Professional Commitment and Its Associated Factors Among Institutional Delivery Services Providers In Public Health Facilities, In Shone District, Southern Ethiopia

M. W. Anshebo, T. Tessema, Y. Gebremariam
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Abstract

Abstract Background: There is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low-income countries including Ethiopia. Objective: To assess the level and factors associated with professional commitment among institutional delivery services providers at public health facilities in Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted at primary level public health facilities in Shone District. All health facilities (one primary hospital and 7 health centers) were included in the study. 503 study participants who fulfilled inclusion criteria in proportion to obstetric care providers in each public health facilities were selected by applying simple random sampling. Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were done to see the association between dependent and explanatory variables. Results: The magnitude of professional commitment for obstetric care providers working in public health facilities of Shone district was 69.4%. In this study, those who worked at hospital, those who had positive attitude toward organizational commitment, and those who had positive attitude toward personal characteristics were 2.4, 2.3 and 1.76 times more likely committed to profession compared with the counterparts respectively. Conclusion: The professional commitment among institutional delivery service provision was medium. All health professional should manage their own personal characteristics to behave in good way to be committed for their profession. Organizational commitment had great influence on professional commitment. Keywords: Health professionals, Commitment, Institutional delivery service, shone district
埃塞俄比亚南部肖尼区公共卫生机构服务提供者的专业承诺及其相关因素
背景:在包括埃塞俄比亚在内的低收入国家的公共卫生机构中,卫生专业人员参加分娩服务的承诺水平缺乏信息。目的:评估埃塞俄比亚南部肖尼区公共卫生设施机构交付服务提供者的专业承诺水平和相关因素。方法:采用基于设施的横断面研究设计,对肖尼区初级公共卫生机构进行调查。所有卫生设施(1所初级医院和7个卫生中心)都被纳入研究。采用简单随机抽样的方法,选择了503名符合每个公共卫生机构产科护理提供者纳入标准的研究参与者。采用李克特自评式问卷。数据分析采用SPSS version 20。进行了双变量和多变量逻辑回归分析,以了解因变量和解释变量之间的关联。结果:肖尼区公共卫生机构产科护理人员的专业承诺率为69.4%。在本研究中,在医院工作的人、对组织承诺持积极态度的人、对个人特征持积极态度的人的职业承诺率分别是同行的2.4倍、2.3倍和1.76倍。结论:机构交付服务提供者的专业承诺处于中等水平。所有卫生专业人员都应该管理好自己的个人特点,以良好的方式为自己的职业做出贡献。组织承诺对专业承诺有显著影响。关键词:卫生专业人员;承诺;机构交付服务
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