Kare Assefa Philipos, Gujo Amelo Bolka, Yote Nigussie Yohanes
Yirgalem Hospital Medical College, Sidama Region, Ethiopia.
Health Serv Res Manag Epidemiol. 2021 Nov 20;8:23333928211051832. doi: 10.1177/23333928211051832. eCollection 2021 Jan-Dec.
Rural health extension workers (HEWs) are essential for the implementation of the promotion and prevention-based health care policy of Ethiopia. Job satisfaction is believed to be one of the key factors that influence their performance. Information regarding job satisfaction and associated factors are limited in the study area. Therefore, this study was aimed at assessing job satisfaction level and associated factors among rural Health Extension Workers of Sidama Region, Southern Ethiopia.
A facility-based cross-sectional study was conducted among 341 rural HEWs from 1 March to 30 April 2021. Data was collected using trained data collectors using pre-tested and self-administered questionnaires. SPSS version-25 was used for data analysis. Bi-variable and multi-variable logistic regressions were used to observe the association between the outcome variable and associated factors. The outputs are presented using an adjusted odds ratio (AOR) with a 95% confidence interval (CI).
This study revealed that 36.6% (95% CI: 31.6%-41.6%) of the rural HEWs were satisfied with their job. Increased odds of satisfaction were observed among rural HEWs who got training opportunities (AOR: 3.74, 95% CI: 2.01, 6.98), education opportunities (AOR: 3.06, 95% CI: 1.56, 7.46), management support (AOR: 4.59, 95% CI: 2.44, 8.67), supervisor support (AOR: 7.40, 95% CI: 3.84, 14.26), and a better salary/payment (AOR: 4.18, 95% CI: 2.19, 7.88) compared to their counterparts.
The job satisfaction level among rural HEWs in the study area was low. Strategies to stimulate and strengthen recognition of management, supportive supervision, performance-based regular salary increment, and career developments are recommended.
农村卫生推广工作者（HEWs）对于埃塞俄比亚促进和预防为主的医疗保健政策的实施至关重要。工作满意度被认为是影响其工作表现的关键因素之一。在研究区域，关于工作满意度及相关因素的信息有限。因此，本研究旨在评估埃塞俄比亚南部锡达马地区农村卫生推广工作者的工作满意度水平及相关因素。
2021年3月1日至4月30日，对341名农村卫生推广工作者开展了一项基于机构的横断面研究。数据由经过培训的数据收集员使用预先测试的自填式问卷进行收集。使用SPSS 25版进行数据分析。采用双变量和多变量逻辑回归来观察结果变量与相关因素之间的关联。结果以调整后的比值比（AOR）和95%置信区间（CI）呈现。
本研究显示，36.6%（95%CI：31.6%-41.6%）的农村卫生推广工作者对其工作感到满意。与同行相比，获得培训机会（AOR：3.74，95%CI：2.01，6.98）、教育机会（AOR：3.06，95%CI：1.56，7.46）、管理支持（AOR：4.59，95%CI：2.44，8.67）、上级支持（AOR：7.40，95%CI：3.84，14.26）以及更好薪资/报酬（AOR：4.18，95%CI：2.19，7.88）的农村卫生推广工作者的满意度几率增加。
研究区域农村卫生推广工作者的工作满意度水平较低。建议采取策略来激发和加强管理认可、支持性监督、基于绩效的定期薪资增长以及职业发展。
