Levels of the health system workforce’s competence and predictors to lead, manage, and govern in northwest Ethiopia

Q3 Medicine

Ethiopian Medical Journal Pub Date : 2020-02-20 DOI:10.21203/rs.2.10541/v4

Yeshambel Agumas Ambelie, G. Alene, D. Gebrekiros

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Abstract

Aim: The purpose of this study was to determine the levels of competence and predictors to lead, manage, and govern among the health system workforce. Methods: A cross-sectional study was carried out in northwest Ethiopia. Eight hundred thirteen workforce were participated in the study. Competence to lead, manage, and govern was computed from 20 items. It was also leveled into four categories. Ordinal logistic regression analysis was conducted to identify predictors of this competence. Results: From 813 participants, 396 (48.7%) and 582 (71.6%) were females and service owners respectively. The estimates for low, moderate, high and very high levels of competence to lead, manage and govern were 41.3%; 42.7%; 13.5% and 2.5% respectively. Sex (p = .031) and responsibility (p = .019) were identified as main predictors. Conclusions: Competence to lead, manage and govern among the health system workforce in northwest Ethiopia is inadequate. Policymakers, program planners and researchers need to take action giving due attention to females and service owners. Feature research could be conducted considering hierarchical variables.

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埃塞俄比亚西北部卫生系统工作人员领导、管理和治理的能力水平和预测因素

目的:本研究的目的是确定领导、管理和治理卫生系统工作人员的能力水平和预测因素。方法:在埃塞俄比亚西北部进行横断面研究。813名员工参与了这项研究。领导、管理和治理的能力从20个项目中计算出来。它也被分为四类。序贯逻辑回归分析，以确定此能力的预测因子。结果:在813名参与者中，分别有396名(48.7%)和582名(71.6%)是女性和服务所有者。对领导、管理和治理能力的低、中、高和非常高水平的估计为41.3%;42.7%;分别为13.5%和2.5%。性别(p = 0.031)和责任(p = 0.019)是主要预测因素。结论:埃塞俄比亚西北部卫生系统工作人员的领导、管理和治理能力不足。政策制定者、项目规划者和研究人员需要采取行动，对女性和服务所有者给予应有的关注。特征研究可以考虑层次变量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethiopian Medical Journal Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.