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

Human Resources for Health

Volumn 12, Issue 1, 2014, Pages

  Mbaruku, Godfrey M ^a   Larson, Elysia ^b   Kimweri, Angela ^a   Kruk, Margaret E ^b  

^a IFAKARA HEALTH INSTITUTE   (Tanzania)

^b Department of Medicine   (United States)

Author keywords

Health systems; Job satisfaction; Rural healthcare; Tanzania

Indexed keywords

ADULT; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH PERSONNEL ATTITUDE; HUMAN; HUMAN RELATION; INFORMATION PROCESSING; JOB SATISFACTION; MALE; MANPOWER; MIDDLE AGED; OUTPATIENT DEPARTMENT; PRIMARY HEALTH CARE; PSYCHOLOGY; QUESTIONNAIRE; RURAL HEALTH CARE; RURAL POPULATION; SALARY AND FRINGE BENEFIT; TANZANIA; WORK;

ADULT; AMBULATORY CARE FACILITIES; ATTITUDE OF HEALTH PERSONNEL; DATA COLLECTION; FEMALE; HEALTH PERSONNEL; HEALTH RESOURCES; HEALTH SERVICES ACCESSIBILITY; HUMANS; INTERPERSONAL RELATIONS; JOB SATISFACTION; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; QUESTIONNAIRES; RURAL HEALTH SERVICES; RURAL POPULATION; SALARIES AND FRINGE BENEFITS; TANZANIA; WORK;

EID: 84905992155     PISSN: None     EISSN: 14784491     Source Type: Journal    
DOI: 10.1186/1478-4491-12-38     Document Type: Article

References (37)

