Labour Turnover and Organizational Performance. A Case Study of St.Kizito Hospital-Matany

ABSTRACT Shortage of human resource for health poses a major challenge to achieving the Millenium Development Goals. Uganda is among the 57 countlies with human resource shortage reaching critical level. But the situation is even worse at micro-levels. The Private-Not-For-Profit (PNFP) health sub-sectors complements govemment efforts to achieve the MDGs, the health stratetgic plan II (HSSPII) and the health related poverty eradication plan (PEAP) indicators. Uganda Catholic Medical Bureau (UCMB) coordinates the Roman Catholic health facilities network, one of the three PNFP networks in Uganda which St.Kizito Hospital-Matany belongs. This paper looks at the relationship between labour turnover and performance as experienced by the UCMB network giving the trend, examining the reasons, destinations of attrition cases and what the network has to do to improve the human resource stability.The information is based on the research that was carried out at St.Kizito Hospital-Matany in Napak District, Karamoja SubRegion.

TABLE OF CONTENTS

DECLARATION ........................................................................................................................... i

APPROVAL .................................................................................................................................. ii

DEDICATION ............................................................................................................................. iii

ACKNOWLEDGEMENT .......................................................................................................... iv

TABLE OF CONTENTS .............................................................................................................. v

LIST OF TABLES ..................................................................................................................... viii

LIST OF FIGURES ..................................................................................................................... ix

LIST OF ACRONYMS ................................................................................................................. x

ABSTRACT .................................................................................................................................. xi

CHAPTER ONE ............................................................................................................................ 1

1.0 INTRODUCTION ................................................................................................................. 1

1.1 Background to the study ........................................................................................................ 1

1.2 Statement of the problem ....................................................................................................... 2

1.3 Objectives of the study .......................................................................................................... .3

1.3.1 The general objective .......................................................................................................... 3

1.3.2 Specific objectives ............................................................................................................. .4

1.4 Research hypothesis ............................................................................................................... 4

1.5 Scope of the study ................................................................................................................. .4

1.5.1 Time scope ......................................................................................................................... .4

1.5.2 Content scope ...................................................................................................................... 4

1.5.3 Geographical scope ............................................................................................................. 4

1.6 Significance of the study ........................................................................................................ 5

1.7 Conceptual Framework .......................................................................................................... 6

CHATER TWO ............................................................................................................................. 7

LITERATURE REVIEW ............................................................................................................. 7

2.0 Introduction ............................................................................................................................ 7

2.1 Labour turnover definition ..................................................................................................... 7

V

2.2 Voluutary and involuntaiy turnover ....................................................................................... 7

2.3. Detenninants of labour turnover ........................................................................................... 8

2.4 Strategies to labour turnover .................................................................................................. 9

2.5 Trends of attrition in LLUs ofRCC healthnetwork. ........................................................... 10

CHAPTER THREE ..................................................................................................................... 11

METHODOLOGY ...................................................................................................................... 11

3.0 Introduction .......................................................................................................................... 11

3 .1 Research Design ................................................................................................................... 11

3 .2 Study population .................................................................................................................. 11

3 .3 Sainpling procedure ............................................................................................................. 11

3.4 Sample size .......................................................................................................................... 12

3 .5 Sources of data ..................................................................................................................... 12

3.5.1 Primary data ...................................................................................................................... 12

3.5.2 Secondary data .................................................................................................................. 13

3.6 Research Instrnments ........................................................................................................... 13

3.6.lThe questionnaire: .............................................................................................................. 13

3.6.2 Interview guide: ................................................................................................................ 13

3.6.3 Focus group discussion: .................................................................................................... 13

3.7 Validity of the instrnments ................................................................................................... 14

3 .8 Data analysis ........................................................................................................................ 14

3.8.1 Editing ............................................................................................................................... 14

3.8.2 Tabulation ......................................................................................................................... 14

3 .9 Ethical considerations .......................................................................................................... 14

3 .10 Limitations of the study ..................................................................................................... 15

CHAPTER FOUR ....................................................................................................................... 16

PRESENTATION,INTERPRETATON AND ANALYSIS OFDATA ................................. 16

4.0 Introduction .......................................................................................................................... 16

4.1 Demographic characteristics ................................................................................................ 16

4.2 Relationship between Labour Turnover and organizational Performance ........................... 28

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4.3: The positive impacts of labour turnover to the perfo1mance of St. Kizito Hospital.. ......... 30

CHAPTER FIVE ......................................................................................................................... 33

SUMMARY, CONCLUSION AND RECOMMENDATIONS ............................................... 33

5.0 Introduction ......................................................................................................................... .33

5 .1 Sununary ............................................................................................................................. .34

5.2 Conclusion .......................................................................................................................... .35

5.3 Recommendations ............................................................................................................... .36

REFERENCES: ........................................................................................................................... 37

APPENDIX A: ............................................................................................................................. 38

RESEARCH INSTRUMENTS ................................................................................................... 38

APPENDIX B .............................................................................................................................. .42

THE TIME FRAME OF THE STUDY .................................................................................... .42

APPENDIX C .............................................................................................................................. .43

BUDGET FOR THE STUDY .................................................................................................... .43

APPENDIX D .............................................................................................................................. .44

CURRICULUM VITAE ............................................................................................................. 44