Investigating Attraction Status and Development Countermeasures of Public Health Professionals in Rural and Peri-Urban: A Parallel Mediation Effects


International Research Journal of Economics and Management Studies
© 2024 by IRJEMS
Volume 3  Issue 5
Year of Publication : 2024
Authors : Lyimo, L, J. Zhang, X., Bwabo, M, H.
irjems doi : 10.56472/25835238/IRJEMS-V3I5P131

Citation:

Lyimo, L, J. Zhang, X., Bwabo, M, H. "Investigating Attraction Status and Development Countermeasures of Public Health Professionals in Rural and Peri-Urban: A Parallel Mediation Effects" International Research Journal of Economics and Management Studies, Vol. 3, No. 5, pp. 253-262, 2024.

Abstract:

Public health professionals in developing countries face a myriad of challenges that impede their ability to effectively address health issues and promote well-being. These challenges stem from limited resources, including financial constraints, insufficient healthcare infrastructure, and shortages of trained personnel. Following backdrops, this study aims to explore the role of current work environment status on public health professionals’ attractions and retention in Tanzanian urban and peri urban, to investigate the influence of local environment status on public health professionals’ attractions status and development countermeasures in Tanzanian urban and peri urban. Using a multivariate analysis, PLS-SEM, the study implemented this method to answer the research aims. The findings revealed that the local environment is directly associated with the worker’s retention of the public health professionals in Kilimanjaro, Tanzania. At the same time, individual factors fully mediate the relationship between the local environment and working environment on worker retention along the urban and preurban. Interestingly, the regulatory framework partially mediates the local and working environment of worker retention in Kilimanjaro, Tanzania. This study has both theoretical and practical implications. The study underscores the importance of environmental factors, including both the local environment and the working environment, in shaping worker retention. It emphasizes the role of contextual factors beyond individual characteristics and organizational factors in influencing retention outcomes.

References:

