Work Factors and Commitment of Public Health Care Providers, in Oromiya Region, Ethiopia/2010: The Case of Equity and Extrinsic Factors

摘要

Statisticalreport of the Ethiopian Federal Ministry of Health for the years 2006/7 showsthat the number of health professionals in the country is insignificantcompared to the demand of the population. The objective of this study isassessing the factors which reduce the commitment of the professional healthworkers and force them to flee away to other places. For that, a cross-sectionaldesign with multi-stage stratified sampling technique on a total of 660 healthworkers was employed. Following, the reliability of our data collection toolswas assessed and then, principal component analysis with varimax rotation toidentify components of the composite extrinsic factors with higher variance wasalso done. After that, factor scores, correlations, and stepwise multiplelinear regressions were calculated. A total of 573 participants with a responserate of 86.03% were included in the study. A two-factor solutions from the 10items with Eigen values = 6.8 and 1.2 was extracted for extrinsic factors,which were called as extrinsic factor_1 & _2, and one factor of affectivecommitment_1 from 6 was also extracted. Lastly, extrinsic factors of work_1 &_2 (B = 0.202, 95% CI 0.152, 0.253, p < 0.0001 and B = 0.231, 95% CI 0.169,0.292, p < 0.0001) respectively are considered as predictors of workerscommitment. This implies that, the higher workers dissatisfaction withextrinsic factors of work, the lower their affective commitments will be. Therefore, policy makers in the ministry of healthshould revise their policy to bring some improvement on the extrinsic factorsof work such as, salary, fringe benefits, and the incentive system of healthcare organizations by assessing the conditions of those factors in each healthcare organization.