Job satisfaction among Community-Based Rehabilitation (CBR) workers in caring for disabled persons in east coast region of Peninsular Malaysia

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Job satisfaction influences staff retention, motivation and performance in providing services. A considerable amount of published studies has reported on the job satisfaction level of healthcare workers, but to date, very few studies focused on Community-Based Rehabilitation (CBR) workers. Satisfaction is one of the significant indicator to measure services provided in many sectors including healthcare providers, either primary, secondary or tertiary level. Job satisfaction is always associated with quality of care and organization performance. Also found was that job satisfaction among healthcare workers showed direct correlation between employees and patient satisfaction, prevent workers turn-over and sustainability of the services or programmes. Workers satisfaction may influence the retention rate with a particular organization and/or sustaining the services or programmes offered by the organization. The primary purpose of this study is to identify job satisfaction among Community-Based Rehabilitation (CBR) workers in Malaysia setting. Community-Based Rehabilitation (CBR) programme is one of the World Health Organization’s initiatives through combined efforts of various relevant parties including people with disabilities, their families, communities, government and non-government health organizations, education, vocational and social institutions as well as other services to assist disabled people in community settings. Worldwide, more than 90 countries have implemented CBR programme to cater for people with disabilities in large population including Malaysia. Malaysia had implemented the first CBR programme since 1984 in Batu Rakit, Terengganu in collaboration with the Ministry of Health Malaysia. CBR programme focuses on long-term care and acts as a training centre that prepares disabled persons to enrol in special schools, employment and consequently live in community with highest ability. The CBR centre operated from 8.00 a.m. until 2 p.m., from Monday to Friday. The activities comprised of Circle time, exercise, group activity, individual activity, music, basic religious (fardhu ain), visited staff from medical team, dental team, physiotherapist, occupational therapist, dietician and teacher for disabled children. The prevalence of persons with disability had increased since the last two decades from approximately 10% in the 1970s to 15% in 2011, and approximately 2-4% of the world population experienced some form of disabilities. Increasing number of disabled children worldwide also contribute to the statistic of persons with disability, albeit a relatively small proportion of the statistic. Malaysia as a developing country is also concerned with this increasing number of disabled persons. In the year 2012, approximately 445,006 people with various forms of disabilities have registered with The Department of Social Welfare Malaysia (DSWM) which represents 1.5% of the country’s population. Also reported in 2007, that 0.1% out of 1.5% of country’s population were contributed from 29,289 children. This proportion of population needs long-term care and it is highlighted that job satisfaction among CBR workers is significant to be evaluated due to the scarcity to find people who are willing to work with this special population. Therefore, this study was conducted to explore job satisfaction level among CBR workers in giving care for disabled persons in Malaysia. An established Job Satisfaction Survey (JSS) scale was chosen as the instrument to measure the JS level among the CBR workers.

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