Kibera | Machakos | Turkana | |
---|---|---|---|
1. Positive issues about the current work environment | General satisfaction with salary, and job security | Positive response from patients | Good connections, relations with the community |
2. Limitations | Discrimination in training, Poor communication from superiors on job assignments; Tribalism. | Low/substandard housing, quality of accommodation. | Limited choices for education facilities for children of staff; language barrier especially for non-locals, unreliable transport to work and lack of electricity. |
3. Reasons for leaving job | Stagnation on current job, rivalry between different job cadres especially between Clinical Officers and Nurses | Poor commuter allowance, Huge workload; Government bureaucracy (lack of commodities and other supplies) | Harsh geographical and climatic conditions |
4. Retention: What would keep you in your job? | Regular training; good supervision | Better salaries, on-the-job training; more staff to support high workload | Hardship allowances; better accommodation and infrastructure. |
5. Compensation factors | Increase allowances (medical, house, overtime and leave allowances) | Need to increase salaries and to pay salaries on time; | Lack of National Social Security Fund (NSSF) and retirement benefits (For private facilities); |
6. Gender issues at work | Increase duration of maternity leave | Not very vocal on gender issues, though a few muted voices of females felt that need to increase duration of maternity leave | Men require paternity leave |
7. Cultural issues | Men control family planning and especially reproductive health issues sometimes to the detriment of women | A significant number of people believe in witchcraft and use herbs and charms to treat diseases | Women do not easily allow male nurses to attend to them; Women are encouraged to give birth in standing position; New mothers do not breastfeed for a while if they give birth at night. |
8. Organizational support | Multiple reporting lines and supervision make it difficult to coordinate work | In-charges are often significantly older than those they supervise and do not fully appreciate their younger colleagues. | Staff are committed to work in hardship conditions |