306901
Women have trust in me, and I try to live up to this trust: Health worker motivation and workplace characteristics among facility- and community-based health workers in rural Mozambique
Methods: We assessed the motivation of 136 health workers [clinical health workers (n=66), community-based HIV volunteers (n=60), and traditional birth attendants (n=10)] using a survey incorporating phenomena germane to motivation that were identified in formative work.
Results: The majority of both facility- and community-based health workers reported feeling that they make a difference in their community (94% and 97%). Facility-based health workers reported working under high levels of pressure (72%), receiving constructive feedback from supervisors (53%), receiving refresher trainings as often as needed (48%), and satisfaction with salary (26%). Community-based health workers reported receiving constructive feedback from supervisors (86%), lacking supplies for their work (71%), and satisfaction with remuneration (49%).
Conclusions: All health workers reported high levels of intrinsic motivation. However, each cadre encounters challenging workplace characteristics that can be focal points for interventions targeting health worker performance for improving delivery of HIV/AIDS-related health services.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practiceImplementation of health education strategies, interventions and programs
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Identify the importance of measuring health worker motivation in interventions targeting health service delivery
Discuss different aspects of motivation and workplace characteristics that may affect health worker performance
Compare and contrast how these factors differ by health worker cadre
Keyword(s): Community Health Workers and Promoters
Qualified on the content I am responsible for because: I conceptualized the research, developed materials, supervised actual data collection, and supervised and conducted data analysis.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.