Measuring the of Level of Commitment in Tertiary Child Health Care Units for Effective Performance in Pakistan


The objective of the study was to examine the impact of commitment of tertiary child health Care units performance in Pakistan and to identify factors associated with it. As reform attempts in Pakistan public health sector system have done over the years but regarding the improvement in health performance and delivery especially in child health units which has always stayed below the satisfactory level. For this reason, in this research we are trying to explore other aspects like commitment is chosen to see its impact upon performance by keeping other factors as constant. The data was collected from the child caregivers after conducting a cross-sectional study in Quetta, Pakistan. After that, the regression analysis results of the study show positive relations between employee commitment toward performance. However, in this research commitment is divided into three different levels of Affective Commitment (AC), Continuous Commitment (CC), and Normative Commitment (NC) to understand different aspects. In order to find those factors which are contributing collectively, factor analysis technique was applied and five unique factors were identified as a result of it. Therefore, the results show that public sector managers or policymakers want a high level of performance, they need to improve affective commitment among the employees and decreasing the normative commitment and to move towards the new techniques like the New Public Management (NPM) which can improve the degrading level of health indicators in Pakistan. Such kind of research will contribute towards empowering the community by building the child healthcare sector.

Author Information
Ammara Ajmal, University of Tsukuba, Japan
Tokie Anme, University of Tsukuba, Japan
Umer Saleem, University of Tsukuba, Japan

Paper Information
Conference: ECP2019
Stream: Community Development

This paper is part of the ECP2019 Conference Proceedings (View)
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Posted by James Alexander Gordon