Turnover Intention and Associated Factors Among Midwives in Jimma, Southwest Ethiopia

Abstract

Background

Midwife turnover is a major problem and challenge for health-care leaders in Ethiopia. However, to date, little has been documented on turnover intention and its associated factors among midwifery professionals in southwest Ethiopia. Therefore, this study was conducted to fill the information gap on turnover intention and the factors influencing turnover intention among midwives in southwest Ethiopia.

Objective

This study aimed to determine the turnover intention and associated factors among midwives, southwest Ethiopia/2022.

Methods and Materials

An institutional-based cross-sectional study design was conducted among one hundred twenty one (121) midwives using structured self-administered and a pre-tested questionnaire from May 19/2022-June to 6/2022. Data were entered into Epi-data 4.4.2.1 edited, coded, categorized and entered into the data analysis. Data were analyzed using the statistical package for social science (SPSS) version 24, and the results are presented using figure, tables, and statements. Bivariate and multivariate logistic regression analyses were conducted to determine the factors associated with turnover intention at significance level of 0.25 and 0.05, respectively.

Results

In this study, from 121 midwives included in the analysis, approximately 48.76% (95% CI: 39.86–57.74) of midwives had a turnover intention from their current health-care institution, and 53.72% (95% CI: 44.68–62.52) of midwives did not have job satisfaction. Being male (AOR: 2.9 (95% CI: 1.14–7.39)), working in Health center (AOR: 0.20 (95% CI: 0.06–0.70)) and not having mutual support (AOR: 0.17 (95% CI: 0.07–0.44)) were associated factors of turnover intention among midwives.

Conclusion and Recommendation

In this study, the turnover intention among midwives was higher than that among other local and national figures. Gender, mutual support and type of working institution were factors associated with turnover intention among midwives. Therefore, public health organizations should review their maternity staff to establish teamwork and mutual support.

Keywords:

• associated factors
• Jimma
• midwives
• southwest Ethiopia
• turnover intention

Abbreviations

AOR, adjusted odds ratio; COR, Crude odds ratio; CI, Confidence interval; TI, Turnover intention; WHO, World Health Organization.

Data Sharing Statement

All the data can be obtained from the corresponding author upon request.

Ethical Approval

Ethical approval of the study was obtained from Jimma University, college of Business and economics, department of management research review committee. The participants were informed about the purpose of the study, and that the verbal consent process was accepted and approved by Jimma University. Generally, all data collected from the midwives were carried out according to methods in the declaration of Helsinki as a statement of ethical principles for medical research involving human subjects.

Acknowledgments

The authors would like to thank all data collectors, study participants, public health facility administrators/heads.

Study area and period, study design, population (study participants) and eligibility criteria, sample size determination, sampling techniques and procedure, ethics approval and consent to participation, and socio-demographic characteristics of the midwives in the result section of this manuscript were previously published in Dove Medical Press, Journal of Healthcare Leadership.³³

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

Each of the authors had read the submission and no potential conflicts of interest were reported.

Additional information

Funding

The authors declare that no financial funding was received for the study, authorship, and publication of this article.