1. Rogo KO, Oucho J, Mwalali P. Maternal mortality. Disease and Mortality in Sub-Saharan Africa 2006, Washington DC: World Bank, Jamison DT, Feachem RG, Makgoba MW, Bos ER, Baingana FK, Hofman KJ, Rogo KO, 2.
2. Ifakara Health Institute Tanzania Service Availability and Readiness Assessment (SARA) 2012 2013, Dar es Salaam: Ifakara Health Institute, Ifakara Health Institute.
3. UNICEF Levels & Trends in Child Mortality: Estimates Developed by the UN Inter-agency Group of Child Mortality Estimation 2012, World Health Organization, The World Bank, United Nations, UNICEF.
4. WHO, UNICEF, UNFPA Trends in Maternal Mortality: 1990 to 2010 2012, Washington, DC: The World Bank, WHO, UNICEF, UNFPA.
5. Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimano G, Stilwell B, de Waal A, Wibulpolprasert S. Human resources for health: overcoming the crisis. Lancet 2004, 364:1984-1990.
6. Tanzania Ministry of Health and Social Welfare Midterm Analytical Review of Performance of the Health Sector Strategic Plan III 2009-2015 2013, Ministry of Health and Social Welfare, United Republic of Tanzania; Ifakara Health Institute; National Institute of Medical Research; World Health Organization, Tanzania Ministry of Health and Social Welfare.
7. World Health Organization The World Health Report 2006: Working Together for Health 2006, Geneva: World Health Organization, World Health Organization.
8. Tanzania Nation Bureau of Statistics Tanzania in Figures 2013, Dar es Salaam: Tanzania National Bureau of Statistics, Tanzania Nation Bureau of Statistics.
9. Gross K, Pfeiffer C, Obrist B. "Workhood" -a useful concept for the analysis of health workers' resources? An evaluation from Tanzania. BMC Health Serv Res 2012, 12:55.
10. Mubyazi GM, Bloch P, Byskov J, Magnussen P, Bygbjerg IC, Hansen KS. Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts. Malar J 2012, 11:48.
11. Rowe AK, De Savigny D, Lanata CF, Victora CG. How can we achieve and maintain high-quality performance of health workers in low-resource settings?. Lancet 2005, 366:1026-1035.
12. Kruk ME, Paczkowski M, Mbaruku G, De Pinho H, Galea S. Women's preferences for place of delivery in rural Tanzania: a population-based discrete choice experiment. Am J Public Health 2009, 99:1666-1672.
13. Campbell OM, Graham WJ, Lancet Maternal Survival Series steering g Strategies for reducing maternal mortality: getting on with what works. Lancet 2006, 368:1284-1299. Lancet Maternal Survival Series steering g.
14. United Republic of Tanzania Ministry of Health Tanzania National Health Policy 2003, http://apps.who.int/medicinedocs/documents/s18419en/s18419en.pdf, United Republic of Tanzania Ministry of Health.
15. Bureau of Statistics Planning Commission of Tanzania OM Tanzania Demographic and Health Survey 1996 1997, Dar es Salaam: National Bureau of Statistics, Tanzania, Bureau of Statistics Planning Commission of Tanzania OM.
16. Lobis S, Mbaruku G, Kamwendo F, McAuliffe E, Austin J, De Pinho H. Expected to deliver: alignment of regulation, training, and actual performance of emergency obstetric care providers in Malawi and Tanzania. Int J Gynaecol Obstet 2011, 115:322-327.
17. Manzi F, Schellenberg JA, Hutton G, Wyss K, Mbuya C, Shirima K, Mshinda H, Tanner M, Schellenberg D. Human resources for health care delivery in Tanzania: a multifaceted problem. Hum Resour Health 2012, 10:3.
18. Hsia RY, Mbembati NA, Macfarlane S, Kruk ME. Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan 2012, 27:234-244.
19. Fogarty L, Kim YM, Juon HS, Tappis H, Noh JW, Zainullah P, Rozario A. Job satisfaction and retention of health-care providers in Afghanistan and Malawi. Hum Resour Health 2014, 12:11.
20. Lehmann U, Dieleman M, Martineau T. Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention. BMC Health Serv Res 2008, 8:19.
21. Blaauw D, Ditlopo P, Maseko F, Chirwa M, Mwisongo A, Bidwell P, Thomas S, Normand C. Comparing the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. Glob Health Action 2013, 6:19287.
22. Hagopian A, Zuyderduin A, Kyobutungi N, Yumkella F. Job satisfaction and morale in the Ugandan health workforce. Health Aff (Millwood) 2009, 28:w863-w875.
23. McAuliffe E, Bowie C, Manafa O, Maseko F, MacLachlan M, Hevey D, Normand C, Chirwa M. Measuring and managing the work environment of the mid-level provider-the neglected human resource. Hum Resour Health 2009, 7:13.
24. Luboga S, Hagopian A, Ndiku J, Bancroft E, McQuide P. Satisfaction, motivation, and intent to stay among Ugandan physicians: a survey from 18 national hospitals. Int J Health Plann Manage 2011, 26:2-17.
25. Aiken LH, Patrician PA. Measuring organizational traits of hospitals: the Revised Nursing Work Index. Nurs Res 2000, 49:146-153.
26. Paxton A, Bailey P, Lobis S, Fry D. Global patterns in availability of emergency obstetric care. Int J Gynaecol Obstet 2006, 93:300-307.
27. Keyes EBP, Shelus V, Pearson L. Measuring facility readiness to deliver emergency obstetric and newborn care (EmONC). Global Maternal Health Conference 2013, Arusha, Tanzania, https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Keyes%20947.pdf.
28. Tanzania Reproductive and Child Health Section The National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn, and Child Deaths in Tanzania, 2008-2015 2008, Dar es Salaam: Reproductive and Child Health Section, Tanzania Reproductive and Child Health Section.
29. Norman GR, Streiner DL. Biostatistics: The Bare Essentials 2008, B.C. Decker: Hamilton, 3.
30. Lu H, Barriball KL, Zhang X, While AE. Job satisfaction among hospital nurses revisited: a systematic review. Int J Nurs Stud 2012, 49:1017-1038.
31. Prytherch H, Kakoko DC, Leshabari MT, Sauerborn R, Marx M. Maternal and newborn healthcare providers in rural Tanzania: in-depth interviews exploring influences on motivation, performance and job satisfaction. Rural Remote Health 2012, 12:2072.
32. Kwansah J, Dzodzomenyo M, Mutumba M, Asabir K, Koomson E, Gyakobo M, Agyei-Baffour P, Kruk ME, Snow RC. Policy talk: incentives for rural service among nurses in Ghana. Health Policy Plan 2012, 27:669-676.
33. Chandler CI, Chonya S, Mtei F, Reyburn H, Whitty CJ. Motivation, money and respect: a mixed-method study of Tanzanian non-physician clinicians. Soc Sci Med 2009, 68:2078-2088.
34. Willis-Shattuck M, Bidwell P, Thomas S, Wyness L, Blaauw D, Ditlopo P. Motivation and retention of health workers in developing countries: a systematic review. BMC Health Serv Res 2008, 8:247.
35. Patouillard EMM, John P, Mashasi I, Mayumana I, Njau I, Ipuge Y, Olafsdottir A, Abdulla S, Borghi J. Evaluation of a Pay for Performance Scheme in Tanzania 2013, http://ihi.eprints.org/849/1/P4P_Evaluation_Poster_Final.pdf.
36. Leshabari MT, Muhondwa EP, Mwangu MA, Mbembati NA. Motivation of health care workers in Tanzania: a case study of Muhimbili National Hospital. East Afr J Public Health 2008, 5:32-37.
37. van der Doef M, Mbazzi FB, Verhoeven C. Job conditions, job satisfaction, somatic complaints and burnout among East African nurses. J Clin Nurs 2012, 21:1763-1775.