Factors Influencing Retention of Health Workers in Primary Health Care Facilities (A Case Study of Kakamega County, Kenya)
Background: Kenya continues to experience a growing gap of health workers at all
levels of service provision within its
health infrastructure. As a consequence, this gap is a big impediment in her quest
to achieve the health objectives and the global Sustainable development goals. This
study examines factors influencing retention of health workers in primary health
Methods: A cross sectional study design using semi - structured questionnaire
tools involving 85 healthcare workers of different cadres at government rural health
facilities was used in the County. Descriptive data analysis was used to profile
the characteristics of the respondents; while Chi square tests were used to determine
the differences between respondents who had stayed at their working station for
at least two years. Multinomial Logistic Regression was used to analyse each factor
that was considered significant in determining whether healthcare personnel stayed
Results: Age, duration of working, and
ability to balance work and personal life, fair evaluation, supervisor’s competence, manageable work load and availability
of equipment and logistics were statistically associated with whether healthcare
workers would leave or continued staying at their current work stations.
Conclusion: The results show that financial
incentives are not the only factors in retention of health workers. The above factors need to be addressed in retention
strategies for the retention of health workers at primary health facilities.
Keywords: Retention, Motivation, Primary Health care, Benefits, Leavers,
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