Yuting Ni ¹ Yan Wang ¹ Zongliang Wen ^1,2* Jinhua Fang ^1* Jintao Xu ¹ Shenqin Wu ^1* Joyce D. Sawmadal ^1* Hamdi Abdirizak ^1*

• ¹ School of Management, Xuzhou Medical University, Xuzhou, China
• ² The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, China

Background: The primary public health service system is indispensable for the implementation of the “Healthy China 2030” strategy, and primary healthcare workers, as the key drivers of this system, play a pivotal role in its development and establishment to ensure population well-being.In developing countries, such as China,primary public health systems are still weak, and in order to address this phenomenon, health system reform is needed, and primary public health personnel are crucial to health system reform. Objectives: The purpose of this study is to understand the current situation of primary public health service workforce building, analyze the existing problems of the workforce, put forward suggestions for improvement and explore countermeasures, and provide Chinese wisdom and a reference basis for primary public health workforce building in the world, especially in developing countries. Results: The current work intensity at the primary public health level is currently high, the salary and benefits cannot meet the needs of most primary public health personnel, and the competition between work and family in terms of time and resources is pronounced, and the majority of primary public health personnel are dissatisfied with the status quo of "doing more work for less reward" and the poor social security. Emotional exhaustion, depersonalization, and a sense of personal accomplishment were positively correlated with the tendency to leave (all P < 0.01), and the burnout and emotional exhaustion of primary public health workers were intense. Conclusions: Primary public health personnel play an important role in providing primary public health services. However, the current working conditions of junior public health personnel in the Huaihai Economic Zone are influenced by factors such as workload, income level, and employment situation improvement, leading to low job satisfaction, significant work-family conflicts, and high turnover intention. In this context, based on the opinions of grassroots administrative departments and internationally relevant experiences, a series of suggestions have been proposed to improve the professional service level, job satisfaction, and occupational identity of staff members. These suggestions make valuable contributions to both the Huaihai Economic Zone and countries worldwide in safeguarding individual health and promoting national primary healthcare reform.