ArticleJournal of multidisciplinary healthcare2021
Turnover Intention and Its Associated Factors Among Health Extension Workers in Illubabora Zone, South West Ethiopia.
Article in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Turnover intention among healthcare workers in Ethiopia: a systematic review and meta-analysis.BMJ open · 2023Pooled it
- Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review.PloS one · 2023Pooled it
- Linking factors affecting older adults' ability to live at home to increased workload perceptions among staff at general community support centers.Journal of rural medicine : JRM · 2026Article
- Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia.Health SA = SA Gesondheid · 2026Article
- Insights to optimizing health extension workers' time use and efficiency in Ethiopia: a qualitative study.Global health action · 2025Article
- Social and Cultural Barriers and Facilitators Affecting Mothers' Dietary Practices in Eastern Ethiopia: A Qualitative Study.Current developments in nutrition · 2025Article
- Management challenges of supplementary feeding programs for severe acute malnutrition among children under five years: a qualitative study in Ethiopia.Discover social science and health · 2025Article
- Challenges and experience of the Ethiopian rural health extension program: implications for reform and revitalization.BMC health services research · 2023Article
- Level of job satisfaction and associated factors among rural health extension workers in Hadiya Zone, Southern Ethiopia.BMC health services research · 2023Article
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4 authors.
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Abstract
backgroundThe efficiency and quality of a health service can be compromised by turnover intention. Employees who intend to leave their job may identify themselves in the form of withdrawal, being predisposed to lateness, absenteeism, and declining participation. This study aimed to determine the level of turnover intention and to identify factors associated with turnover intention among health extension workers in the Illubabora zone.
methodsA facility-based cross-sectional study with quantitative and qualitative methods of data collection was conducted on 125 randomly selected health posts. All health extension workers in the sampled health posts (n = 245) and 6 key informants were included from February 21 to April 20, 2020. Multiple linear regression models were used to indicate the association between dependent and independent variables. The data obtained from the in-depth interviews were coded, categorized then thematized manually, and supplemented with quantitative data.
resultsThe prevalence of turnover intention of health extension workers was 52%. The turnover intention was highest among service length >10 years (34.4%), level IV educational status (30.5%), married health extension workers (61.7%), and age category 26-30 years (40.6%). Statistically significant variables were motivation (β=-2.801; 95% CI -5.097, to -0.505), high workload (β=-3.35; 95% CI -6.038, to -0.661) and career structure (β=-3.452; 95% CI -6.267, to -0.638).
conclusionOverall, the magnitude of health extension workers' turnover intention of their current job was high. Among variables, high workload, lack of motivation, and limited career structure were a significant predictor of turnover intention. Therefore, an amendment of the career structure and overtime payment should be made to retain health extension workers. They should be encouraged to perform only health sector tasks. Providing transportation is another important mechanism to reduce the workload.
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