Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia

Zemichael Weldegebriel,1 Yohannes Ejigu,2 Fitsum Weldegebreal,3 Mirkuzie Woldie2 1Public Planning Department, Debark Hospital, Debark, North Gondar, Amhara Region, 2Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia; 3Department of Medical Laboratory Science, College of Health and Medical Science, Haramaya University, Harar, Ethiopia Background: Health professionals’ motivation reflects the interaction between health professionals and their work environment. It can potentially affect the provision of health services; however, this important attribute of the workplace climate in public hospitals is not usually given serious attention to the desired level. For this reason, the authors of this study have assessed the level of motivation of health professionals and associated factors in public hospitals of West Amhara, Northwest Ethiopia.  Methods: A facility based cross-sectional study was conducted in eight public hospitals of West Amhara from June 1 to July 30, 2013. A total of 304 health professionals were included in this study. The collected data were analyzed using SPSS software version 20. The reliability of the instrument was assessed through Cronbach’s α. Factor scores were generated for the items found to represent the scales (eigenvalue greater than one in varimax rotation) used in the measurement of the variables. The scores were further analyzed using one-way analysis of variance, t-tests, Pearson’s correlation, and hierarchical multiple linear regression analyses. The cut-off point for the regression analysis to determine significance was set at β (95% confidence interval, P<0.05).  Results: Mean motivation scores (as the percentage of maximum scale scores) were 58.6% for the overall motivation score, 71.0% for the conscientiousness scale, 52.8% for the organizational commitment scale, 58.3% for the intrinsic motivation scale, and 64.0% for organizational burnout scale. Professional category, age, type of the hospital, nonfinancial motivators like performance evaluation and management, staffing and work schedule, staff development and promotion, availability of necessary resources, and ease of communication were found to be strong predictors of health worker motivation. Across the hospitals and professional categories, health workers’ overall level of motivation with absolute level of compensation was not significantly associated with their overall level of motivation.  Conclusion: The strongest drivers of all motivation dimensions were found to be nonfinancial human resource management tools, so policy makers and health workforce stake holders should focus on these tools to alleviate motivation problems. Keywords: motivation, health workers, public hospitals, West Amhara, Northwest Ethiopi

Assessment of physico-chemical parameters of Tsaeda Agam River in Mekelle City, Tigray, Ethiopia

The present work was conducted to assess the physico-chemical parameters of Tsada Agam River found in Mekelle, Tigray, Ethiopia and determine its suitability for domestic and irrigation purposes. Water samples were collected monthly for two consecutive months (February to March, 2013) at four sampling sites and analyzed for various physico-chemical parameters. The study indicated that the mean value of studied parameters, except electrical conductivity, total dissolved solids, turbidity, total alkalinity, calcium ion, sulphate ion, and total phosphorus of the river water samples were within the permissible limit of WHO for drinking water. The findings also showed the mean value of studied parameters, except sulphate ion concentration, were within the permissible limit of FAO for irrigation water. Therefore, the river water was found to be unfit for human consumption and was found to be safe and utilizable for irrigation purposes. If the quality management was properly maintained, the Tsaeda Agam River water could be utilized for a wide range of applications such as drinking and irrigation.DOI: http://dx.doi.org/10.4314/bcse.v29i3.

Health risk assessment of heavy metals in vegetables grown around battery production area

Battery production is one of the main sources of heavy metals that present great harm to human health even in low concentrations. Chromium (Cr), Cadmium (Cd) and Lead (Pb) were measured in edible portions of vegetables and soils around a battery production area in China, and the potential health risk of heavy metal contamination to the local population via vegetable consumption was evaluated. Their concentrations in edible portions of vegetables were 2.354 (0.078-14.878), 0.035 (0.003-0.230) and 0.039 (0.003-0.178) mg kg-1, respectively. Approximately 3 % of the Cd in the vegetable samples exceeded the maximum concentration allowable by national food safety criteria, although Pb content in all samples were within the criteria. Transfer factors (TF) from soils to vegetables were dependent on vegetable species. Leguminous vegetables were more likely to accumulate Cr, while leaf vegetables tended to show higher levels of concentration of Cd and Pb. Melon vegetables demonstrated a relatively low capacity for accumulating the heavy metals studied. TF were positively correlated with soil organic matter and negatively correlated with soil pH. The mean estimated daily intake of Cr, Cd and Pb via dietary consumption of vegetables was 0.011, 1.65 × 10-4 and 1.84 × 10-4 mg kg-1 of body weight per day, respectively, levels that were much lower than the reference doses recommended by USEPA (U.S. Environmental Protection Agency) and JECFA (Joint FAO/WHO Expert Committee on Food Additives), indicating that the potential health risk of Cr, Cd and Pb exposure via vegetable consumption to the local population around this battery production area could be negligible