Statistical
report of the Ethiopian Federal Ministry of Health for the years 2006/7 shows
that the number of health professionals in the country is insignificant
compared to the demand of the population. The objective of this study is
assessing the factors which reduce the commitment of the professional health
workers and force them to flee away to other places. For that, a cross-sectional
design with multi-stage stratified sampling technique on a total of 660 health
workers was employed. Following, the reliability of our data collection tools
was assessed and then, principal component analysis with varimax rotation to
identify components of the composite extrinsic factors with higher variance was
also done. After that, factor scores, correlations, and stepwise multiple
linear regressions were calculated. A total of 573 participants with a response
rate of 86.03% were included in the study. A two-factor solutions from the 10
items 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 affective
commitment_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 workers
commitment. This implies that, the higher workers dissatisfaction with
extrinsic factors of work, the lower their affective commitments will be. Therefore, 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 incentive system of health
care organizations by assessing the conditions of those factors in each health
care organization.
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