Job satisfaction among local-level health workers following decentralization in Nepal
Ramesh Kunwar, Prakash Adhikari, Vishnu Khanal, Kamal Ranabhat, Arun Kumar Joshi, Bishnu Prasad Choulagai, Ashok Bhurtyal · 2026
Read Job satisfaction among local-level health workers following decentralization in Nepal by Ramesh Kunwar, Prakash Adhikari, Vishnu Khanal, Kamal Ranabhat, Arun Kumar Joshi, Bishnu Prasad Choulagai, Ashok Bhurtyal (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13536771.txt.
Description
Ramesh Kunwar and colleagues survey job satisfaction among local health workers after decentralization in Nepal in a 2026 study. Nepal shifted to a federal system a decade ago, moving health duties toward local levels. A total of 444 workers in Sudurpashchim Province rated satisfaction across work setting, staffing adjustment and policy, and local governance. Statistical models tested which roles and regions reported lower satisfaction.
Overall satisfaction was low, with fewer than one in six workers satisfied. Satisfaction was highest for work setting and lowest for adjustment processes and policies after federalization. Senior officers, highly educated staff, and Himalayan region staff reported lower satisfaction in key areas, while municipal health staff reported higher governance satisfaction. The authors urge direct engagement on adjustment rules and career growth in remote areas.
Catalog record
| CREATOR | Ramesh Kunwar, Prakash Adhikari, Vishnu Khanal, Kamal Ranabhat, Arun Kumar Joshi, Bishnu Prasad Choulagai, Ashok Bhurtyal |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 32078 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |