Level and Factors Associated with Professional Commitment of Health Professionals Providing Institutional Delivery Services in Public Health Facilities, Southwest Ethiopia

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Yibeltal Siraneh
Shimeles Ololo
Gebeyehu Tsega
Kiddus Yitbarek
Ayinengida Adamu
Belay Erchafo
Meaza Hailu
Mirkuzie Woldie

Abstract

BACKGROUND: Professional commitment is beyond acommitment for a particular organization and implies theindividuals’ perspective towards their profession and themotivation that they have to stay in their job with willingness tostrive and uphold the values and goals of the profession. InEthiopia, uptake of institutional delivery services is low. However,the level and factors associated with professional commitment isnot known so far. Hence, our objective is to assess the level andfactors associated with commitment of health professionalsproviding institutional delivery services in public health facilities ofJimma Zone, Southwest Ethiopia.METHODS: A facility-based cross-sectional study design wasconducted from March 01-20, 2016. A total of 442 eligible healthprofessionals were included from randomly selected 7 districts and47 respective health facilities. Health professionals were requestedto fill self-administered questionnaire. After checking itscompleteness, the data was entered into EPI data version 3.1 andexported to SPSS version 20 for statistical analysis. Factor analysiswas conducted. Simple and multiple linear regression were doneusing 95%CI and significance was declared at P<0.05. Allassumptions of linear regression and principal component analysiswere checked.RESULTS: The percentage mean score of professionalcommitment was 72.71% (SD21.88). The percentage mean scorefor perceived maternal health goal scale was 68.37% with the totalvariance explained being 69.68%. Perceived staff interaction,work-life balance, affective organizational commitment, normativeorganizational commitment, personal characteristics and perceivedmaternal health goal were independent predictors of professionalcommitment.CONCLUSION: The percentages mean score of professionalcommitment was medium. Hence, Health professionals shouldfoster their level of professional commitment to increase uptake ofinstitutional delivery services.

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Section
Original Article
Author Biographies

Yibeltal Siraneh, Instituteofhealth,Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of public health,

Shimeles Ololo, Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of public health, Institute of health

Gebeyehu Tsega, Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of
public health, Institute of health,

Kiddus Yitbarek, Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of
public health, Institute of health,

Ayinengida Adamu, Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of
public health, Institute of health,

Belay Erchafo, Wachemo University,Ethiopia

Department of Public Health,
college of Medicine and Health Sciences

Meaza Hailu, Primary HealthcareQuality Assurance Expert,Ethiopia

Oromia National Regional State,
Health Bureau

Mirkuzie Woldie, Institute of health,Jimma University, Ethiopia

Department of Health Economics,
Management, and Policy, Faculty of public health