Browsing by Author "Wampande Lillian Nantume"

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Perceptions of Health Workers and Managers on the Use of Non-Monetary Human Resource Motivation Tools in General Hospitals of Central Uganda
(Open Science, 2015-08-30) Katongole Simon Peter; Mugisha John Francis; Anguyo Robert; Bikaitwoha Everd Maniple; Wampande Lillian Nantume
World over, there is a driving force to create a health care workplace that motivates, maintains and obtains the best out of health workers. In order to achieve this, non-monetary tools can be employed by health managers in hospital settings. Therefore, a study was carried out in six Ugandan general hospitals to establish the perceptions of health workers on the use of non-monetary human resource motivation tools and to examine the contribution of these tools to employees’ motivation. A cross-sectional qualitative study was employed. Key informant interviews with three District Health Officers and 15 top hospital managers were conducted. Six focus group discussions, one in each hospital where also conducted with participating health workers derived from professional groups such as medical officers, enrolled/registered midwives and nurses and allied health professionals. Health workers were interviewed on prevailing practice, adequacy, experience, functioning and views on core non-monetary human resource motivation tools such as training, supervision, performance assessments, and management. Critical incidents were nonmonetary human resource motivation tools had influenced the motivation of some health workers were identified. The use of core non-monetary human resource tools such as continuous medical education, communication between health workers, taking part in decisions of the hospital and organizing social functions were well perceived by the respondents. Promotion of health workers, recognizing best performers, supervision, training and workshops were not well perceived. Health workers were mainly: motivated by the good work relationships and they were mainly demotivated by the poor working conditions. There is a need to have urgent attention on factors which seem to affect the effective use of the non-monetary human resource tools. The factors include; improving working conditions and staffing to reduce workload and avail enough resources to the workers to be motivated carry out their work.
Relationship Between Management Practices and Employee Absenteeism in Public General Hospitals of East-Central Uganda
(International Journal of Public Health Research, 2015-11-17) Wananda Irene; Byansi Peter Kayiira; Govule Philip; Katongole Simon Peter; Wampande Lillian Nantume; Anguyo DDM Onzima Robert
Effective management practices play a pivotal role in influencing positive behavior among employees at the work place [1]-[2]. Absenteeism of employees signals organizational ill health. Studies indicate that management practices can negatively or positively influence the employee absence rate in an organization [3]. This study assessed the relationship between management practices and health worker absenteeism in public general hospitals in East Central Uganda. It was prompted by the findings of Medicines and Health Services Delivery Monitoring Unit [4] that health worker absenteeism was rampant in Uganda. The study objectives were: to find out the magnitude and causes of health worker absenteeism in public general hospitals in East Central Uganda, establish the relationship between performance management practices and health worker absenteeism, establish the relationship between attendance and absence management practices and absenteeism, finally to establish the relationship between employee motivation and absenteeism. The study employed a mixed research design. Data were collected from 46 key informants, 220 health workers and 3 focus group discussions (FGDs). An absenteeism tracking tool was also used as a measure of health worker absenteeism. Descriptive statistics, frequency distributions and logistic regression were employed for data analysis alongside content analysis. Findings revealed that socio-demographic factors, performance management practices; attendance and absence management practices; and employee motivation practices did influence absenteeism. We concluded that Magnitude of absenteeism is still of management importance (influenced by management practices and socio-demography) and varied by hospital, time of assessment and day of the week. The implementation of management practices varied from one hospital to another – strengthening the performance management practices; attendance and absence management practices; and employee motivation practices while addressing the socio demographic characteristics (that predict absenteeism) along the continuum of the hierarchy of needs could further reduce absenteeism.
The State of Mortuary and Mortuary Services in Public Health Facilities of South Western Uganda
(International Journal of Public Health Research, 2015-11-10) Kazungu James ; Nanyingi Miisa ; Katongole Simon Peter ; Anguyo DDM Onzima Robert; Wampande Lillian Nantume
Mortuaries and mortuary services are very crucial support services to healthcare delivery. Information on the status of mortuary services in Uganda is largely missing. This study therefore was carried out to assess the status and factors associated with the prevailing status of mortuary services. A descriptive cross-sectional study that employed both qualitative and quantitative methods of data analysis was carried out in South Western Uganda. Two regional referral hospitals, four district hospitals and 38 public health centre IV’s were studied. Data in these health facilities were obtained through observation, interviewing the managers of the health facilities and personnel directly responsible for the running of mortuary services about the state of and functionality of mortuaries in the facilities they headed. Out of all the health facilities studied, Nineteen (19/44, 43%) did not have mortuaries at all while 21/25 (84%) facilities’ mortuaries, were ranked to be in a fair state. Out of the health facilities with mortuaries, Nineteen (19/25, 76%) were poorly equipped with instruments required in a mortuary.Most mortuaries did not have adequate and trained human resources. As a result, the mortuary and mortuary services are under utilized in the health facilities in the region and are mostly used as dumping and storage centres for corpses that are picked from the streets by police and corpses that are unclaimed for by relatives. The functionality of mortuaries in the area studied and in the whole country as well should be enhanced by the Ministry of health and local governments in the area. When mortuaries are functionalized, the public should be sensitized on the services offered and the need to utilize the mortuaries so as to undo the inefficiencies delineated in this study.