Abstract
The increased intention of healthcare workers to leave the health sector is one of the many negative impacts of job dissatisfaction and poor working conditions among healthcare workers in Nigeria. This study assessed the level of job satisfaction and the intention of leaving the country or medical practice among primary healthcare workers in Lagos, Nigeria. The study was a descriptive cross-sectional among 235 respondents, selected using a multistage sampling method. An adapted self-administered questionnaire from the Minnesota questionnaire short form and the Job Description Index (JDI) was used for data collection. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 22.0. Descriptive statistics were performed while Chi-square was used to determine the association between categorical variables and the level of significance was set at p <0.05.  About half (50.6%) of the healthcare workers were satisfied with their jobs. Highest score 37.00 (32-40) for job satisfaction was found in the domain of management process; while the lowest score 16.00 (13-20) was found in the salary domain. The majority of the healthcare workers 201(85.5%) had the intention of leaving Nigeria for a better opportunity abroad. Healthcare workers were satisfied with the management process but dissatisfied with pay. Targeted interventions to improve the morale of healthcare workers at the primary healthcare level is recommended.
Highlights
Healthcare professionals constitute one of the most important factors in the component of the health system as a human resource for health
Lagos is a megacity with an increasing healthcare and workforce demands, the need for this study which determined the level of job satisfaction, factors affecting job satisfaction and intentions to leave job among healthcare workers in selected primary health facilities in Alimosho Local Government Area (LGA), Lagos, Nigeria
Most 40 (80%) of the respondents who were unsatisfied with their jobs either had the thought of leaving the health sector, or leaving their current organization 44 (84.6%), or leaving Nigeria for abroad 107 (53.2%)
Summary
Healthcare professionals constitute one of the most important factors in the component of the health system as a human resource for health. In sub-Sahara Africa, the constant emigration of trained medical personnel is on the rise as a result of dissatisfaction with either the extrinsic or/and intrinsic factors of the job (Sieleunou, 2011). Other negative results of job dissatisfactions experienced by health workers include exhaustion, frustration, anger, and negative attitudes towards work and patients (Bawakid et al, 2017). Lagos is a megacity with an increasing healthcare and workforce demands, the need for this study which determined the level of job satisfaction, factors affecting job satisfaction and intentions to leave job among healthcare workers in selected primary health facilities in Alimosho Local Government Area (LGA), Lagos, Nigeria
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