioning of health systems in low- and middle-income countries. A number of small-scale surveys have measured the job satisfaction and intention to leave of individual health worker cadres in different settings, but there are few multi-country and multi-cadre comparative studies.Objective: The objective of this study was to compare the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa.Methods: We undertook a cross-sectional survey of a stratified cluster sample of 2,220 health workers, 564 from Tanzania, 939 from Malawi, and 717 from South Africa. Participants completed a self-administered questionnaire, which included demographic information, a 10-item job satisfaction scale, and one question on intention to leave. Multiple regression was used to identify significant predictors of job satisfaction and intention to leave.Results: There were statistically significant differences in job satisfaction and intention to leave between the three countries. Approximately 52.1% of health workers in South Africa were satisfied with their jobs compared to 71% from Malawi and 82.6% from Tanzania (χ2=140.3, p2=83.5, pConclusions: We have shown differences in the levels of job satisfaction and intention to leave between different groups of health workers from Tanzania, Malawi, and South Africa. Our results caution against generalising about the effectiveness of interventions in different contexts and highlight the need for less standardised and more targeted HRH strategies than has been practised to date.
机译:背景:工作满意度是决定卫生工作者的动机,保留和绩效的重要因素,所有这些对于改善中低收入国家的卫生系统的功能至关重要。许多小型调查已测量了不同环境下单个卫生工作者干部的工作满意度和离职意愿,但很少有多国和多干的比较研究。目的:本研究的目的是比较方法:我们对2220名卫生工作者,坦桑尼亚的564名,马拉维的939名和717名的分层分类抽样进行了横断面调查。来自南非。参与者填写了一份自我管理的调查表,其中包括人口统计信息,10个项目的工作满意度量表和一个有关离职意向的问题。结果:在三个国家之间,工作满意度和离职意愿在统计学上有显着差异。南非约52.1%的卫生工作者对其工作感到满意,而马拉维的71%和坦桑尼亚的82.6%(χ2= 140.3,p2 = 83.5,p)结论:我们已经显示出工作满意度和工作满意度的差异。我们的结果警告不要对干预措施在不同情况下的有效性一概而论,并强调需要比迄今实践的标准化程度更低,针对性更强的卫生保健人力资源策略。

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