Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia

Abstract

Background: Institutional structure, also called institutional formation is defined as the components and resources that an institution has to deliver its services and generate external support. Until recently, human resources have been overlooked during the course of health sector reforms. The perception of health worker towards institutional structure and leadership have an enormous impact for the successful implementation of health sector reform thus identifying factors that affect their perception have a significant importance for amending some of the organizational structure and advancing strategies to achieve organizational goals. And identifying factors that affect perception of health workers have eminent roles for mangers in order to improve and create a motivated health care provider. Objective: The objective of this study was to assess and determine factors that affect the perception of healthcare Workers towards the institutional structure and Leadership. Methods: A cross sectional quantitative survey was undertaken on 204 health workers from April 15 – 30, 2012. Self administered structured questionnaires were used to collect data. Data were entered and analyzed using SPSS Version 16. Multiple linear regressions were applied once after the assumptions checked. Result: This study showed that the overall perception of institutional structure and leadership is 37.2% and 31.6% respectively. About 59.3% of the respondents perceived that their Hospital did not give enough emphasis on the quality of service it provides and 69.6% of the health workers perceived that there were inadequate facilities. Educational status and place of work have shown association for the perception of health workers towards institutional structure while position was the only predictor for perception of health workers towards institutional leadership. Conclusion and Recommendation: Seeing the overall perception of health workers towards institutional structure and leadership was very low, promoting health workers based on their performance and strengthening Facilities infrastructure is decisive