[1] Anyangwe, S. C. E., & Mtonga, C. (2007). Inequities in the global health workforce: The greatest impediment to health in Sub-Saharan Africa. International Journal of Environmental Research and Public Health, 4(2), 93–100. https://doi.org/10.3390/ijerph2007040002
[2] Anand, P. S., & Bärnighausen, T. (2004). Human resources and health outcomes: Cross-country econometric study. Lancet, 364(9445), 1603–1609. https://doi.org/10.1016/S0140-6736(04)17313-3
[3] Althubaiti, A. (2023). Sample size determination: A practical guide for health researchers. Journal of General and Family Medicine, 24(2), 72–78. https://doi.org/10.1002/jgf2.600
[4] Berhanu, K. Z. (2023). Mediating role of job satisfaction on the relation between staff development and performance. Cogent Education, 10(1). https://doi.org/10.1080/2331186X.2023.2207408
[5] Bishop, P. A., & Herron, R. L. (2015). Use and Misuse of the Likert Item Responses and Other Ordinal Measures. International Journal of Exercise Science, 8(3), 297–302.
[6] Borst, R. T., Kruyen, P. M., & Lako, C. J. (2019). Exploring the Job Demands–Resources Model of Work Engagement in Government: Bringing in a Psychological Perspective. Review of Public Personnel Administration, 39(3), 372–397. https://doi.org/10.1177/0734371X17729870
[7] Baumann, M. R., & Bonner, B. L. (2017). An Expectancy Theory Approach to Group Coordination: Expertise, Task Features, and Member Behavior. Journal of Behavioral Decision Making, 30(2), 407–419. https://doi.org/10.1002/bdm.1954
[8] Belita, A., Mbindyo, P., & English, M. (2013). Absenteeism amongst health workers - developing a typology to support empiric work in low-income countries and characterizing reported associations. Human Resources for Health, 11(1), 1. https://doi.org/10.1186/1478-4491-11-34
[9] Blaauw, D., Ditlopo, P., Maseko, F., Chirwa, M., Mwisongo, A., Bidwell, P., Thomas, S., & Normand, C. (2013). Comparing the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. Global Health Action, 6, 19287. https://doi.org/10.3402/gha.v6i0.19287
[10] Breaugh, J., Ritz, A., & Alfes, K. (2018). Work motivation and public service motivation: disentangling varieties of motivation and job satisfaction. Public Management Review, 20(10), 1423–1443. https://doi.org/10.1080/14719037.2017.1400580
[11] Chilvers, R., Richards, S. H., Fletcher, E., Aylward, A., Dean, S., Salisbury, C., & Campbell, J. (2019). Identifying policies and strategies for general practitioner retention in direct patient care in the United Kingdom: A RAND/UCLA appropriateness method panel study. BMC Family Practice, 20(1), 1–12. https://doi.org/10.1186/s12875-019-1020-x
[12] Campbell, N., Eley, D. S., & McAllister, L. (2016). How do allied health professionals construe the role of the remote workforce? New insight into their recruitment and retention. PLoS ONE, 11(12), 1–15. https://doi.org/10.1371/journal.pone.0167256
[13] Campbell, N., McAllister, L., & Eley, D. (2012). The influence of motivation in recruitment and retention of rural and remote allied health professionals: A literature review. Rural and Remote Health, 12(3), 1–15. https://doi.org/10.22605/rrh1900
[14] Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., Bywaters, D., & Walker, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652–661. https://doi.org/10.1177/1744987120927206
[15] Ditlopo, P., Blaauw, D., Rispel, L. C., Thomas, S., & Bidwell, P. (2013). Policy implementation and financial incentives for nurses in South Africa: a case study on the occupation-specific dispensation. Global Health Action, 6, 19289. https://doi.org/10.3402/gha.v6i0.19289
[16] Dolea, C., Stormont, L., & Braichet, J. M. (2010). Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bulletin of the World Health Organization, 88(5), 379–385. https://doi.org/10.2471/BLT.09.070607
[17] Hair, J. F., Sarstedt, M., Ringle, C. M., & Mena, J. A. (2012). An assessment of the use of partial least squares structural equation modeling in marketing research. Journal of the Academy of Marketing Science, 40(3), 414–433. https://doi.org/10.1007/s11747-011-0261-6
[18] Huicho, L., Dieleman, M., Campbell, J., Codjia, L., Balabanova, D., Dussault, G., & Dolea, C. (2010). Increasing access to health workers in underserved areas: A conceptual framework for measuring results. Bulletin of the World Health Organization, 88(5), 357–363. https://doi.org/10.2471/BLT.09.070920
[19] Henseler, J., Hubona, G., & Ray, P. A. (2016). Using PLS path modeling in new technology research: Updated guidelines. Industrial Management and Data Systems, 116(1), 2–20. https://doi.org/10.1108/IMDS-09-2015-0382
[20] Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8
[21] Holloway, P., Bain-Donohue, S., & Moore, M. (2020). Why do doctors work in rural areas in high-income countries? A qualitative systematic review of recruitment and retention. Australian Journal of Rural Health, 28(6), 543–554. https://doi.org/10.1111/ajr.12675
[22] Hatcher, A. M., Onah, M., Kornik, S., Peacocke, J., & Reid, S. (2014). Placement, support, and retention of health professionals: National, cross- sectional findings from medical and dental community service officers in South Africa. Human Resources for Health, 12(1), 1–13. https://doi.org/10.1186/1478-4491-12-14
[23] Haskins, J. L., Phakathi, S. A., Grant, M., & Horwood, C. M. (2017). Factors influencing recruitment and retention of professional nurses, doctors and allied health professionals in rural hospitals in KwaZulu Natal. Health SA Gesondheid, 22, 174–183. https://doi.org/10.1016/j.hsag.2016.11.002
[24] Jurmin, K., & Jariya, W. (2023). Factors Influencing the Retention of Midwives in Rural Areas of Bhutan: A National Cross-sectional Study. The Open Public Health Journal, 16(1), 1–8. https://doi.org/10.2174/18749445-v16-230927-2023-138
[25] Jooste, K., & Hamani, M. (2017). The motivational needs of primary health care nurses to acquire power as leaders in a mine clinic setting. Health SA Gesondheid, 22, 43–51. https://doi.org/10.1016/j.hsag.2016.09.005
[26] Maclaren, A. S., Louise Locock, & Skea, Z. (2022). Valuing place in doctors’ decisions to work in remote and rural locations. Future Healthcare Journal Journal, 9(3), 248–251. https://doi.org/10.7861/fhj.2022-0089
[27] Morell, A. L., Kiem, S., Millsteed, M. A., & Pollice, A. (2014). Attraction, recruitment and distribution of health professionals in rural and remote Australia: early results of the Rural Health Professionals Program. Human Resources for Health, 12, 15. https://doi.org/10.1186/1478-4491-12-15
[28] Park, C., Lovrich, N. P., & Soden, D. L. (1988). Testing Herzberg’s motivation theory in a comparative study of U.S. and Korean public employees. Review of Public Personnel Administration, 8(3), 40–60. https://doi.org/10.1177/0734371X8800800304
[29] Parker, W. A., Steyn, N. P., McHiza, Z., Wentzel-Viljoen, E., Dannhauser, A., Mbhenyane, X., Nthangeni, G., & Moeng, L. (2012). Challenges for efficient health service delivery: Experiences of dietitians completing their compulsory community service year in South Africa. Public Health Nutrition, 15(8), 1411–1418. https://doi.org/10.1017/S1368980011003314
[30] Teng, H. Y., & Chen, C. Y. (2019). Proactive personality and job crafting in the tourism industry: Does job resourcefulness matter? Journal of Hospitality and Tourism Management, 110–116. https://doi.org/10.1016/j.jhtm.2019.10.010
[31] Ojakaa, D., Olango, S., & Jarvis, J. (2014). Factors affecting motivation and retention of primary health care workers, Library resources. Human Resources for Health, 1–13.
[32] Verma, P., Ford, J. A., Stuart, A., Howe, A., Everington, S., & Steel, N. (2016). A systematic review of strategies to recruit and retain primary care doctors. BMC Health Services Research, 16(1). https://doi.org/10.1186/s12913-016-1370-1
[33] Willis-Shattuck, M., Bidwell, P., Thomas, S., Wyness, L., Blaauw, D., & Ditlopo, P. (2008). Motivation and retention of health workers in developing countries: A systematic review. BMC Health Services Research, 8, 1–8. https://doi.org/10.1186/1472-6963-8-247
[34] Zhang, X., & Chen, W. (2023). Does grandchild care intention intergenerational support have an impact on the health of older adults in China? A quantitative study of CFPS data. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1186798
[35] Zhang, J., Chen, W., Petrovsky, N., & Walker, R. M. (2022). The Expectancy-Disconfirmation Model and Citizen Satisfaction with Public Services: A Meta-analysis and an Agenda for Best Practice. Public Administration Review, 82(1), 147–159. https://doi.org/10.1111/puar.13368

Keywords:

Local Environment, Working Environment, Regulatory Framework, Individual Factors, Workers Retention, Tanzania.