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The influence of quality of work life on motivation and retention of local government tuberculosis control programme supervisors in South-eastern Nigeria

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  • Daniel Chukwuemeka Ogbuabor
  • Ijeoma Lewechi Okoronkwo

Abstract

Introduction: Significant gap exists in knowledge about employee-centred human resources practices that address motivation and retention of local government tuberculosis control programme supervisors (LGTBS) in Nigeria. The study examined the role of quality of worklife (QWL) in motivating and retaining LGTBS. Materials and methods: The study was conducted in south-eastern region of Nigeria comprising five states and 95 local government areas. The design was mixed-methods. We used cross-sectional survey to collect quantitative data on socio-demographic factors, QWL, motivation and retention from a total sample of LGTBS. The qualitative component involved focus group discussions (n = 3) with 26 LGTBS. Quantitative data were analysed using exploratory factor analysis, descriptive statistics, Spearman correlation, Mann-Whitney test, Kruskal-Wallis test and multiple linear regression. Qualitative data were analysed using a thematic framework approach. Results: The final 40-item QWL scale was found to be valid and reliable. The LGTBS had high QWL (M = 5.15, SD = 0.88) and motivation (M = 5.92, SD = 1.08), but low intention to leave their jobs (M = 2.68, SD = 1.59). Education significantly predicted satisfaction with overall QWL, work-family balance and work design; but tenure predicted satisfaction with work context. Work design and work-family balance significantly predicted motivation of LGTBS. Motivation mediated the relationship between QWL and intention to leave and accounted for 29% variance in intention to leave. Whereas LGTBS were motivated by responsibility, learning opportunities, achievement and recognition; they were dissatisfied with lack of flexible work schedules, involvement in non-TB tasks, long hours at work, limited opportunities for vacation, resource inadequacy, work-related stigma, lack of promotional opportunities, and pay disparity and delay. Conclusion: Addressing work design, work-family balance and working conditions may increase the motivation and retention of LGTBS and improve human resources for TB at the district level and performance of the TB control programme.

Suggested Citation

  • Daniel Chukwuemeka Ogbuabor & Ijeoma Lewechi Okoronkwo, 2019. "The influence of quality of work life on motivation and retention of local government tuberculosis control programme supervisors in South-eastern Nigeria," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-15, July.
  • Handle: RePEc:plo:pone00:0220292
    DOI: 10.1371/journal.pone.0220292
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    Cited by:

    1. Taiwo Obembe & Sharon Fonn, 2020. "Affording unavoidable emergency surgical care – The lived experiences and payment coping strategies of households in Ibadan metropolis, Southwestern Nigeria," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-18, May.
    2. Kapo Wong & Alan H. S. Chan & Pei-Lee Teh, 2020. "How Is Work–Life Balance Arrangement Associated with Organisational Performance? A Meta-Analysis," IJERPH, MDPI, vol. 17(12), pages 1-19, June.

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