Assessment of promotion practices, career benefits, and role responsibilities among public healthcare workers in Jigawa State, Nigeria

Abstract

This study evaluates the promotion processes, benefits, and associated responsibilities among public healthcare workers in Jigawa State, Nigeria, highlighting the mismatch between promotion and actual job responsibilities and the implications for employee satisfaction and motivation. A descriptive cross-sectional study using a mixed-methods approach was conducted, collecting quantitative data through structured questionnaires administered to 210 healthcare providers across six public health facilities in selected Local Government Areas (LGAs). Qualitative insights were gathered from in-depth interviews with management staff. The findings reveal that 78% of respondents experienced salary increases post-promotion, yet 68% were unaware of their entitlements. While 35% reported receiving their benefits in full, a concerning 92% indicated a lack of non-financial rewards. Additionally, 39% reported additional responsibilities, but many felt inadequately prepared for their new roles, with only 27% stating they received adequate training. The promotion system in Jigawa State's public health sector is prevalent but ineffective, often leading to increased workloads without proper support or alignment to new responsibilities. To enhance employee motivation and overall service delivery, reforms are essential to clarify role expectations, ensure equitable benefits, and provide adequate training for newly promoted staff.