The effect of work factors on affective commitment Of governement health care providers in eastern Shoa and adama special zone, oromia region

Abstract

Introduction:- Now a days, there is a shortage of four million health workers globally. The situation is especially acute in Africa, which bears 24% of the world’s burden of disease yet has only 3% of the global health workforce. Ethiopia is one of 57 countries in the world with a critical shortage of health workers. . Objective:- To assess the effects of work factors on affective commitment of government health care providers in eastern shoa and Adama special zone, Oromia region ,2010 . Methods;- A facility based cross-sectional study with a multi stage stratified SRS technique was employed . Self administered structured questionnaire and interview guide were used to collect data & SPSS was a statistical soft ware to analyze the data. Principal component analysis was with Varimax rotation were used. Subsequently, factor score was calculated and correlations, and a stepwise multiple linear regression analysis was performed. Results: There was a strong positive correlation between affective commitment_1 and intrinsic factors of work_1 (r=0.60, p<0.01), extrinsic factors factor of work _1 (r=.61, p<0.01) Being working in hospital decrease their affective commitment by B= -1.165, p<0.000 as compared to those working in health post. Similarly, those health workers who were general practionners (B= 0.305, p<0.000), health extension (B= 0.437, p<0.000) and other type of health professionals (B=0.697, p<0.002) were committed as compared to all type of nurses. As there are a decrease in workers dissatisfaction level with extrinsic factors of work_1, extrinsic factors of work_2, leads to an increase in health workers commitment level by ( B= .202, p<0.000,) and (B= .231, p<0.000 ) respectively. Conclusions: Except age marital status, educational level, service year and monthly income of health works that had a negative effect on health workers affective commitment_1 the rest factors do have a positive effect on workers commitments. Moreover, being working in hospital, being general practionners, health extension and other type of health profusions, earning a monthly income of 885-1636 birr, intrinsic factors of work_1, extrinsic factors of work_1 & extrinsic factors of work_ become strong predictors of health workers affective commitment_1. Recommendations: Policy makers in the ministry of health should revise their policy to bring some improvement on the extrinsic factors of work, such as, salary, fringe benefits, and the incentives system, of health care organizations