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Job Satisfaction Among Syrian Health Workers in Refugee Health Centres in Turkey

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Job Satisfaction Among Syrian Health Workers in Refugee Health Centres in Turkey Job satisfaction among Syrian health workers in refugee health centres in Turkey © WHO ABSTRACT Achieving universal health coverage is subject to the availability, accessibility, acceptability and quality of health workers. A health workforce aligned to population needs is critical to making progress towards universal health coverage. Countries that host refugees and migrants strengthen the capacity of their health systems to increase access to services, including engaging refugees and migrants as health workers. The employment, integration, retention and performance of migrant health workers are key to their success in contributing to the health-care system. This report presents the results of an assessment of job satisfaction among Syrian physicians and nurses working in refugee health centres in Turkey and the factors that influence job satisfaction. The analysis of job satisfaction in this category of migrant health workers contributes to the wider evidence on human resources for health. KEYWORDS JOB SATISFACTION MIGRANT HEALTH WORKERS NURSES PHYSICIANS SYRIAN REFUGEE TURKEY Address requests about publications of the WHO Regional Office for Europe to: Publications, WHO Regional Office for Europe, UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office website (http://www.euro.who.int/pubrequest). Document number: WHO/EURO:2020-1576-41327-56246 © World Health Organization 2021 Some rights reserved. This work is available under the Creative Suggested citation: Job satisfaction among Syrian health Commons Attribution-NonCommercial-ShareAlike 3.0 IGO workers in refugee health centres in Turkey. Copenhagen: WHO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/ Regional Office for Europe; 2021. Licence: CC BY-NC-SA 3.0 IGO. licenses/by-nc-sa/3.0/igo). General disclaimers. The designations employed and the Under the terms of this licence, you may copy, redistribute presentation of the material in this publication do not imply and adapt the work for non-commercial purposes, provided the expression of any opinion whatsoever on the part of WHO the work is appropriately cited, as indicated below. In any use of concerning the legal status of any country, territory, city or area this work, there should be no suggestion that WHO endorses or of its authorities, or concerning the delimitation of its frontiers any specific organization, products or services. The use of the or boundaries. Dotted and dashed lines on maps represent WHO logo is not permitted. If you adapt the work, then you approximate border lines for which there may not yet be full must license your work under the same or equivalent Creative agreement. Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested The mention of specific companies or of certain manufacturers’ citation: “This translation was not created by the World Health products does not imply that they are endorsed or recommended Organization (WHO). WHO is not responsible for the content or by WHO in preference to others of a similar nature that are accuracy of this translation. The original English edition shall be not mentioned. Errors and omissions excepted, the names of the binding and authentic edition: Job satisfaction among Syrian proprietary products are distinguished by initial capital letters. health workers in refugee health centres in Turkey. Copenhagen: WHO Regional Office for Europe; 2021”. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published Any mediation relating to disputes arising under the licence shall material is being distributed without warranty of any kind, either be conducted in accordance with the mediation rules of the expressed or implied. The responsibility for the interpretation and World Intellectual Property Organization. (http://www.wipo.int/ use of the material lies with the reader. In no event shall WHO be amc/en/mediation/rules/) liable for damages arising from its use. Art-direction and layout: www.freightdesign.co.uk Job satisfaction among Syrian health workers in refugee health centres in Turkey © WHO iii Preface iv Acknowledgements vi Abbreviations vii Executive summary ix Introduction 1 Background 2 Methodology 5 Study questionnaires and variables 5 Results 7 Sociodemographic and occupational 7 characteristics of participants Work characteristics and work environment 10 Job satisfaction 10 Determinants of job satisfaction 14 Work environment 17 Profession, experience and income 17 Discussion 19 Conclusions 22 References 23 Annex 1. Five-point responses 26 to the 20-item MSQ © WHO iv Preface