Health  Vol.5 No.11 , November 2013
Magnitude and associated factors of health professionals’ attrition from public health sectors in Bahir Dar City, Ethiopia

Background: Attrition of health professionals from public health sectors is found to be a barrier to effectiveness of health systems and to provide essential health service to population. In Ethiopia, the public health system is the major provider of health care service to the people. In particular, the poor segment of community uses public hospital, health centers and clinic, since the private health facilities are inaccessible and unaffordable to them. The aim of this study was to determine the magnitude and factors associated with health professionals’ attrition from public health sectors in Bahir Dar city. Methods: A Facility based cross-sectional study was conducted in September-October 2012. All inclusive sampling techniques of five years document reviews were used to select 727 health professional documents. Quantitative and qualitative data were collected using structured questionnaires and indepth-interview guides respectively, by trained data collectors. Descriptive statistics (frequencies, proportion and chi square test) were used to describe the study population in relation to relevant variables. To identify independent predictors of attrition, only variables that were statistically significant during bivariate analysis were entered into multiple logistic regression models to control the effects of confounders. Pvalues <0.05 were considered as statically significant. Result: The attrition rates of health professionals from public health sectors in Bahir Dar city were found to be 39.6%. Age, sex, marital status, educational status, workplace, current salary, professional category and work experience were the main factors associated with health professionals’ attrition from public health sectors. Conclusion: The findings showed that the level of health professionals’ attrition is high in the study area. Policy makers and health mangers should design appropriate retention strategies for health professionals at public health sectors in terms of most associated factors with attritions of health professionals to reduce the prevalence of health professionals’ attrition from public health sectors in collaboration with development partners and concerned body.


Cite this paper: Atnafu, K. , Tiruneh, G. and Ejigu, T. (2013) Magnitude and associated factors of health professionals’ attrition from public health sectors in Bahir Dar City, Ethiopia. Health, 5, 1909-1916. doi: 10.4236/health.2013.511258.

[1]   World Health Report (2006) Health workforce. WHO, Geneva.

[2]   WHO (2007) Estimates of health personnel: Physicians, nurses, mid-wives, dentists, and pharmacists? WHO, Geneva.

[3]   Joint Learning Initiative Strategy Report (2004) Human resources for health: Overcoming the crisis. Mass. Harvard University Press, Cambridge.

[4]   Ethiopia a Country Status Report on Health and Poverty (2004) World Bank Africa Region Human Development and Ministry of Health of Ethiopia.

[5]   Planning and Programming Department (2007) Health and health related indicators. FMOH, Addis Ababa, Ethiopia.

[6]   Africa Health Workforce Observatory (2010) Human resource for health profile country Ethiopia.

[7]   Yumkella, F. (2006) Retention of health care workers in low-resource settings: Challenges and responses. Capacity Project, 1, 1-6.

[8]   Slavea, C., Stephen, M. and Gilbert, K. (2009) Health workforce attrition in the public sector in Kenya: A look at the reasons. Human Resource for Health, Biomed Central.

[9]   Jundia, T. (2008) The magnitude, patterns and determinate of factors of health workers migration from public health sector. East Harergie Zone of Oromia, Eastern Ethiopia.

[10]   Awases, M., Gbary, A., Nyoni, J. and Chatora, R. (2004) Migration of health professionals in six countries: Synthesis report. WHO.

[11]   Tefera, B. (2004) Determinant of internal and out migration of physician from the public sectors. Addis Ababa University.

[12]   Fetu, Y. (2005) Retention: Health workforce issues and response action in low-resource setting.

[13]   Berhan, Y. (2006) Medical doctors profile in Ethiopia: Production, attrition and retention. In memory of 100-year Ethiopian modern medicine & the new Ethiopian millennium.

[14]   Onzubo, P. (2007) Turnover of health professional in general hospitals in west Nile region.

[15]   Michael, Y., Jira, C., Girma, B. and Tushune, K. (2010) Health workforce, deployment, attrition and density in east wollega zone, Western Ethiopia. Ethiopian Journal of Health Sciences, 20, 213-222.

[16]   Mathauer and Imhoff (2004) Motivation of health work ers maters in health care: The case of Benin and Kenya.

[17]   Mathauer, I. and Imhoff, I. (2003) Staff motivation in Africa: The impact of nonfinancial incentives and qual ity management tools: A way to retain staff. Eschborn, GTZ.

[18]   Ministry of Health (2004) Human resources in the health sector: Towards a solution. Government of Malawi, and Lilongwe, Malawi.

[19]   Gilson, L. and Mills, A. (1995) Health sector reform in subSaharan Africa: Lessons of the last ten years. Health Policy, 32, 215-243.

[20]   World Bank & Ministry of Health Ethiopia (2004) A country status report on health and poverty.

[21]   John, A., Peter, Q. and John, A. (2010) Key determinant of migration among health professional in Ghana.

[22]   Chris, R. (2010) Nursing human resource in Kenya, case study.

[23]   Otaala, B. and Mahlalela, P. (2004) Proceedings of the workshop on enhancement of leadership in higher educa tion. 27-29 September 2004, University of Namibia, Wind hoek.

[24]   Tesfaye, M. (2005) Motivation of health workers in Jim ma, south west Ethiopia.

[25]   World Health Organization (2010) Polices and practice of countries that are experiencing a crisis in human resource for health: Tracking survey. No. 6.