Good governance practice and associated factors among healthcare professionals at public health institutions in Gondar city administration, Northwest Ethiopia

Abstract

Abstract; Introduction; Good governance in health systems promotes the effective delivery of health services. However, managers with the necessary skills and expertise, supportive work environments, professional commitment, drug supply and medical equipment, budget, human resources, regular performance reviews, team coordination, and community awareness are shortages of government to achieve good governance at all levels of in the health institutions. Objective; The objective of the study is to assess good governance practice and associated factors among healthcare professionals at public health institutions in Gondar city administration, Northwest Ethiopia, 2022. Methods: Institution-based cross-sectional quantitative study supported by a qualitative study design was conducted during the period of May22 to June 23/2022 among healthcare professionals working at public health institutions in the Gondar city. Simple random sampling technique was used. Data were obtained using self-administrated structured and interview guide questionnaires. Bivariate and multivariate logistic regressions were fitted to identify associated variables. The adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value 0.05 were used to determine the significance of the association. Results: A total of 417 study healthcare professionals were included in the study with a response rate of 98.35%. Epi Data V 4.6,SPSS version 24 for quantitative analysis, and for qualitative open code version, 4.02 software was used.AOR with a 95% Cl was used as a measure of association and assumptions for the model fitness were checked. Awareness creation 2.64(AOR=2.64,95%CI;[1.38,5.07]), Taking (seminars, trainings, workshops) 2.33 (AOR=2.33,95%CI; [1.00, 5.42]), and Community participation 3.18 (AOR=3.18, 95%CI; [1.47, 6.88]) were associated factors of good governance practice. Conclusion and recommendation: The overall magnitude of good governance knowledge, attitude and practice among healthcare professionals in Gondar city administration was poor 35.97%. This needs good public health governance attention. The provision of healthcare professionals with (seminars, trainings, workshops, frequent monitoring and evaluation, and active community participation) will have strengthened the practice of good governance in public health institutions. Keywords: Good governance, practice, health professionals, Ethiopia.