Health Professionals Commitment and its Associated Factors in Public Health Facilities of Addis Ababa, Ethiopia, 2024 Multi Center Mixed Cross-Sectional Study

Abstract BACKGROUND: Health professional commitment is an important factor in employee performance. It has a positive impact on an organization’s ability to provide professional services. Health professionals must have a committed health workforce if they are to achieve their goals effectively and efficiently, or even to survive. This study will close a research gap by examining the critical factors influencing the commitment of health professionals as well as the severity of these problems in public health facilities in Addis Ababa, Ethiopia. OBJECTIVE: To assess health professional’s commitment and its associated factors at public health facility in Addis Ababa, Ethiopia, 2024. METHODS: A mixed facility-based, cross-sectional study design was conducted. A total of 535 health professionals were selected by simple random sampling. Data was collected by five data collectors and two supervisors using a pretested questionnaire. Pretests should be done at Nifassilk Woreda 02 HC, Nifas Silk Woreda 12, and Tirunesh Beijing Hospital. Data were collected through an in-depth interview (n = 18). Data was checked for completeness, cleaned, and entered into Epi-Data version 4.2, then exported into SPSS version 26 for analysis. Bivariate and multivariate logistic regression analyses were used, and variables with a P value less than p ≤0.25 were included in multivariable logistic regression. The adjusted odd ratio along with the 95% CI was calculated to see the strength of the association, and P<0.05 was taken as the level of statistical significance. RESULTS: A total of 535 respondents were involved, with a response rate of 530 (99.1%). The magnitude of health professionals’ commitment was 70.8% (95% CI: 66.9, 75.0). Being female (AOR: 4.99, CI: 3.01-8.31, P=0.000), BSc degree holders (AOR: 3.55, CI: 1.47-8.58, P=0.005), health professionals working in health centers (AOR: 2.02, CI: 1.15-3.57, P=0.015), professional training (AOR: 2.84, CI: 1.39-5.79, P=0.004), and good working environments (AOR: 1.72, CI: 1.11-2.66, P=0.016) were factors associated with health professionals’ commitment. CONCLUSION AND RECOMMENDATION: health professional’s commitment is crucial for ensuring quality patient care and maintaining the integrity of the healthcare system. Provide comprehensive training and continuing education opportunities for health professionals to keep them updated with the latest medical knowledge, skills, and best practices.