How to do (or not to do)… Measuring health worker motivation in surveys in low- and middle-income countries

by J Borghi, J Lohmann, E Daleet al.
Health Policy and Planning, Published: 20 November 2017

12 pp. 375 kB
https://academic.oup.com/heapol/advance-article-
pdf/doi/10.1093/heapol/czx153/21864022/czx153.pdf

A health system’s ability to deliver quality health care depends on the availability of motivated health workers, which are insufficient in many low income settings. Increasing policy and researcher attention is directed towards understanding what drives health worker motivation and how different policy interventions affect motivation, as motivation is key to performance and quality of care outcomes. As a result, there is growing interest among researchers in measuring motivation within health worker surveys. This paper begins by discussing how motivation can be conceptualized, then sets out the steps in developing questions to measure motivation within health worker surveys and in ensuring data quality through validity and reliability tests. The paper also discusses analysis of the resulting motivation measure/s.

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