Abstract
Background: Attrition of health professionals from public health sectors is found to be a barrier to effectiveness of health systems and to provide essential health service to population. In Ethiopia, the public health system is the major provider of health care service to the people. In particular, the poor segment of community uses public hospital, health centers and clinic, since the private health facilities are inaccessible and unaffordable to them. The aim of this study was to determine the magnitude and factors associated with health professionals’ attrition from public health sectors in Bahir Dar city. Methods: A Facility based cross-sectional study was conducted in September-October 2012. All inclusive sampling techniques of five years document reviews were used to select 727 health professional documents. Quantitative and qualitative data were collected using structured questionnaires and indepth-interview guides respectively, by trained data collectors. Descriptive statistics (frequencies, proportion and chi square test) were used to describe the study population in relation to relevant variables. To identify independent predictors of attrition, only variables that were statistically significant during bivariate analysis were entered into multiple logistic regression models to control the effects of confounders. Pvalues sex, marital status, educational status, workplace, current salary, professional category and work experience were the main factors associated with health professionals’ attrition from public health sectors. Conclusion: The findings showed that the level of health professionals’ attrition is high in the study area. Policy makers and health mangers should design appropriate retention strategies for health professionals at public health sectors in terms of most associated factors with attritions of health professionals to reduce the prevalence of health professionals’ attrition from public health sectors in collaboration with development partners and concerned body.
Highlights
Attrition of health professionals from public health sectors is found to be a barrier to effectiveness of health systems and to provide essential health service to population
The shortage is most severe in Sub Saharan African countries; these countries will meet few of the health (MDGs) by 2015 [1]
We reported the results as adjusted odds ratio (AOR) and 95% confidence intervals
Summary
Attrition of health professionals from public health sectors is found to be a barrier to effectiveness of health systems and to provide essential health service to population. The aim of this study was to determine the magnitude and factors associated with health professionals’ attrition from public health sectors in Bahir Dar city. Result: The attrition rates of health professionals from public health sectors in Bahir. The global shortage of human resources for health (HRH) limits access to effective health services for many, the poor and the most vulnerable, and hinders progress towards health and development goals. Out of 57 countries experiencing critical shortage of human resource for health in the world 36 are located in Africa. Sub Saharan Africa (SSA) has the least ratio of health workers to population in the world. Bench mark with regards to what should be an adequate
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