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Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia

Received: 3 July 2015     Accepted: 22 July 2015     Published: 19 August 2015
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Abstract

Background: Institutional structure, also called institutional formation is defined as the components and resources that an institution has to deliver its services and generate external support. Until recently, human resources have been overlooked during the course of health sector reforms. The perception of health worker towards institutional structure and leadership have an enormous impact for the successful implementation of health sector reform thus identifying factors that affect their perception have a significant importance for amending some of the organizational structure and advancing strategies to achieve organizational goals. And identifying factors that affect perception of health workers have eminent roles for mangers in order to improve and create a motivated health care provider. Objective: The objective of this study was to assess and determine factors that affect the perception of healthcare Workers towards the institutional structure and Leadership. Methods: A cross sectional quantitative survey was undertaken on 204 health workers from April 15 – 30, 2012. Self administered structured questionnaires were used to collect data. Data were entered and analyzed using SPSS Version 16. Multiple linear regressions were applied once after the assumptions checked. Result: This study showed that the overall perception of institutional structure and leadership is 37.2% and 31.6% respectively. About 59.3% of the respondents perceived that their Hospital did not give enough emphasis on the quality of service it provides and 69.6% of the health workers perceived that there were inadequate facilities. Educational status and place of work have shown association for the perception of health workers towards institutional structure while position was the only predictor for perception of health workers towards institutional leadership. Conclusion and Recommendation: Seeing the overall perception of health workers towards institutional structure and leadership was very low, promoting health workers based on their performance and strengthening Facilities infrastructure is decisive

Published in Science Journal of Public Health (Volume 3, Issue 5)
DOI 10.11648/j.sjph.20150305.31
Page(s) 744-751
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Perception of Healthcare Worker, Leadership, Institutional Structure

References
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[4] Woodward C: Strategies For Assisting Health Workers To Modify And Improve Skills: Developing Quality Health Care – A Process of Change. In Issues In Health Service Delivery Geneva: World Health Organization; 2000.
[5] Friederike Paul. Health Worker Motivation And The Role Of Performance Based Finance Systems In Africa: Working Paper Series 2009, No.08-96: 1.
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[7] Kari Hartwig, Et Al.: Hospital Management In The Context Of Health Sector Reform: A Planning Model In Ethiopia, International Journal Of Health Planning And Management, 2008; 23: 203.
[8] Joint Learning Initiative (JLI): Human Resources For Health: Overcoming the Crisis Cambridge, MA: Harvard University Press; 2004.
[9] Agyepong, I.A., Anafi, P., Asiamah, E., Ansah, E.K., Ashon, D.A., Narh-Dometey, C.: Health Worker (Internal Customer) Satisfaction and Motivation in the Public Sector in Ghana; International Journal Of Health Planning And Management, 2004, 19(4): 319-36.
[10] Anuar , Zahedi F., Kadir A, Mokhtar Ab.: Occupational Safety And Health Risk Perception Among Medical Laboratory Workers In Klang Valley: Journal Of Community Health 2009: Vol 15 Number 2.
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[13] Mcintyre, R. M., Bartle, S., Landis, D. & M. Dansby: The Effects of Equal Opportunity, Fairness Attitudes on Job Satisfaction, Organizational Commitment, and Perceived Work Group Efficacy.” Military Psychologym 2002 14: 299.
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[16] Sakyi, E.K. (2008). A retrospective content analysis of studies on factors constraining the implementation of health sector reform in Ghana. International Journal of Health Planning and Management, 23(3), 259-285.
Cite This Article
  • APA Style

    Ayalew Aklilu, Shimels Hussien, Kumlachew Abate, Yonas Girma, Shimeles Ololo. (2015). Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia. Science Journal of Public Health, 3(5), 744-751. https://doi.org/10.11648/j.sjph.20150305.31

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    ACS Style

    Ayalew Aklilu; Shimels Hussien; Kumlachew Abate; Yonas Girma; Shimeles Ololo. Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia. Sci. J. Public Health 2015, 3(5), 744-751. doi: 10.11648/j.sjph.20150305.31

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    AMA Style

    Ayalew Aklilu, Shimels Hussien, Kumlachew Abate, Yonas Girma, Shimeles Ololo. Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia. Sci J Public Health. 2015;3(5):744-751. doi: 10.11648/j.sjph.20150305.31

