ABSTRACT Staff turnover greatly impacts on the performance of any given organization. This research aimed at finding out the impact of staff turnover on the performance of AIC in health service delivery in Mbale. Both qualitative and quantitative methods were used to collect data which minimized the level of biasness from the respondents from the researcher and thus coming up with more sounding responses. Upon analysis of data, the following results and conclusions were made; Finding out cause of staff turnover where 57% of the respondents said it was caused the pulls and push factors and 43% argued that it was caused by retirement and death. The effect of staff turnover on employees' performance where 75% of the respondents said it was because of poor motivation and pay as the root cause. The staff levels of turnover affecting performance where 70% of the respondents provided a majority response rate of 92.8%. They pointed out that turnover affects task accomplishment negatively. This made me to conclude that the staff turnover is mainly caused by the popular decision made by the top managers that the workers find not convenient to work with which forces them to ask for transfers or look for other jobs. I do recommend that AIC Mbale Centre implements the following strategies; The employees should be highly motivated as the way of retaining them for better delivery of health services at the centre. There should be a broad participation in policy making that every body feels part of it which makes the implementation easy. Employees should be taken for further training and get more skilled on what they do and also to be flexible to widen the delivery of services.

  TABLE OF CONTENTS 

ABSTRACT ......................................................................................................................... i 

APPROVAL ....................................................................................................................... ii 

DECLARATION ............................................................................................................... iii 

ACKNOLODGEMENTS .................................................................................................. iv 

TABLE OF CONTENTS .................................................................................................... v 

LIST OF TABLES ........................................................................................................... viii 

LIST OF APPENDICES .................................................................................................... ix 

GLOSSARY OF TERMS/ACRONYMS .......................................................................... xi 

CHAPTER ONE ............................................................................................................... I 

INTRODUCTION ............................................................................................................. I 

1.0 Introduction .......................................................................................................... I 

1.1 Problem Statement ............................................................................................... 2 

1.2 General Objective ................................................................................................ 3 

1.3 Specific Objectives .............................................................................................. 3 

1.4 Purpose of the study ............................................................................................. 3 

1.5 Research Questions .............................................................................................. 3 

1.6 Scope of the Study ............................................................................................... 4 

I. 7 Significance of the Study ..................................................................................... 4 

1.8 Conceptual Frame Work ...................................................................................... 5 

CHAPTER TWO .............................................................................................................. 6 

LITERATURE REVIEW ................................................................................................ 6 

2.0 Introduction .......................................................................................................... 6 

2.1 Causes of Staff Turnover ..................................................................................... 6 

2.2 Level of the effect of Staff Turnover on Employee's Performance ..................... 7 

2.3 Relationship between Staff Turnover and Organizational Performance ............. 8 

V 

CHAPTER THREE ........................................................................................................ 10 

METHODOLOGY ......................................................................................................... 10 

3.0 Introduction ........................................................................................................ 10 

3.1 Research Design ................................................................................................. IO 

3 .2 Study Population ................................................................................................ IO 

3.3 Sample Size ........................................................................................................ IO 

3.4 Sampling Techniques ......................................................................................... 11 

3.4.1 Data Collection Methods ................................................................................... 11 

3 .4.2 Questionnaires .................................................................................................... 11 

3.4.3 Interviews ........................................................................................................... 11 

3.5 Reliability and Validity of Instruments ............................................................. 12 

3 .6 Data Analysis and Presentation ......................................................................... 12 

CHAPTER FOUR ........................................................................................................... 13 

DATA PRESENTATION AND ANALYSIS ................................................................ 13 

4.0 Introduction ........................................................................................................ 13 

4.1 Respondents Characteristics .............................................................................. 13 

4.1.1 Gender of the Respondents ................................................................................ 13 

4.1.2 Age ofthe Respondents ..................................................................................... 14 

4.1.3 Marital status of the respondents ....................................................................... 14 

4.1.4 Level ofEducation ............................................................................................. 15 

4.2.1 Causes of staff turnover in AIC, Mbale branch ................................................. 16 

4.2.2 Understanding of the term turnover ................................................................... 16 

4.2.3 Causes of staff turnover ..................................................................................... 17 

4.2.4 Staff turnover undermine policy implementation .............................................. 20 

4.2.5 Environmental factors that lead to staff turnover .............................................. 2 I 

4.2.6 Pull and push turnover aspects affecting productivity ....................................... 22 

4.3.0 Level of effect of staff turnover on employee's performance in AIC, Mba!e 

branch ................................................................................................................. 24 

4.3. I Factors that influence turnover and performance .............................................. 24 

4.3.3 Staff level of turnover affecting performance .................................................... 26 

4.3.4 Extent to which turnover is effective on performance ....................................... 27 

4.3.4 Turnover and performance undermining motivation ......................................... 27 

4.4.0 Relationship between Staff Turnover and Organizational Performance in AIC 

Mbale Branch ..................................................................................................... 28 

4.4.1 Turnover and performance in AIC ..................................................................... 28 

4.4.2 Staff Turnover affecting morale ......................................................................... 30 

4.4.3 Staff turnover working against performance ..................................................... 31 

4.4.4 Extent to which turnover is related to future Organizational Performance ...... 32 

CHAPTER FIVE ............................................................................................................ 34 

SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS ..... 34 

5.0 Introduction ........................................................................................................ 34 

5.1 Conclusion ......................................................................................................... 34 

5.2 Recommendations .............................................................................................. 34 

REFERENCES ................................................................................................................. 36 

APENDIX 1: ..................................................................................................................... 38 

APPENDIX II: .................................................................................................................. 41 

APPENDIX III: ................................................................................................................. 45 

APPENDIX IV: INTRODUCTORY LETTER ................................................. 50