ArticleBMC health services research2022
Human resource management in Ethiopian public hospitals.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Human Resource Management, Complementarity and Hospital Performance: Evidence From the English NHS.The International journal of health planning and management · 2026Article
- Knowledge and Attitudes of Healthcare Workers Toward the Re-Emergence of Human Monkeypox Virus Infection in Public Health Facilities in the Central Ethiopia Region: An Online Cross-Sectional Study.Health science reports · 2026Article
- Gender-based violence policies and practices in humanitarian settings: a qualitative policy analysis, North Ethiopia.Health policy and planning · 2026Article
- Barriers to and facilitators of adherence to evidence-based standard antimicrobial treatment guidelines among physicians in Ethiopia: a formative qualitative study.Scientific reports · 2026Article
- Geographical variations of health facilities management teams' functionality in Ethiopia: Spatial analysis of Ethiopian Service Provision Assessment (SPA) 2021-2022.SAGE open medicine · 2026Article
- The role of context in strategic human resource management within private hospitals in Ethiopia, compared to public hospitals.Frontiers in health services · 2026Article
- Selective strategic adaptation and structural trade-offs in a public traditional Chinese medicine hospital under China's national performance appraisal: a longitudinal study.Frontiers in health services · 2026Article
- Article
- The impact of hospital competition on healthcare quality: evidence from China's healthcare reform.Frontiers in public health · 2025Article
- Organizational management from the perspective of public health: exploring the strategies to improve staff's work enthusiasm and efficiency.Frontiers in psychology · 2025Article
- Improved staffing policies and practices in healthcare based on a conceptual model.Frontiers in public health · 2024Article
- Quality adjustment and analysis of human resource prices in China: Based on a hedonic price model.PloS one · 2024Article
- How serving helps leading: mediators between servant leadership and affective commitment.Frontiers in psychology · 2023Article
- The application of specialised management assistants in demand forecasting of human resources.Heliyon · 2022Article
- Strategic human resource management and performance in public hospitals in Ethiopia.Frontiers in public health · 2022Article
- Urban-sub-urban-rural variation in the supply and demand of emergency medical services.Frontiers in public health · 2022Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ethiopia, public hospitals deal with a persistent human resource crisis, even by Sub-Saharan Africa (SSA) standards. Policy and hospital reforms, however, have thus far resulted in limited progress towards addressing the strategic human resource management (SHRM) challenges Ethiopia's public hospitals face.
methodsTo explore the contextual factors influencing these SHRM challenges of Ethiopian public hospitals, we conducted a qualitative study based on the Contextual SHRM framework of Paauwe. A total of 19 structured interviews were conducted with Chief Executive Officers (CEOs) and HR managers from a purposive sample of 15 hospitals across Ethiopia. An additional four focus groups were held with professionals and managers.
resultsThe study found that hospitals compete on the supply side for scarce resources, including skilled professionals. There was little reporting on demand-side competition for health services provided, service quality, and service innovation. Governmental regulations were the main institutional mechanism in place. These regulations also emphasized human resources and were perceived to tightly regulate employee numbers, salaries, and employment arrangements at detailed levels. These regulations were perceived to restrict the autonomy of hospitals regarding SHRM. Regulation-induced differences in allowances and external employment arrangements were among the concerns that decreased motivation and job satisfaction and caused employees to leave. The mismatch between regulation and workforce demands posed challenges for leadership and caused leaders to be perceived as incompetent and unable when they could not successfully address workforce needs.
conclusionsBottom-up involvement in SHRM may help resolve the aforementioned persistent problems. The Ethiopian government might better loosen regulations and provide more autonomy to hospitals to develop SHRM and implement mechanisms that emphasize the quality of the health services demanded rather than the quantity of human resources supplied.
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