Factors associated with job satisfaction among commune health workers: implications for human resource policies

Figures & data

Table 1. Characteristics of commune health workers

	Total (N=252; 100%)
	Mean	SD
Age	38.6	9.3
Working years	14.9	10.1
Working years at this CHS	13.5	9.2
Salary (1,000 dong/month)	1,810.1	607.2
	N	%
Male	65	26.0
Professional degree
Specialized MD	6	2.4
MD	30	11.9
Nurses and technicians	216	85.7
Training place
Hanoi	67	26.6
Ha Tay	128	50.8
Others	57	22.6
Areas of work
Treatment	87	34.5
Paraclinical	9	3.6
Pharmacy	28	11.1
Preventive medicine	47	18.7
Management	35	13.9
Other	46	18.3
Areas of expertise
General	128	51.8
Major specialty	56	22.7
Minor specialty	44	17.8
Others	19	7.7
Have job description	154	61.1

Table 2. Factor loadings and reliability of the job satisfaction measurement

		Dimensions
Measure items	% satisfied	Benefits and prospects	Facility and equipment	Performance	Professionals
Salary and incentive	24.0	0.69
Benefit package	25.1	0.80
Technical and medical equipment	35.7		0.79
Environmental sanitation and hygiene	41.8		0.70
Training materials, medical practice guidelines	50.4		0.62
Material facilities	51.6		0.79
Access to technical materials and information	53.9	0.49			0.52
Professional training and coaching	57.6				0.58
Current assigned tasks	58.2			0.73
Support and interest from higher health managers	60.7	0.69
Institutional development plan	63.8	0.59
Support and interest from local authorities	67.3	0.67
Self-capacity and competency	77.6				0.84
Appreciation of local people	80.7			0.68
Solidarity and collaboration among colleagues	84.6			0.77
Internal consistency reliability		0.80	0.79	0.69	0.64
Mean domain score (0–100)		51.6	50.4	66.6	61.0
SD		17.8	19.7	13.3	17.0

Table 3. Factors associated with job satisfaction among commune health workers

	Benefits and prospects	Facility and equipment	Performance	Professionals
	Coef.	Coef.	Coef.	Coef.
Rural vs. urban	−4.0 (−9.5; 1.6)	−17.0 (−22.6; −11.4)**
Age		0.8 (0.3; 1.3)**		0.2 (−0.0; 0.5)
Female vs. male	−7.5 (−12.9; −2.0)**
Total working years		−0.4 (−0.9; 0.1)	0.2 (0.0−0.4)*
Working years in the current CHS	0.2 (−0.1; 0.6)
Salary grades	−3.2 (−6.8; 0.3)
Professional education (specialized MD^a)
MD		17.3 (0.1; 34.5)*	−6.8 (−12.4; −1.2)*
Technician		24.0 (8.3; 39.8)**		5.7 (−1.1; 12.6)
Areas of expertise (general^a)
Major specialty		4.4 (−1.5; 10.3)
Minor specialty	−8.2 (−14.7; −1.8)*
Others			5.7 (−0.7; 12.1)	6.4 (−2.0; 14.7)
Training place (Hanoi^a)
Ha Tay		−12.3 (−18.3; −6.4)**	−2.9 (−6.5; 0.6)
Others		−6.7 (−14.0; 0.5)
Current training (none^a)
In-service	−18.0 (−37.9; 1.8)	−23.1 (−43.8; −2.4)*
Full time		9.6 (−2.3; 21.5)
Have job description vs. none	−3.9 (−8.8; 0.9)		3.9 (0.3; 7.4)*
Areas of work (curative)
Para-clinical	14.7 (−1.0; 30.5)	21.5 (5.1; 37.8)*
Pharmacy			−4.4 (−10.1; 1.4)
Preventive medicine			2.8 (−1.5; 7.1)
Number of staff
Insufficient vs. sufficient	−10.9 (−16.5; −5.3)**	−9.7 (−15.5; −4.0)**		−7.6 (−12.3; −2.9)**
Constant	75.9 (64.4; 87.3)**	25.8 (3.9; 47.6)*	63.2 (59.1; 67.3)**	52.1 (39.6; 64.6)**

95% Confidence intervals in parentheses.

*Significant at 5%; **significant at 1%.

^aReference group.