Mixed-method Study on Gender Disparity in Healthcare Leadership Positions in Southern Ethiopia

Abstract

Gender disparity in healthcare leadership positions is a multifactorial phenomenon based primarily on how society has been socialised according to gender roles and defined how women and men progress in the workplace, including healthcare. The purpose of this mixed-method study was based on the theory of hostile and benevolent sexism as applied in organisations and explored gender disparity in healthcare leadership positions. Quantitative survey data were collected using a structured questionnaire from 414 healthcare professionals, and qualitative data were collected from 21 healthcare professionals using a semi-structured interview guide containing open questions. Quantitative data were analysed using SPSS version 25. A descriptive phenomenology using Colaizzi’s (1978) approach was used for the qualitative strand. The findings show a noticeable increase in women’s promotion to low-level leadership positions. The quantitative results were corroborated by the qualitative findings, which confirmed that healthcare workers faced several challenges in getting promoted and that cultural bias persists. Participants of both genders reported that female promotions are negatively impacted by gender roles, inherent gender bias, and family responsibilities. This study documents changes in the way men view women’s abilities in the workplace. Although there are noticeable improvements in low-level leadership positions, serious issues persist, such as the lack of support for female healthcare workers with young families and limited recognition of women’s abilities to perform at the level of their male counterparts. It is crucial to establish gender-sensitive recovery interventions that facilitate women’s progress in leadership positions. Further research and empowerment programmes are necessary to enhance women’s self-assurance.