@article{fdi:010060482,
  title = {{D}eveloping a tool to measure satisfaction among health professionals in sub-{S}aharan {A}frica},
  author = {{F}aye, {A}. and {F}ournier, {P}. and {D}iop, {I}. and {P}hilibert, {A}. and {M}orestin, {F}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n sub-{S}aharan {A}frica, lack of motivation and job dissatisfaction have been cited as causes of poor healthcare quality and outcomes. {M}easurement of health workers' satisfaction adapted to sub-{S}aharan {A}frican working conditions and cultures is a challenge. {T}he objective of this study was to develop a valid and reliable instrument to measure satisfaction among health professionals in the sub-{S}aharan {A}frican context. {M}ethods: {A} survey was conducted in {S}enegal and {M}ali in 2011 among 962 care providers (doctors, midwives, nurses and technicians) practicing in 46 hospitals (capital, regional and district). {T}he participation rate was very high: 97% (937/962). {A}fter exploratory factor analysis ({EFA}), construct validity was assessed through confirmatory factor analysis ({CFA}). {T}he discriminant validity of our subscales was evaluated by comparing the average variance extracted ({AVE}) for each of the constructs with the squared interconstruct correlation ({SIC}), and finally for criterion validity, each subscale was tested with two hypotheses. {T}wo dimensions of reliability were assessed: internal consistency with {C}ronbach's alpha subscales and stability over time using a test-retest process. {R}esults: {E}ight dimensions of satisfaction encompassing 24 items were identified and validated using a process that combined psychometric analyses and expert opinions: continuing education, salary and benefits, management style, tasks, work environment, workload, moral satisfaction and job stability. {A}ll eight dimensions demonstrated significant discriminant validity. {T}he final model showed good performance, with a root mean square error of approximation ({RMSEA}) of 0.0508 (90% {CI}: 0.0448 to 0.0569) and a comparative fit index ({CFI}) of 0.9415. {T}he concurrent criterion validity of the eight dimensions was good. {R}eliability was assessed based on internal consistency, which was good for all dimensions but one (moral satisfaction < 0.70). {T}est-retest showed satisfactory temporal stability (intra class coefficient range: 0.60 to 0.91). {C}onclusions: {J}ob satisfaction is a complex construct; this study provides a multidimensional instrument whose content, construct and criterion validities were verified to ensure its suitability for the sub-{S}aharan {A}frican context. {W}hen using these subscales in further studies, the variability of the reliability of the subscales should be taken in to account for calculating the sample sizes. {T}he instrument will be useful in evaluative studies which will help guide interventions aimed at improving both the quality of care and its effectiveness.},
  keywords = {{J}ob satisfaction ; {S}ub-{S}aharan {A}frica ; {H}ealth workers ; {M}easurement ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{H}uman {R}esources for {H}ealth},
  volume = {11},
  numero = {},
  pages = {30},
  ISSN = {1478-4491},
  year = {2013},
  DOI = {10.1186/1478-4491-11-30},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060482},
}