The Factors of Adhesion of the Personnel of the Hospital of Beni Mellal to the Hospital Establishment Project (Morocco)

The Hospital Establishment Project (PEH) is subject to many criticisms and most of the objectives are not achieved. The objective of this study is to analyze the factors of adhesion of the personnel to the elaboration and implementation of the Beni Mellal EPH. Methodology: The study is transversal, descriptive, quantitative and qualitative. It was conducted from 21-04-2010 to 30-04-2010. The data was collected using a questionnaire and semi-directive interview guides. The targets were hospital staff, the director, delegates, central level officials and Canadian consultants. Quantitative data were entered and analyzed using Epi Info 2000, and qualitative data were transcribed, synthesized and analyzed on the basis of the content of the speeches. Results: 56% did not understand what the HDP was and few perceived its usefulness. 85% were not prepared for the EPI; only the managers (p < 0.05) were prepared. Only the managers (p < 0.05) were involved in the development and implementation. Information/communication was insufficient. There was a constant mobility of managers from their position of responsibility. The development of the HDP was subject to several constraints (technical, time, financial, and planning). Conclusion: In order to create the conditions for staff to adhere to the next generation of HDPs, there is an urgent need to reduce the instability of those in charge of the structures, to simplify the planning method, to prepare and involve the staff in the HDP, to set up a communication plan, and to train the chief doctors and department heads in strategic planning.