The magnitude of health managers turnover in Khartoum State Ministry of Health (KSMOH), Sudan 2005 - 2010.
Alamin, Dr. Mohamed Ali
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Abstract The Magnitude of Health Managers Turnover in Khartoum State Ministry of Health (KSMOH), Sudan 2005 - 2010 Mohamed Ali Mohamed Alamin Chair of the Supervisory Committee: Assistant Clinical Professor Sarah Gimbel Department of Global Health Background; The presence of high-quality, motivated managers is a key aspect of health system performance, but also one of the most difficult inputs to guarantee, particularly in resource-limited environments. Frequency of turnover of key managerial staff has also been associated with poor system performance. Methods; A descriptive retrospective longitudinal study was carried out of all managers of the eighty nine (89) critical management posts in the Khartoum State Ministry of Health (KSMOH) who were at their post or posted between January 1, 2005 and December 31, 2010, to assess the frequency and severity of senior health manager turnover. Results; A total of 328 postings of managers were made over the 6-year period in the 89 key health management positions studied. 263(80%) were medical doctors, 28(9%) technicians (public health officers, lab technicians, statisticians), and 37 (11%) were other cadre however only 33 (10%) of them were females. A total of 239 managers left their positions over the study period translating to an average turnover rate of 48% for all cadre. The average turnover rate by cadre over the 6 year period was 53% for medical doctors, 30% for health technicians and 35% for other cadres. Among all managers who left positions, 85 (35%) were at their post for 1 year or less. This group was overwhelmingly comprised of medical doctors (92%). 155 (65%) were in post for less than 2 years, 139 (90%) of them were medical doctors, 12 (8%) were other cadre while only 4 (3%) were health technicians. The average employment period for all managers was approximately 2 years. On average, doctors stayed for ~1 year less than technicians and other cadres included in this sample. Conclusion; A high and increasing turnover rate over the study period was observed among the key health managers in (KSMOH). Doctors are the most likely managers to leave their positions, therefore moving towards to public health and management-oriented leadership style at health departments may improve the stability and continuity of the national health system in Sudan.
- Global health