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June 10, 2026BMC Health Services ResearchOpen Access

Predictors of nurse and midwife performance in a Ugandan district: a mixed-methods study of individual, organizational, and community factors

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Authors

EAEdmonton AchekaJBJohn Paul ByagamyRKRichard Kajura

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Overview

Mixed-methods study identifies predictors of performance in nurses and midwives, suggesting multi-level interventions.

Key Points

  • This study aims to identify factors influencing the performance of nurses and midwives in Uganda.
  • Conducted a cross-sectional convergent parallel mixed-methods study from April 2017 to May 2018.
  • Administered a structured questionnaire to 156 randomly selected nurses and midwives across various facilities.
  • Analyzed qualitative data from 20 key informant interviews and three focus group discussions.
  • Performance levels varied: competency (50% below 50%), productivity (60.3% in 51-75%), availability (51.3% in 51-75%), responsiveness (75% in 51-75%).
  • Linear regression identified predictors: Organizational Commitment (β = 0.039, p < 0.001) significantly influenced competency.
  • Community factors like poor health-seeking behaviors were highlighted as significant barriers to performance.

Cite This Study

Acheka et al. (2026) studied this question.

synapsesocial.com/papers/6a2900ff6f82f25be989d7d3https://doi.org/10.1186/s12913-026-14866-8
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