Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study.
<h4>Background</h4>Although Ethiopia has improved access to health care in recent years, quality of care remains low. Health worker motivation is an important determinant of performance and affects quality of care. Low health care workers motivation can be associated with poor health car...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0272551 |
| _version_ | 1828194876603236352 |
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| author | Mehiret Abate Zewdie Mulissa Hema Magge Befikadu Bitewulign Abiyou Kiflie Abera Biadgo Haregeweyni Alemu Yakob Seman Dorka Woldesenbet Abiy Seifu Estifanos Gareth Parry Matthew Quaife |
| author_facet | Mehiret Abate Zewdie Mulissa Hema Magge Befikadu Bitewulign Abiyou Kiflie Abera Biadgo Haregeweyni Alemu Yakob Seman Dorka Woldesenbet Abiy Seifu Estifanos Gareth Parry Matthew Quaife |
| author_sort | Mehiret Abate |
| collection | DOAJ |
| description | <h4>Background</h4>Although Ethiopia has improved access to health care in recent years, quality of care remains low. Health worker motivation is an important determinant of performance and affects quality of care. Low health care workers motivation can be associated with poor health care quality and client experience, non-attendance, and poor clinical outcome. Objective this study sought to determine the extent and variation of health professionals' motivation alongside factors associated with motivation.<h4>Methods</h4>We conducted a facility based cross-sectional study among health extension workers (HEWs) and health care professionals in four regions: Amhara, Oromia, South nations, and nationalities people's region (SNNPR) and Tigray from April 15 to May 10, 2018. We sampled 401 health system workers: skilled providers including nurses and midwives (n = 110), HEWs (n = 210); and non-patient facing health system staff representing case team leaders, facility and district heads, directors, and officers (n = 81). Participants completed a 30-item Likert scale ranking tool which asked questions across 17 domains. We used exploratory factor analysis to explore latent motivation constructs.<h4>Results</h4>Of the 397 responses with complete data, 61% (95% CI 56%-66%) self-reported motivation as "very good" or "excellent". Significant variation in motivation was seen across regions with SNNPR scoring significantly lower on a five-point Likert scale by 0.35 points (P = 0.003). The exploratory factor analysis identified a three-factors: personal and altruistic goals; pride and personal satisfaction; and recognition and support. The personal and altruistic goals factor varied across regions with Oromia and SNNPR being significantly lower by 0.13 (P = 0.018) and 0.12 (P = 0.039) Likert points respectively. The pride and personal satisfaction factor were higher among those aged > = 30 years by 0.14 Likert scale points (P = 0.045) relative to those aged between 19-24years.<h4>Conclusions</h4>Overall, motivation was high among participants but varied across region, cadre, and age. Workload, leave, and job satisfaction were associated with motivation. |
| first_indexed | 2024-04-12T09:33:33Z |
| format | Article |
| id | doaj.art-65e3d16d03164c129cd20959b308f520 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T09:33:33Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-65e3d16d03164c129cd20959b308f5202022-12-22T03:38:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027255110.1371/journal.pone.0272551Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study.Mehiret AbateZewdie MulissaHema MaggeBefikadu BitewulignAbiyou KiflieAbera BiadgoHaregeweyni AlemuYakob SemanDorka WoldesenbetAbiy Seifu EstifanosGareth ParryMatthew Quaife<h4>Background</h4>Although Ethiopia has improved access to health care in recent years, quality of care remains low. Health worker motivation is an important determinant of performance and affects quality of care. Low health care workers motivation can be associated with poor health care quality and client experience, non-attendance, and poor clinical outcome. Objective this study sought to determine the extent and variation of health professionals' motivation alongside factors associated with motivation.<h4>Methods</h4>We conducted a facility based cross-sectional study among health extension workers (HEWs) and health care professionals in four regions: Amhara, Oromia, South nations, and nationalities people's region (SNNPR) and Tigray from April 15 to May 10, 2018. We sampled 401 health system workers: skilled providers including nurses and midwives (n = 110), HEWs (n = 210); and non-patient facing health system staff representing case team leaders, facility and district heads, directors, and officers (n = 81). Participants completed a 30-item Likert scale ranking tool which asked questions across 17 domains. We used exploratory factor analysis to explore latent motivation constructs.<h4>Results</h4>Of the 397 responses with complete data, 61% (95% CI 56%-66%) self-reported motivation as "very good" or "excellent". Significant variation in motivation was seen across regions with SNNPR scoring significantly lower on a five-point Likert scale by 0.35 points (P = 0.003). The exploratory factor analysis identified a three-factors: personal and altruistic goals; pride and personal satisfaction; and recognition and support. The personal and altruistic goals factor varied across regions with Oromia and SNNPR being significantly lower by 0.13 (P = 0.018) and 0.12 (P = 0.039) Likert points respectively. The pride and personal satisfaction factor were higher among those aged > = 30 years by 0.14 Likert scale points (P = 0.045) relative to those aged between 19-24years.<h4>Conclusions</h4>Overall, motivation was high among participants but varied across region, cadre, and age. Workload, leave, and job satisfaction were associated with motivation.https://doi.org/10.1371/journal.pone.0272551 |
| spellingShingle | Mehiret Abate Zewdie Mulissa Hema Magge Befikadu Bitewulign Abiyou Kiflie Abera Biadgo Haregeweyni Alemu Yakob Seman Dorka Woldesenbet Abiy Seifu Estifanos Gareth Parry Matthew Quaife Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. PLoS ONE |
| title | Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. |
| title_full | Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. |
| title_fullStr | Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. |
| title_full_unstemmed | Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. |
| title_short | Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. |
| title_sort | key factors influencing motivation among health extension workers and health care professionals in four regions of ethiopia a cross sectional study |
| url | https://doi.org/10.1371/journal.pone.0272551 |
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