Ezinne Ezinna ENWEREJI, Reginald Ahuizi EKE, Kelechi Okechukwu ENWEREJI

Sağlık çalışanları ve devamlılıkları: Nijerya'nın Abia, Ebonyi ve Oyo Eyaletlerindeki Lepra Bölgelerinde sağlık çalışmalarının durumu

GİRİŞ: Eğitimli, nitelikli ve motive sağlık çalışanlarının bulunması Dünya Sağlık Örgütünün (DSÖ); cüzzam yükünün azaltılması, cüzzam kontrol faaliyetlerinin sürdürülmesi ve sağlık sisteminin güçlendirilmesi amacıyla yürüttüğü küresel stratejiyi başarmak için önemli bir bileşendir. Bu çalışmada, sağlık bakım hizmetleri veren sağlık çalışanlarının karşılaştıkları engelleri aydınlatmak amaçlanmıştır. YÖNTEM: Araştırmaya 31 sağlık çalışanı katılmıştır. Veriler, yarı-yapılandırılmış bir odak grup tartışması ve derinlemesine görüşmeler kullanılarak toplanmıştır. Ayrıca, durum analizleri ve yerleşimlerdeki aktivitelere dair gayri resmi gözlemler yapılmış, sağlık çalışanlarının iş memnuniyetini değerlendirmek için Nottingham yaşam memnuniyeti indeksi kullanılmıştır. Kalitatif ve kantitatif veriler analiz edildi. BULGULAR: Araştırmanın gerçekleştiği yerleşimlerde kalifiye sağlık personeli sıkıntısı bulunmaktadır. İki faktör; kişisel faktörler ve kurumsal faktörler, sağlık çalışanlarını olumsuz etkileyen diğer faktörleri domine etmektedir. İşçiler deneyim kazanıncaya ve bir üst seviyedeki çalışma bölgelerine geçinceye kadar geçen sürede aynı bölgede kalmaktadır. Abia Eyaletinde 10 (%76,9) ve Ebonyi Eyaletinde 8 (%72,7) sağlık çalışanı 6-9 yıl aynı bölgede kalırken, Oyo Eyaletinde 4 (%57,1) sağlık çalışanı 3-7 yıl aynı bölgede kalmıştır. SONUÇ: Sağlık çalışanlarının aynı bölgede kalmaları artan ödenekler ve maaş gibi daha iyi şartlarda hizmet ile ilişkilidir.

Health workers and their retention: The situation of health care work in Leprosy Settlements in Abia, Ebonyi and Oyo States of Nigeria

AIM: Retention of trained, qualified and motivated health workers is a key component for health system strengthening and achieving WHO global strategy for reducing leprosy burden and sustaining leprosy control activities. Study aimed to elucidate barriers health workers in settlements have in rendering health care services. METHOD: A total of 31 health workers were studied. Data were collected using semi-structured focus group discussion and in-depth interview. Further, situational analyses and informal observation of activities in settlements were done. Also Nottinghams life satisfaction index was used to assess job satisfaction of health workers. Data were analyzed qualitatively and quantitatively. RESULTS: There was acute shortage of highly qualified health staff in the settlements.Two factors, personal factors and institutional factors dominated the factors that negatively affected staff retention of health workers. Workers remained in one post for prolonged periods of time before earning promotion. In all, 10 (76.9%)of health workers in Abia and 8(72.7%) in Ebonyi States stayed 6-9 years respectively on one post before earning promotion while 4(57.1%) from Oyo stayed 3-7 years. CONCLUSION: Retention of health workers in settlements is associated with better conditions of service like increased allowances and salaries.

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