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  • @article{10.11648/j.sjph.20150305.31,
      author = {Ayalew Aklilu and Shimels Hussien and Kumlachew Abate and Yonas Girma and Shimeles Ololo},
      title = {Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {5},
      pages = {744-751},
      doi = {10.11648/j.sjph.20150305.31},
      url = {https://doi.org/10.11648/j.sjph.20150305.31},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150305.31},
      abstract = {Background: Institutional structure, also called institutional formation is defined as the components and resources that an institution has to deliver its services and generate external support. Until recently, human resources have been overlooked during the course of health sector reforms. The perception of health worker towards institutional structure and leadership have an enormous impact for the successful implementation of health sector reform thus identifying factors that affect their perception have a significant importance for amending some of the organizational structure and advancing strategies to achieve organizational goals. And identifying factors that affect perception of health workers have eminent roles for mangers in order to improve and create a motivated health care provider. Objective: The objective of this study was to assess and determine factors that affect the perception of healthcare Workers towards the institutional structure and Leadership. Methods: A cross sectional quantitative survey was undertaken on 204 health workers from April 15 – 30, 2012. Self administered structured questionnaires were used to collect data. Data were entered and analyzed using SPSS Version 16. Multiple linear regressions were applied once after the assumptions checked. Result: This study showed that the overall perception of institutional structure and leadership is 37.2% and 31.6% respectively. About 59.3% of the respondents perceived that their Hospital did not give enough emphasis on the quality of service it provides and 69.6% of the health workers perceived that there were inadequate facilities. Educational status and place of work have shown association for the perception of health workers towards institutional structure while position was the only predictor for perception of health workers towards institutional leadership. Conclusion and Recommendation: Seeing the overall perception of health workers towards institutional structure and leadership was very low, promoting health workers based on their performance and strengthening Facilities infrastructure is decisive},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Healthcare Workers' Perceptions Towards Hospital Leadership and Institutional Structure in Chiro and Gelemso Hospitals, West Hararghe Zone, East Ethiopia
    AU  - Ayalew Aklilu
    AU  - Shimels Hussien
    AU  - Kumlachew Abate
    AU  - Yonas Girma
    AU  - Shimeles Ololo
    Y1  - 2015/08/19
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20150305.31
    DO  - 10.11648/j.sjph.20150305.31
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 744
    EP  - 751
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150305.31
    AB  - Background: Institutional structure, also called institutional formation is defined as the components and resources that an institution has to deliver its services and generate external support. Until recently, human resources have been overlooked during the course of health sector reforms. The perception of health worker towards institutional structure and leadership have an enormous impact for the successful implementation of health sector reform thus identifying factors that affect their perception have a significant importance for amending some of the organizational structure and advancing strategies to achieve organizational goals. And identifying factors that affect perception of health workers have eminent roles for mangers in order to improve and create a motivated health care provider. Objective: The objective of this study was to assess and determine factors that affect the perception of healthcare Workers towards the institutional structure and Leadership. Methods: A cross sectional quantitative survey was undertaken on 204 health workers from April 15 – 30, 2012. Self administered structured questionnaires were used to collect data. Data were entered and analyzed using SPSS Version 16. Multiple linear regressions were applied once after the assumptions checked. Result: This study showed that the overall perception of institutional structure and leadership is 37.2% and 31.6% respectively. About 59.3% of the respondents perceived that their Hospital did not give enough emphasis on the quality of service it provides and 69.6% of the health workers perceived that there were inadequate facilities. Educational status and place of work have shown association for the perception of health workers towards institutional structure while position was the only predictor for perception of health workers towards institutional leadership. Conclusion and Recommendation: Seeing the overall perception of health workers towards institutional structure and leadership was very low, promoting health workers based on their performance and strengthening Facilities infrastructure is decisive
    VL  - 3
    IS  - 5
    ER  - 

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Author Information
  • Tulane International, PCP/HMIS Unit, Addis Ababa, Ethiopia

  • World Health Organizations, Addis Ababa, Ethiopia

  • United Nations High Commission for Refugees, Juba, South Sudan

  • Center of International Reproductive Health Training (CIRHT), Bahir Dar University, Bahir Dar, Ethiopia

  • Jimma University, College of Public Health and Medical Sciences, Jimma, Ethiopia

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