Job Satisfaction and Change Readiness of Public Health Workers in Context of Federal Health System of Nepal at Local Level: A Cross-Sectional Study in Banke District
22 Pages Posted: 10 Jun 2020More...
The restructuring and organizational change is crucial for the positive long term outcomes and development of the country in one hand and another hand restructuring as well as change of overall system may engenders stiffness and impact on physical and mental stress of employees. The administrative reorganization of the government of Nepal decentralizes the authority aiming to establish the access in quality services in every aspect throughout the country. The new organizational structure vested the health system of the country unified the health system consisting of a federal system, state health system and local health system. Very nominal studies conducted relating to the job satisfaction of health worker in Nepal and regarding the job satisfaction and change readiness with respect to federal health system, still the dearth of study in Nepal.
The study is focused to identify the job satisfaction of public health workers at local level and their change readiness according to the federal health system and their association. Study was health facility based mixed method descriptive cross-sectional survey conducted at local level. The outcome variables of this study were level of job satisfaction as well as change readiness of public health workers. Job satisfaction was assessed by multi-dimensional job satisfaction scale. All 235 respondents were included in cross sectional study and found that the male and female number was almost similar. Majority of the respondents were dissatisfied (76.2%) according to their working organization, job level, sex, educational level and work experience whereas almost half are non-ready and next half are ready to change (50.2%) as per the federalism. Moderate relationship exist between job satisfaction and change readiness for the Spearman’s correlation i.e. 0.407, P=0.01. The statistics, 0.324 for Kendall tau_b revealed that a weak relationship but significant relationship exist between job satisfaction and change readiness. Change readiness and job satisfaction has been positively related at 1% level of significance. The β value is significant i.e. 0.594 with adjusted R2 i.e. 0.350. The organizational change or restructuring as internal and structural adaptation runs the risk of ignoring employee’s needs and constitutes a serious mistake. Health agenda needs to take in priority by elected bodies. There is the necessity of the strong coordination and communication among bureaucrats and non-bureaucrats. The resource mobilization and management needs to manage properly and timely as well as needs to sanctioned the qualified and higher level of staffs in the local level coordination unit (Rural municipality/municipality).
Funding Statement: No financial support for the research, authorship, and/or publication of this article.
Declaration of Interests: None.
Ethics Approval Statement: This study was approved by the ethics committee at Nepal Health Research Council (NHRC).
Keywords: Job satisfaction, Change readiness, Public Health Workers, Federal structure, Federalism in health system, Local Level
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