Factors influencing the career choice and retention of community mental health workers in Ghana.
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Authors
Agyapong, Vincent I O
Osei, Akwasi
Farren, Conor K
McAuliffe, Eilish
Issue Date
2015-07-09
Type
Journal Article
Language
en
Keywords
Alternative Title
Abstract
Whilst there have been several studies exploring retention in health workers, little is known about health workers engaged in the provision of mental health services and the factors that affect their recruitment and retention.
The objective of this research was to examine the views of stakeholders about the factors which influence career choices and retention of community mental health workers (CMHWs) in Ghana.
We administered three separate, self-administered, semi-structured questionnaires to 11 psychiatrists, 29 health policy directors and 164 CMHWs across Ghana, including 71 (43.3%) community psychiatric nurses (CPNs), 19 (11.6%) clinical psychiatric officers (CPOs) and 74 (45.1%) community mental health officers (CMHOs).
Overall, 34 (20.7%) of all CMHWs chose to work in mental health because of the job prospects in mental healthcare. Overall, 12 (16.2%) CMHOs, 1 (5.3%) CPO and 20 (28.2%) CPNs reported they had considered leaving the mental health profession because of the stigma, with 4 (36.4%) psychiatrists and 12 (41.4%) health policy coordinators also reporting that they knew some CMHWs who had considered leaving the mental health profession because of stigma. Similarly, 16 (21.6%) CMHOs, 4 (22.1%) CPOs and 38 (53.5%) CPNs said they had considered leaving the mental health profession because of concerns about risk. Furthermore, 6 (54.5%) psychiatrists and 3 (10.3%) health policy directors said they knew some CMHWs who had considered leaving the mental health profession because of concerns about risk. Overall, 61 (37.2%) of CMHWs reported that they have considered leaving the mental health profession for other reasons other than stigma and risk including the following: the lack of support, respect and recognition from healthcare managers, lack of opportunities for professional development and poor conditions of service including low salaries, lack of office and personal accommodation and lack of risk allowance and transportation as well as poor inter-professional relationships.
Several factors affect the recruitment and retention of CMHWs in Ghana, including the prospects of easy employment, stigma, risk, lack of opportunities for career progression and low salaries.
The objective of this research was to examine the views of stakeholders about the factors which influence career choices and retention of community mental health workers (CMHWs) in Ghana.
We administered three separate, self-administered, semi-structured questionnaires to 11 psychiatrists, 29 health policy directors and 164 CMHWs across Ghana, including 71 (43.3%) community psychiatric nurses (CPNs), 19 (11.6%) clinical psychiatric officers (CPOs) and 74 (45.1%) community mental health officers (CMHOs).
Overall, 34 (20.7%) of all CMHWs chose to work in mental health because of the job prospects in mental healthcare. Overall, 12 (16.2%) CMHOs, 1 (5.3%) CPO and 20 (28.2%) CPNs reported they had considered leaving the mental health profession because of the stigma, with 4 (36.4%) psychiatrists and 12 (41.4%) health policy coordinators also reporting that they knew some CMHWs who had considered leaving the mental health profession because of stigma. Similarly, 16 (21.6%) CMHOs, 4 (22.1%) CPOs and 38 (53.5%) CPNs said they had considered leaving the mental health profession because of concerns about risk. Furthermore, 6 (54.5%) psychiatrists and 3 (10.3%) health policy directors said they knew some CMHWs who had considered leaving the mental health profession because of concerns about risk. Overall, 61 (37.2%) of CMHWs reported that they have considered leaving the mental health profession for other reasons other than stigma and risk including the following: the lack of support, respect and recognition from healthcare managers, lack of opportunities for professional development and poor conditions of service including low salaries, lack of office and personal accommodation and lack of risk allowance and transportation as well as poor inter-professional relationships.
Several factors affect the recruitment and retention of CMHWs in Ghana, including the prospects of easy employment, stigma, risk, lack of opportunities for career progression and low salaries.
Description
Citation
Agyapong, V. I., Osei, A., Farren, C. K., & McAuliffe, E. (2015). Factors influencing the career choice and retention of community mental health workers in Ghana. Human resources for health, 13, 56. https://doi.org/10.1186/s12960-015-0050-2
Publisher
License
Journal
Human resources for health
Volume
13
Issue
PubMed ID
DOI
10.1186/s12960-015-0050-2
10.1016/S0140-6736(07)61239-2
10.3109/10673229.2012.652875
10.1192/bjp.184.4.366
10.1186/1478-4491-2-17
10.3109/10673229.2012.655211
10.3390/ijerph2006030026
10.1176/appi.ap.33.1.71
10.1371/journal.pone.0057940
10.1016/j.socscimed.2013.10.032
10.1016/j.socscimed.2013.09.010
10.1186/1478-4491-12-43
10.1016/0277-9536(89)90179-2
10.1192/pb.bp.112.041723
10.1192/bjp.bp.112.112912
10.1177/0004867412438873
10.1007/s00127-010-0300-5
10.1192/bjp.184.2.176
10.1176/appi.ps.201400140
10.5498/wjp.v4.i3.62
10.1186/1472-698X-12-27
10.1186/1478-4491-11-37
10.1016/S0140-6736(07)61239-2
10.3109/10673229.2012.652875
10.1192/bjp.184.4.366
10.1186/1478-4491-2-17
10.3109/10673229.2012.655211
10.3390/ijerph2006030026
10.1176/appi.ap.33.1.71
10.1371/journal.pone.0057940
10.1016/j.socscimed.2013.10.032
10.1016/j.socscimed.2013.09.010
10.1186/1478-4491-12-43
10.1016/0277-9536(89)90179-2
10.1192/pb.bp.112.041723
10.1192/bjp.bp.112.112912
10.1177/0004867412438873
10.1007/s00127-010-0300-5
10.1192/bjp.184.2.176
10.1176/appi.ps.201400140
10.5498/wjp.v4.i3.62
10.1186/1472-698X-12-27
10.1186/1478-4491-11-37
ISSN
1478-4491