Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana

Abstract Introduction Despite the high healthcare needs in rural regions in Ghana, it is a challenge for health managers to attract and retain healthcare professionals in these regions including the Upper East Region, which negatively affects health service delivery. This study investigated factors...

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Main Authors: Samuel T. Chatio, Irene Kuwolamo, Nana Akosua Ansah, Lucy O. Ababio, Mathilda Aku Tsifodze, James Akazili, Boakye Boateng, Patrick Ansah
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-13210-w
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author Samuel T. Chatio
Irene Kuwolamo
Nana Akosua Ansah
Lucy O. Ababio
Mathilda Aku Tsifodze
James Akazili
Boakye Boateng
Patrick Ansah
author_facet Samuel T. Chatio
Irene Kuwolamo
Nana Akosua Ansah
Lucy O. Ababio
Mathilda Aku Tsifodze
James Akazili
Boakye Boateng
Patrick Ansah
author_sort Samuel T. Chatio
collection DOAJ
description Abstract Introduction Despite the high healthcare needs in rural regions in Ghana, it is a challenge for health managers to attract and retain healthcare professionals in these regions including the Upper East Region, which negatively affects health service delivery. This study investigated factors contributing to attrition of health professionals in the Upper East Region of Northern Ghana. Methodology The study used a qualitative research approach where 92 in-depth interviews were conducted with participants between June and August, 2023. The interviews were recorded, transcribed and coded into themes using QSR Nvivo 12 software before thematic content analysis. Results Participants agreed that health worker attrition in the Upper East Region was a problem. Difficulty for health workers to obtain study leave for further studies, administrative lapses, linked with lack of respect and appreciation, family issues and poor working conditions were the main factors contributing to health worker attrition. However, health worker motivation, approval of study leave for qualified health staff, provision of medical equipment/ logistics and health managers showing respect and appreciation to frontline healthcare workers were strategies recommended by participants to address health worker attrition. Conclusion Views shared by stakeholders in our study suggest that health worker attrition is a serious issue affecting service delivery in the Upper East Region. Thus, it is important for health managers to implement appropriate strategies including those recommended in this study towards addressing the issue, to improve healthcare.
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spelling doaj-art-c66f7649427047dc97ca6569904434732025-08-20T03:04:27ZengBMCBMC Health Services Research1472-69632025-08-0125111210.1186/s12913-025-13210-wFactors influencing attrition of health professionals in the Upper East Region of Northern GhanaSamuel T. Chatio0Irene Kuwolamo1Nana Akosua Ansah2Lucy O. Ababio3Mathilda Aku Tsifodze4James Akazili5Boakye Boateng6Patrick Ansah7Navrongo Health Research CenterNavrongo Health Research CenterNavrongo Health Research CenterNavrongo Health Research CenterNavrongo Health Research CenterSchool of Public Health, C.K Tedam University of Technology and Applied SciencesGhana Health Service, Upper East RegionNavrongo Health Research CenterAbstract Introduction Despite the high healthcare needs in rural regions in Ghana, it is a challenge for health managers to attract and retain healthcare professionals in these regions including the Upper East Region, which negatively affects health service delivery. This study investigated factors contributing to attrition of health professionals in the Upper East Region of Northern Ghana. Methodology The study used a qualitative research approach where 92 in-depth interviews were conducted with participants between June and August, 2023. The interviews were recorded, transcribed and coded into themes using QSR Nvivo 12 software before thematic content analysis. Results Participants agreed that health worker attrition in the Upper East Region was a problem. Difficulty for health workers to obtain study leave for further studies, administrative lapses, linked with lack of respect and appreciation, family issues and poor working conditions were the main factors contributing to health worker attrition. However, health worker motivation, approval of study leave for qualified health staff, provision of medical equipment/ logistics and health managers showing respect and appreciation to frontline healthcare workers were strategies recommended by participants to address health worker attrition. Conclusion Views shared by stakeholders in our study suggest that health worker attrition is a serious issue affecting service delivery in the Upper East Region. Thus, it is important for health managers to implement appropriate strategies including those recommended in this study towards addressing the issue, to improve healthcare.https://doi.org/10.1186/s12913-025-13210-wHealth worker attritionUpper East regionNorthern Ghana
spellingShingle Samuel T. Chatio
Irene Kuwolamo
Nana Akosua Ansah
Lucy O. Ababio
Mathilda Aku Tsifodze
James Akazili
Boakye Boateng
Patrick Ansah
Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
BMC Health Services Research
Health worker attrition
Upper East region
Northern Ghana
title Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
title_full Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
title_fullStr Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
title_full_unstemmed Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
title_short Factors influencing attrition of health professionals in the Upper East Region of Northern Ghana
title_sort factors influencing attrition of health professionals in the upper east region of northern ghana
topic Health worker attrition
Upper East region
Northern Ghana
url https://doi.org/10.1186/s12913-025-13210-w
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