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Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania

BACKGROUND: In Burkina Faso, Ghana and Tanzania strong efforts are being made to improve the quality of maternal and neonatal health (MNH) care. However, progress is impeded by challenges, especially in the area of human resources. All three countries are striving not only to scale up the number of...

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Autores principales: Prytherch, Helen, Kagoné, Moubassira, Aninanya, Gifty A, Williams, John E, Kakoko, Deodatus CV, Leshabari, Melkidezek T, Yé, Maurice, Marx, Michael, Sauerborn, Rainer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648439/
https://www.ncbi.nlm.nih.gov/pubmed/23617375
http://dx.doi.org/10.1186/1472-6963-13-149
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author Prytherch, Helen
Kagoné, Moubassira
Aninanya, Gifty A
Williams, John E
Kakoko, Deodatus CV
Leshabari, Melkidezek T
Yé, Maurice
Marx, Michael
Sauerborn, Rainer
author_facet Prytherch, Helen
Kagoné, Moubassira
Aninanya, Gifty A
Williams, John E
Kakoko, Deodatus CV
Leshabari, Melkidezek T
Yé, Maurice
Marx, Michael
Sauerborn, Rainer
author_sort Prytherch, Helen
collection PubMed
description BACKGROUND: In Burkina Faso, Ghana and Tanzania strong efforts are being made to improve the quality of maternal and neonatal health (MNH) care. However, progress is impeded by challenges, especially in the area of human resources. All three countries are striving not only to scale up the number of available health staff, but also to improve performance by raising skill levels and enhancing provider motivation. METHODS: In-depth interviews were used to explore MNH provider views about motivation and incentives at primary care level in rural Burkina Faso, Ghana and Tanzania. Interviews were held with 25 MNH providers, 8 facility and district managers, and 2 policy-makers in each country. RESULTS: Across the three countries some differences were found in the reasons why people became health workers. Commitment to remaining a health worker was generally high. The readiness to remain at a rural facility was far less, although in all settings there were some providers that were willing to stay. In Burkina Faso it appeared to be particularly difficult to recruit female MNH providers to rural areas. There were indications that MNH providers in all the settings sometimes failed to treat their patients well. This was shown to be interlinked with differences in how the term ‘motivation’ was understood, and in the views held about remuneration and the status of rural health work. Job satisfaction was shown to be quite high, and was particularly linked to community appreciation. With some important exceptions, there was a strong level of agreement regarding the financial and non-financial incentives that were suggested by these providers, but there were clear country preferences as to whether incentives should be for individuals or teams. CONCLUSIONS: Understandings of the terms and concepts pertaining to motivation differed between the three countries. The findings from Burkina Faso underline the importance of gender-sensitive health workforce planning. The training that all levels of MNH providers receive in professional ethics, and the way this is reinforced in practice require closer attention. The differences in the findings across the three settings underscore the importance of in-depth country-level research to tailor the development of incentives schemes.
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spelling pubmed-36484392013-05-09 Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania Prytherch, Helen Kagoné, Moubassira Aninanya, Gifty A Williams, John E Kakoko, Deodatus CV Leshabari, Melkidezek T Yé, Maurice Marx, Michael Sauerborn, Rainer BMC Health Serv Res Research Article BACKGROUND: In Burkina Faso, Ghana and Tanzania strong efforts are being made to improve the quality of maternal and neonatal health (MNH) care. However, progress is impeded by challenges, especially in the area of human resources. All three countries are striving not only to scale up the number of available health staff, but also to improve performance by raising skill levels and enhancing provider motivation. METHODS: In-depth interviews were used to explore MNH provider views about motivation and incentives at primary care level in rural Burkina Faso, Ghana and Tanzania. Interviews were held with 25 MNH providers, 8 facility and district managers, and 2 policy-makers in each country. RESULTS: Across the three countries some differences were found in the reasons why people became health workers. Commitment to remaining a health worker was generally high. The readiness to remain at a rural facility was far less, although in all settings there were some providers that were willing to stay. In Burkina Faso it appeared to be particularly difficult to recruit female MNH providers to rural areas. There were indications that MNH providers in all the settings sometimes failed to treat their patients well. This was shown to be interlinked with differences in how the term ‘motivation’ was understood, and in the views held about remuneration and the status of rural health work. Job satisfaction was shown to be quite high, and was particularly linked to community appreciation. With some important exceptions, there was a strong level of agreement regarding the financial and non-financial incentives that were suggested by these providers, but there were clear country preferences as to whether incentives should be for individuals or teams. CONCLUSIONS: Understandings of the terms and concepts pertaining to motivation differed between the three countries. The findings from Burkina Faso underline the importance of gender-sensitive health workforce planning. The training that all levels of MNH providers receive in professional ethics, and the way this is reinforced in practice require closer attention. The differences in the findings across the three settings underscore the importance of in-depth country-level research to tailor the development of incentives schemes. BioMed Central 2013-04-25 /pmc/articles/PMC3648439/ /pubmed/23617375 http://dx.doi.org/10.1186/1472-6963-13-149 Text en Copyright © 2013 Prytherch et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Prytherch, Helen
Kagoné, Moubassira
Aninanya, Gifty A
Williams, John E
Kakoko, Deodatus CV
Leshabari, Melkidezek T
Yé, Maurice
Marx, Michael
Sauerborn, Rainer
Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title_full Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title_fullStr Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title_full_unstemmed Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title_short Motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from Burkina Faso, Ghana and Tanzania
title_sort motivation and incentives of rural maternal and neonatal health care providers: a comparison of qualitative findings from burkina faso, ghana and tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648439/
https://www.ncbi.nlm.nih.gov/pubmed/23617375
http://dx.doi.org/10.1186/1472-6963-13-149
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