What does this research mean for the field?

Political interference and patronage in recruitment and retention policies significantly increase labour turnover, undermine professional autonomy, and weaken institutional effectiveness in the Nigerian public health sector. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To investigate the influence of political patronage and interference on recruitment, promotion, employee retention, and labour turnover in public healthcare facilities in Kwara State, Nigeria.

August 16, 2026Open Access

Politics of Labour Turnover and Employee Retention in the Nigerian Public Health Sector: Evidence from Kwara State

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To investigate the influence of political patronage and interference on recruitment, promotion, employee retention, and labour turnover in public healthcare facilities in Kwara State, Nigeria.
Conducted a mixed-methods survey across Kwara State Teaching Hospitals targeting a total population of 332 healthcare personnel.
Administered structured five-point Likert scale questionnaires to a sample of 178 respondents (determined via Krejcie and Morgan's formula), retrieving and analyzing 161 completed surveys via SPSS v25 alongside key informant interviews.
Political interference significantly impacts recruitment and promotion decisions, although promotion remains comparatively more merit-based due to specialized clinical requirements.
Government retention policies driven by political considerations disrupt policy continuity, weaken institutional effectiveness, and diminish professional autonomy, staff morale, and organizational commitment, ultimately increasing labour turnover.

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Implication

Mixed-methods survey reveals political patronage drives labour turnover in public hospitals, highlighting how political interference undermines health workforce retention and morale.

Cite This Study

Abdulrauf et al. (2026) studied this question.

synapsesocial.com/papers/6a817aa1f2fb91fc834aea7b https://doi.org/10.5281/zenodo.21948535

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Implication

Mixed-methods survey reveals political patronage drives labour turnover in public hospitals, highlighting how political interference undermines health workforce retention and morale.

Politics of Labour Turnover and Employee Retention in the Nigerian Public Health Sector: Evidence from Kwara State

Key Points

Discussion

Implication

Cite This Study

Politics of Labour Turnover and Employee Retention in the Nigerian Public Health Sector: Evidence from Kwara State

Key Points

Discussion

Implication

Cite This Study

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