Abstract
There is a general conviction that organizational commitment has a positive and significant impact upon business performance and reform process of health systems. However, to the best of the investigators knowledge, there are no studies examining organizational commitment in the health care setting of Ethiopia. Hence the objective of this study is to assess the level of organizational commitment and associated factors among health professionals in government health facilities of Gurage zone, south Ethiopia. A facility based cross sectional study was conducted in 30 health centers and one general hospital from March, 20/2014 to April, 12/2014 in Gurage zone, south Ethiopia. A total of 424 health professionals were included in this study. A self-administered questionnaire asking about socio-demographic and economic characteristics of the participants, organizational commitment, job satisfaction and perceived organizational support was used. Factor analysis was conducted to identify the measurement scales and factor scores were used in both binary and multiple linear regressions. The percentage mean score of organizational commitment for health professionals working in government health facilities of Gurage zone was 64.81%. This study found that perceived leadership style and training opportunity, perceived value and care for employee and perceived remuneration were predictors of organizational commitment. Moreover, perceived staff interaction and perceived resource availability and work setting were factors affecting organizational commitment in this study. The percentage mean score of organizational commitment for health professionals working in government health facilities of Gurage zone was comparable to those reported from other developing countries. Hence, health managers and policy makers has to work on designing human resources management system with arrangements for training opportunities, reasonable reward and recognition system and appropriate leadership approaches to promote commitment among health professionals.
Highlights
In addition to high competition health facilities confront for scarce resources, they are severely challenged by the internal and external environments [1]
Level of organizational commitment among health workers of government health facilities in Gurage zone was higher than those reported in several studies conducted elsewhere in the world
It was showed that job satisfaction is an important predictor of organizational commitment score
Summary
In addition to high competition health facilities confront for scarce resources, they are severely challenged by the internal and external environments [1]. In this model background variables such as age, gender, marital status, qualification, work experience, profession, type of working facility, type of post, area of residence and net monthly salary were entered. This model explained only 3.6% variability in organizational commitment among the participants (adjusted R square=0.036, p=0.152). On the other hand, perceived value and care for employee score was a significant predictor of organizational commitment score (p
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