| dc.description.abstract | Retention of employees is one of the most important elements determining the health
sector's viability in underdeveloped nations. Retention has received a lot of interest and
remains to do so. This research sought to investigate the factors influencing health care
workers retention in County public health facilities under a devolved system of governance
in Garissa County. The study was guided by the following research objectives: To
investigate the influence of regular promotion on health care workers retention in Garissa
County public health facilities, to establish the influence of work and living environment
on health care workers retention in Garissa County public health facilities, to assess the
influence of essential commodity supplies on health care workers retention in Garissa
County public health facilities and to determine the influence of special financial package
on health care workers retention in Garissa County public health facilities. The research
was anchored on two theories namely: The Needs Hierarchy Theory of Maslow and the
Two-Factor Theory of Herzberg. To gather data from 134 healthcare professionals, the
researchers adopted a descriptive research methodology using a Self-Administered
Questionnaire. Sub-counties, primary healthcare institutions, and participants were
sampled using stratified sampling and simple random sampling procedures. SPSS was used
to analyze the data, and correlation and multiple regression were used to examine the
connections between variables. The research established that regular promotion (ß = 0.239,
p = .000 <p = 0.05), work and living environment (ß = 0.405, p = .000 <p = 0.05), Special
financial package (ß = 0.122, p = .000 <p = 0.05) and provision essential supplies (ß =
0.625, p = .000 <p = 0.05) had a statistically significant influence on retention of healthcare
workers in primary healthcare facilities in Garissa County when a joint regression model
was considered. However, there was a statistically significant influence between all the
four factors under study on the retention of health care workers. The study concludes that
regular promotion, work and living environment, special financial package, and essential
supplies influenced retention of healthcare workers in primary healthcare facilities in
Garissa County. It was recommended that the County government management should
ensure that every health care worker receives their salary on time all time. The supervisor
in the County should ensure there is regular feedback to help improve health workers
intention to stay. In addition, the management should ensure that health care workers work
and live in a conducive environment, areas that have good shopping centers and
entertainment and have safe, clean water for domestic use, should also provide health care
workers with essential commodity supplies to improve health care workers intention to
stay. The management should also ensure the workers have a manageable workload, ensure
there is the availability of the supplies needed to do their job well and safely (drugs, gloves,
bandages, needles etc), and also ensure there needed types of equipment to do their job
well and effictively such as ultrasound, x-ray, blood pressure cuffs) are available. | en_US |
