Evidence map›Paper›PMID 39863871›Full record

SynthesisBMC health services research2025

Health extension workers job satisfaction and associated factors in Ethiopia: a systematic review and meta-analysis.

Amlaku Nigusie Yirsaw, Gebeyehu Lakew, Eyob Getachew, Mulugeta Desalegn Kasaye, Ermias Bekele Enyew, Demis Getachew, Abiyu Abadi Tareke

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Tuberculosis: An Ongoing Global Threat.Advances in experimental medicine and biology · 2026
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amlaku Nigusie YirsawDepartment Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Po.Box 196, Gondar, Ethiopia. amlakunigusie1616@gmail.com.
Gebeyehu LakewDepartment Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Po.Box 196, Gondar, Ethiopia.
Eyob GetachewDepartment Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Po.Box 196, Gondar, Ethiopia.
Mulugeta Desalegn KasayeDepartment of Health Informatics, School of Public Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Ermias Bekele EnyewDepartment of Health Informatics, School of Public Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Demis GetachewDepartment of Pharmacology, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Abiyu Abadi TarekeAmref Health Africa in Ethiopia, EPI Technical Assistant at West Gondar Zonal Health Department, SLL Project, COVID-19 Vaccine, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopian healthcare relies heavily on Health Extension Workers (HEWs), who deliver essential services to communities nationwide. By analyzing existing research, the authors explore how prevalent job satisfaction is and what factors affect it. This comprehensive analysis aims to improve HEW satisfaction through targeted interventions, ultimately leading to a more effective healthcare workforce and better health outcomes in Ethiopia. Specifically, this study estimates the pooled level of job satisfaction and associated factors among HEWs in Ethiopia using a systematic review and meta-analysis.

methodStudies were searched through the search engine of Cochrane Library, PubMed, Web of Science, Google Scholar. Data from included studies was extracted, organized in Excel, and then analyzed using STATA 17. The overall effect across all studies was calculated using a random-effect model. Potential publication bias and heterogeneity in the results between studies were assessed using Egger's test, forest plot, and I

resultsThe pooled level of job satisfaction among health extension workers in Ethiopia was 46% (95%CI: 32%-60%). Supportive supervision (AOR = 4.42; 95% CI: 2.23, 8.23), training opportunities (AOR = 4.69; 95% CI: 2.72, 6.61), and support from management (AOR = 4.90; 95% CI: 3.03, 6.77) were statistically associated with the level of job satisfaction among HEW in Ethiopia.

conclusionThe pooled level of job satisfaction was low. Getting supportive supervision from higher health experts, having favorable training opportunities, and having managerial support from kebele were found to be the statistically significant variables associated with job satisfaction among health extension workers in Ethiopia.

Indexed as

Allied Health PersonnelJob SatisfactionEthiopiaHumansDeterminants of Job SatisfactionEthiopiaHealth Extension WorkersJob SatisfactionMeta-AnalysisSystematic Review

Identifiers

PMID39863871
PMCPMC11762850

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.