Effects of Remuneration on Employee Turnover in Private Hospitals Samburu County


  • Haron Lekartiwa Kenya Methodist University
  • Nancy Rintari Kenya Methodist University
  • Abel Moguche Kenya Methodist University




Renumeration, employee turnover, private hospitals, Samburu County


Purpose: The purpose of this study was to investigate the effects of Remuneration on employee turnover in private hospitals Samburu County.

Methodology: This study adopted descriptive survey research design and was conducted in ten private hospitals in Samburu County. Information was issued by 71 medical practitioners such as senior doctors, senior nurses, senior pharmacists and senior medical technologists of each of the private hospitals in Samburu county. The71 medical practitioners were sampled using convenience sampling methods because medical practitioners in a hospital setting were generally very busy hence data was collected through closed ended questionnaires from the available ones. Linear regression was used to test each hypothesis while multiple regression analysis was used to measure the effects of renumeration on employee turnover in private hospitals Samburu County. The analysis was later presented using tables and detailed explanations.

Results: The study discovered that there was a positive relationship and statistically significant between that renumeration and employee turnover. That simply explained meant that how employees are rewarded at the end of the agreed contract duration or at the end of the month play a very key part in determining whether they will leave in the near future or not. Poor and inconsiderate renumeration will often make them want leave and look for other better paying ventures.

Unique contribution to theory, policy and practice: Human resource managers should ensure that renumeration structure is reviewed where employees receive all the benefits gotten at various job groups without biasness. Once an employee attains the required qualifications, they should automatically be enrolled to the improved renumeration structure without too much bureaucracies. This will motivate employees to work harder so as to attain their personal goals in the job ladder. Future researchers should aim to concentrate on other regions in Kenya to determine whether renumeration will be the key causal determinant on employee turnover.

Author Biographies

Haron Lekartiwa, Kenya Methodist University

1Post graduate student: Kenya Methodist University

Nancy Rintari, Kenya Methodist University

Lecturer: Kenya Methodist University

Abel Moguche, Kenya Methodist University

Lecturer: Kenya Methodist University


Al Mamun, C.A., & Hasan, N. (2017). Factors affecting employee turnover and sound retention strategies in business organization: a conceptual view. Problems and Perspectives in Management, 15(1), 63-71. http://doi:10.21511/ppm.15(1).2017.0

Arnoux-Nicolas, C., Sovet, L., Lhotellier, L., Di Fabio, A., & Bernaud, J.-L. (2016). Perceived work conditions and turnover intentions: The mediating role of meaning of work. Frontiers in Psychology, 7(1), 704-714. http://doi.org/10.3389/fpsyg.2016.00704

Asian development bank (2019). Annual review of salary and benefits for international staff, national staff, and administrative staff. https://www.adb.org/sites/default/files/institutional-document/469801/salary-benefits-review-2019.pdf

Bureau of labor statistics (2019). Employer costs for employee compensation. https://www.bls.gov/news.release/pdf/ecec.pdf

European Commission (2019). Eurostat report on the 2019 annual update of remuneration and pensions of EU officials. https://ec.europa.eu/eurostat/documents/6939681/7070380/Ares%282019%296759968+Eurostat+Remuneration+Report+2019_ID+FINAL+30oct.pdf/a7a0148f-4845-e6f2-325f-932453c1f24f

Figueroa, C.A., Harrison, R., & Chauhan, A. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Services Research, 19(1), 239-249. https://doi.org/10.1186/s12913-019-4080-7

Goetz, K., Marx, M., & Marx, I. (2015). Working atmosphere and job satisfaction of health care staff in Kenya: An Exploratory Study. BioMed Research International, 25(6), 1-7. doi:10.1155/2015/256205

Grace, M., Daniel, K. K., Kachori, M., Josee, V. M., & Okibo, W. (2014). Critical analysis of talent management strategies on medical employees’ retention in public hospitals in Kenya: A Case of Kenyatta National Hospital. International Journal of Human Resource Management, 6(23), 1–10.