The conflict in the Syrian Arab Republic has caused one of the world’s largest and most dynamic displacement crises, affecting millions of lives. WHO is supporting the response to the crisis through its operations in Turkey, which comprise a cross-border response from the field office in Gaziantep and a health response to refugees in Turkey, coordinated from the WHO Country Office in Ankara. In north-western Syria, WHO is implementing Activities of the programme are defined within interventions such as the delivery of vital medicines the scope of the Regional Refugee and Resilience and medical supplies and providing support for the Plan (3RP) 2018–2019, a broad partnership platform operational costs of health facilities and capacity- for over 270 development and humanitarian building of health staff. Through the Refugee partners to provide coordinated support in Health Programme in Turkey, efforts have been countries bordering Syria that are heavily impacted made to strengthen the national health system by the influx of refugees. This platform capitalizes through integrating Syrian health workers and on the knowledge, capacities and resources of translators, build capacity for mental health care, humanitarian and development actors to provide a provide linguistic and culturally sensitive health single strategic, multisectoral and resilience-based services, and support home care for older refugees response. Supported by several donors, WHO’s and those with disabilities. activities are complementary to the Ministry of Health's SIHHAT (Improving the health status of the Syrian population under temporary protection and related services provided by Turkish authorities) project, a joint initiative by the European Union and Ministry of Health of the Republic of Turkey that aims to improve health-care services for Syrian refugees in the country. This project operates under the European Union’s Facility for Refugees in Turkey and focuses on strengthening the provision of primary and secondary health-care services to Syrian refugees, building and supporting a network of refugee health centres across the country, and employing additional health personnel, including Syrian doctors and nurses. © WHO v In November 2018 the Refugee Health Programme conducted the Workshop on Refugee and Migrant Health in Turkey: Survey and Research Consultation to identify gaps in the information and evidence required for programme development and adaptation and for informing policies on migrant health in Turkey. The Workshop brought together more than 57 national and international experts from academia, Ministry of Health, United Nations agencies and WHO collaborating centres and led to the formulation of the programme’s research framework. Within this framework, a series of studies were implemented in the fields of mental health, health literacy, women and child health, health workforce and noncommunicable diseases. This study, Job satisfaction among Syrian health workers in refugee health centres in Turkey, is one of the studies implemented within the Refugee Health Programme research framework. © WHO © WHO vi Acknowledgements The WHO Health Emergencies team in Turkey would like to thank Kanuni Keklik and Habibe Özdemir of the Ministry of Health of the Republic of Turkey for their leadership and guidance in implementing the study. The WHO Health Emergencies team in Turkey Authors would like to thank Kanuni Keklik and Habibe The principal authors of this report are Monica Özdemir of the Ministry of Health of the Republic Zikusooka and Omur Cinar Elci, WHO Regional of Turkey for their leadership and guidance in Office for Europe. implementing the study. Thanks also go to Pelin Cebeci, Çetin Doğan Dikmen, Elif Göksu, Nurtaç Peer reviewer Kavukcu, Melda Keçik, Kadriye Küçükbalci, Altin The report was peer-reviewed by Nazmi Bilir, Malaj and Mustafa Bahadir Sucakli of WHO formerly with the Department of Cancer Control, and Mehmet Balcılar, Alpaslan Girayalp, Burçin Ministry of Health, Ankara, Turkey; Founding Tahtacıoğlu and Sarp Üner of PGlobal Global Director of the National Committee on Smoking Advisory and Training Services for their valuable and Health, Turkey; and Director of the Institute contributions to data collection, data analysis and of Public Health, Hacettepe University, Ankara, the overall implementation of the study. Turkey. This report was produced with financial assistance of the Government of Germany through KfW Development Bank. © WHO vii Abbreviations CI confidence interval MSQ Minnesota Satisfaction Questionnaire RHC refugee health centre RHTC refugee health training centre SD standard deviation SIHHAT Improving the health status of the Syrian population under temporary protection and related
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