Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMcAuliffe, Eilishen_UK
dc.contributor.authorDaly, Michaelen_UK
dc.contributor.authorKamwendo, Francisen_UK
dc.contributor.authorMasanja, Honoratien_UK
dc.contributor.authorSidat, Mohsinen_UK
dc.contributor.authorde Pinho, Helenen_UK
dc.description.abstractMillennium Development Goal (MDG) 5 commits us to reducing maternal mortality rates by three quarters and MDG 4 commits us to reducing child mortality by two-thirds between 1990 and 2015. In order to reach these goals, greater access to basic emergency obstetric care (EmOC) as well as comprehensive EmOC which includes safe Caesarean section, is needed.. The limited capacity of health systems to meet demand for obstetric services has led several countries to utilize mid-level cadres as a substitute to more extensively trained and more internationally mobile healthcare workers. Although this does provide greater capacity for service delivery, concern about the performance and motivation of these workers is emerging. We propose that poor leadership characterized by inadequate and unstructured supervision underlies much of the dissatisfaction and turnover that has been shown to exist amongst these mid-level healthcare workers and indeed health workers more generally. To investigate this, we conducted a large-scale survey of 1,561 mid-level cadre healthcare workers (health workers trained for shorter periods to perform specific tasks e.g. clinical officers) delivering obstetric care in Malawi, Tanzania, and Mozambique. Participants indicated the primary supervision method used in their facility and we assessed their job satisfaction and intentions to leave their current workplace. In all three countries we found robust evidence indicating that a formal supervision process predicted high levels of job satisfaction and low intentions to leave. We find no evidence that facility level factors modify the link between supervisory methods and key outcomes. We interpret this evidence as strongly supporting the need to strengthen leadership and implement a framework and mechanism for systematic supportive supervision. This will promote better job satisfaction and improve the retention and performance of obstetric care workers, something which has the potential to improve maternal and neonatal outcomes in the countdown to 2015.en_UK
dc.publisherPublic Library of Scienceen_UK
dc.relationMcAuliffe E, Daly M, Kamwendo F, Masanja H, Sidat M & de Pinho H (2013) ​​The critical role of supervision in ​retaining staff in obstetric services: A three country study. PLoS ONE, 8 (3, article e58415).
dc.rights© 2013 McAuliffe et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_UK
dc.subjectObstetrical emergenciesen_UK
dc.subjectEmergency medical techniciansen_UK
dc.subjectObstetric Labor Complications prevention & controlen_UK
dc.title​​The critical role of supervision in ​retaining staff in obstetric services: A three country studyen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitlePLoS ONEen_UK
dc.citation.issue3, article e58415en_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationTrinity College, Dublinen_UK
dc.contributor.affiliationSocio-Management - LEGACYen_UK
dc.contributor.affiliationUniversity of Malawien_UK
dc.contributor.affiliationIfakara Health Instituteen_UK
dc.contributor.affiliationEduardo Mondlane Universityen_UK
dc.contributor.affiliationColumbia Universityen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorMcAuliffe, Eilish|en_UK
local.rioxx.authorDaly, Michael|en_UK
local.rioxx.authorKamwendo, Francis|en_UK
local.rioxx.authorMasanja, Honorati|en_UK
local.rioxx.authorSidat, Mohsin|en_UK
local.rioxx.authorde Pinho, Helen|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenamejournal.pone.0058415 (1).pdfen_UK
Appears in Collections:Management, Work and Organisation Journal Articles

Files in This Item:
File Description SizeFormat 
journal.pone.0058415 (1).pdfFulltext - Published Version262.83 kBAdobe PDFView/Open

This item is protected by original copyright

A file in this item is licensed under a Creative Commons License Creative Commons

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.