International labor organization (2014). Global wage report 2014 / 15: Wages and income inequality. https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_324839.pdf

International labor organization (2018). Global wage report 2018 / 19: What lies behind gender pay gaps. https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---travail/documents/publication/wcms_650568.pdf

King-Hill, S. (2015). Critical analysis of Maslow's hierarchy of need. The STeP Journal, 2(4), 54-57.

Maphumulo, W.T., & Bhengu, B.R. (2019). Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review. Curationis, 42(1), 1901-1910. http://doi: 10.4102/curationis.v42i1.1901

Mercer (2019). Mercer’s 2018/2019 US compensation planning survey. Available at: https://www.mercer.us/our-thinking/2018-united-states-compensation-planning-survey-executive-summary.html

Meyer, R. M. & O'brien-pallas, I. (2010). Nursing services delivery theory: an open system approach. Journal of Advanced Nursing, 6(6), 28-38.

Ministry of health and sanitation- Kenya (2015). Devolved HRM policy guidelines on human resources for health. http://www.health.go.ke/wp-content/uploads/2015/09/HRH%20Devolved%20Policies%20Guidelines%20including%20incentive%20framework.pdf

Ministry of Health. (2017). Focusing efforts to eliminate disparities in distribution of health workforce. http://www.health.go.ke/2017/05/focusing-efforts-to-eliminate-disparities-indistribution-of-health-workforce/

Ngethe, J.M. (2013). Determinants of health staff retention in public universities in Kenya (Master’s Thesis). Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.

Obura, K. (2014) Migration of human resources for health at Kenyatta national hospital, Nairobi County, Kenya (Master’s Thesis). Kenyatta University, Nairobi, Kenya.

Ojakaa, D., Olango, S., & Jarvis, J. (2014). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Human Resources for Health, 12(1), 33-43. http://doi.org/10.1186/1478-4491-12-33.

Sharma, N. P., Sharma, T., & Agarwal, M. N. (2016). Measuring employee perception of performance management system effectiveness: Conceptualization and scale development. Employee Relations, 3(8), 224-247.

Shoprite Holdings Limited (2010). Annual Financial Statements https://www.shopriteholdings.co.za/content/dam/MediaPortal/documents/shoprite-holdings/FinancialStatements/AnnualFinancialStatements.pdf

Simatwa, E.M.W. (2011). Job satisfaction and dissatisfaction among teachers in Kenya. Journal of Education Planning Economics and Management, 3(3) 114-123.

Smith, S., Koech, R., Nzorubara, D. Otieno, L., Wong, G., Bhat, E. (2019). Connected diagnostics: Linking digital rapid diagnostic tests and mobile health wallets to diagnose and treat brucellosis in Samburu, Kenya. BMC Medical Informatics and Decision Making, 19(1), 139-149. https://doi.org/10.1186/s12911-019-0854-4

Smith, T., Capitulo, K. L., Griffin, M. Q., & Fitzpatrick, J. J. (2012). Structural empowerment and anticipated turnover among behavioral health nurses. Journal of Nursing Management, 20 (1), 679-684.

Turnea, E. S. (2018). Attraction and retention of the employees. A study based on multinationals from Romania. Procedia Social and Behavioral Science, 23(4), 73-80.

Walters, R. (2019). Salary survey 2019: Europe. https://www.robertwalters.com/content/dam/robert-walters/global/files/salary-survey/salary-survey-2019-europe.pdf

Work Institute (2019). Retention report. https://info.workinstitute.com/hubfs/2019%20Retention%20Report/Work%20Institute%202019%20Retention%20Report%20final-1.pdf

World health organization (2019). Croatia: Health and employment. http://www.euro.who.int/__data/assets/pdf_file/0008/397214/20190311-h1245-croatia-report-no-isbn.pdf