Skip to main content
Top
Published in: Human Resources for Health 1/2022

Open Access 01-12-2022 | Research

Work-related factors affecting the retention of medical officers in the preventive health sector in Sri Lanka

Authors: Mahendra Arnold, Dinusha Fernando, Kapila Wickramanayake, Palitha Karunapema, Sepali Wickramatilake, Yamuna Fernando, Chandani Denawaka, Pasyodun Koralage Buddhika Mahesh, Sujeewa Pandithrathna

Published in: Human Resources for Health | Issue 1/2022

Login to get access

Abstract

Background

Retention of human resources in the healthcare system, particularly doctors at district level is a great challenge faced by the decentralized health systems in poorly resourced countries. Medical Officers of Health (MOH), medical doctors who provide preventive health services, are a particularly important human resource in the preventive health sector in Sri Lanka. This study explores the relative importance of different factors affecting the retention of MOHs in the preventive health sector of Sri Lanka.

Methods

A descriptive cross-sectional study was carried out among Medical Officers of Health in the Colombo district with 18 MOH Offices with 74 medical officers. A pre-tested self-administered questionnaire was used as the study instrument. Data were analyzed using descriptive statistics, correlation and regression analyses.

Results

Of the 74 medical officers 64 responded with a response rate of response rate of 86.5%. Regression analysis showed that all four variables; recognition, work schedule, remuneration and responsibility are positively and significantly correlated with retention of Medical Officers of Health in the preventive health sector. The variable ‘work schedule’ showed the highest impact on the retention of Medical Officers of Health.

Conclusions

In order to retain trained Medical Officers of Health in the Sri Lankan preventive health sector, health authorities should address the factors identified in this study. If policymakers fail to address these factors, preventive health services will face negative implications due to the shortage of key service providers.
Appendix
Available only for authorised users
Literature
3.
go back to reference Fernando DN. Healthcare system in transition, An overview of Sri Lanka’s healthcare system. J Public Health Med. 1997;22(1):14–20.CrossRef Fernando DN. Healthcare system in transition, An overview of Sri Lanka’s healthcare system. J Public Health Med. 1997;22(1):14–20.CrossRef
7.
go back to reference Huang IC, Lin HV, Chuang CH. Constructing factors related to worker retention. Int J Manpow. 2006;27(5):491–508.CrossRef Huang IC, Lin HV, Chuang CH. Constructing factors related to worker retention. Int J Manpow. 2006;27(5):491–508.CrossRef
9.
go back to reference Singha C, Singha R. Factors affecting employee retention: a comparative analysis of two organizations from heavy engineering industry. Eur J Bus Manag. 2012;4(3):145–62. Singha C, Singha R. Factors affecting employee retention: a comparative analysis of two organizations from heavy engineering industry. Eur J Bus Manag. 2012;4(3):145–62.
11.
go back to reference Chaulagain N, Khadka DK. Factors influencing job satisfaction among healthcare professionals at Tilganga Eye Centre, Kathmandu, Nepal. Int J Sci Technol Res. 2012;1(11):32–6. Chaulagain N, Khadka DK. Factors influencing job satisfaction among healthcare professionals at Tilganga Eye Centre, Kathmandu, Nepal. Int J Sci Technol Res. 2012;1(11):32–6.
12.
go back to reference Danish QD, Usman A. Impact of reward and recognition on job satisfaction and motivation: an empirical study from Pakistan. Int J Bus Manag. 2010;5(2):159–67.CrossRef Danish QD, Usman A. Impact of reward and recognition on job satisfaction and motivation: an empirical study from Pakistan. Int J Bus Manag. 2010;5(2):159–67.CrossRef
13.
go back to reference Barton GM. Recognition at work. Scottsdale: World at Work; 2002. p. 51–5. Barton GM. Recognition at work. Scottsdale: World at Work; 2002. p. 51–5.
14.
go back to reference Romano L. Beyond reward: why cash is no longer enough. Rewards. 2003;3(1):12–3. Romano L. Beyond reward: why cash is no longer enough. Rewards. 2003;3(1):12–3.
15.
go back to reference Nel PS, Gerber PD, Van Dyk PS, Haasbroek GD, Schultz HB, Sono T, Werner A. Human resources management. Cape Town: Oxford University Press; 2001. Nel PS, Gerber PD, Van Dyk PS, Haasbroek GD, Schultz HB, Sono T, Werner A. Human resources management. Cape Town: Oxford University Press; 2001.
16.
go back to reference Robbins SP, Judge TA. Organisational behavior. 15th ed. USA: Pearson; 2012. Robbins SP, Judge TA. Organisational behavior. 15th ed. USA: Pearson; 2012.
22.
go back to reference Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill; 1978. Nunnally JC. Psychometric theory. 2nd ed. New York: McGraw-Hill; 1978.
Metadata
Title
Work-related factors affecting the retention of medical officers in the preventive health sector in Sri Lanka
Authors
Mahendra Arnold
Dinusha Fernando
Kapila Wickramanayake
Palitha Karunapema
Sepali Wickramatilake
Yamuna Fernando
Chandani Denawaka
Pasyodun Koralage Buddhika Mahesh
Sujeewa Pandithrathna
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2022
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-022-00753-w

Other articles of this Issue 1/2022

Human Resources for Health 1/2022 Go to the issue