Factors Influencing Employee Turnover Among Tb/Hiv Management Unit’S In Public Hospitals in Puntland State of Somalia

Abstract

The healthcare system relies heavily on health workers, who are crucial for its success. When there is a high rate of turnover among these workers, it can lead to a shortage of personnel and an uneven distribution of staff within the healthcare workforce. The main aim of this study was to examine the factors influencing employee turnover among TB/HIV management unit’s in public hospitals in Puntland State of Somalia. The study specifically examined the influence of job satisfaction, promotion opportunities, top management and organisation commitment on employee turnover among TB/HIV management units. The study examined the problem using Herzberg's Two Factor Theory and the Job Embeddedness Theory. A descriptive research design was used to study the target population of 806 healthcare workers who work in public hospitals in the Puntland State of Somalia. The study sample consist of 267 respondents selected from among the healthcare workers in these hospitals. The data was collected through structured questionnaires that was self-administered to the health workers. The collected data was quantitative and analysed using descriptive techniques and statistical tools like SPSS (Version 26). The findings were displayed as tables, charts, percentages, and means. Multiple regressions and Karl Pearson's correlation coefficient was also used to check the relationship between the variables. Results revealed organization commitment, job satisfaction and promotion opportunities were significant factors in influencing the employee turnover among TB/HIV management units in public hospitals in Puntland state of Somalia. Further, top management was an insignificant determinant of the employee turnover among TB/HIV management units in public hospitals in Puntland state of Somalia. Therefore, the study concluded that at the significance level of 95%, job satisfaction and promotion opportunities and organization commitment were significant factors in influencing the employee turnover among TB/HIV management units in public hospitals in Puntland state of Somalia. The research recommends government should install a framework to for monitoring the performances of individual workers where best performers are identified and rewarded accordingly. The facilities should establish training programmes within with the aim of enhancing the knowledge and skill of the staff which opens further opportunities for promotion after gaining new skills. The hospital managements should enhance the employees’ participation or involvement in decision making process which makes the employees gain the sense of belonging and they would drop any intentions to leave. The managements should lay down procedures and protocols aimed at enhancing the transparency and accountability in the organizations activities such a recruitment of workforce.