Measuring and understanding motivation among community health workers in rural health facilities in India-a mixed method study View Full Text


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Article Info

DATE

2016-08-09

AUTHORS

Jaya Prasad Tripathy, Sonu Goel, Ajay M. V. Kumar

ABSTRACT

BACKGROUND: Motivated human resource is the key to improve health system performance and retention of health workers. There is scanty literature on measuring motivation of health workers in India. Thus, the objective of this study was to measure and identify important aspects of health workers' motivation in North India. METHODS: A mixed method study design was adopted. Under the quantitative component, we interviewed randomly selected 62 community health workers (CHWs) in 18 sub-centres in two blocks of District Ambala, Haryana, India using a structured motivation scale. In-depth interviews were also carried out with 18 CHWs to explore the sources of motivation. RESULTS: The age of respondents and training in the past 12 months were found to be significantly associated with motivation. Job burnout, poor personal health, job insecurity and less career development opportunities were the individual level de-motivators, whereas not being able to fulfil family roles and poor supportive supervision were identified as environmental factors for poor motivation. Love for work, and financial incentives were individual level motivators, while community support and recognition, organizational commitment and pride, regular training were identified as environmental level motivators. CONCLUSION: Non-financial motivators such as interpersonal relations, family support, skill and career development opportunities require more attention. Regular need-based training is essential to maintain high levels of motivation. More... »

PAGES

366

References to SciGraph publications

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  • 2010-11-25. Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states in HUMAN RESOURCES FOR HEALTH
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  • 2014-01-18. When incentives work too well: locally implemented pay for performance (P4P) and adverse sanctions towards home birth in Tanzania - a qualitative study in BMC HEALTH SERVICES RESEARCH
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  • 2009-05-29. Financial incentives for return of service in underserved areas: a systematic review in BMC HEALTH SERVICES RESEARCH
  • 2010-07-09. Motivational determinants among physicians in Lahore, Pakistan in BMC HEALTH SERVICES RESEARCH
  • 2008-12-04. Motivation and retention of health workers in developing countries: a systematic review in BMC HEALTH SERVICES RESEARCH
  • 2014-02-21. Beyond job security and money: driving factors of motivation for government doctors in India in HUMAN RESOURCES FOR HEALTH
  • 2006-02-09. The match between motivation and performance management of health sector workers in Mali in HUMAN RESOURCES FOR HEALTH
  • 2003-11-05. Identifying factors for job motivation of rural health workers in North Viet Nam in HUMAN RESOURCES FOR HEALTH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12913-016-1614-0

    DOI

    http://dx.doi.org/10.1186/s12913-016-1614-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1032857337

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27507034


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