Determinants of Health Workers’ Level of Motivation in a Rural Hospital in Ghana
James Avoka Asamani *
Health Economics, Health Planning and Policy, Ghana Health Service – Headquarters, PMB – Ministries, Accra, Ghana
Abdul-Majeed Ahmed
Health Economics and Policy, Tamale Nursing and Midwifery Training College, Ghana
Hamza Ismaila
Administration and Human Resources Management, Human Resources Directorate, Ghana Health Service – Headquarters, PMB – Ministries, Accra, Ghana
Francis Abande Akugri
Emergency Department, Nsawam Government Hospital, Nsawam, Ghana
Fidelis Atibila
Dormaa Presbyterian Hospital, Dormaa-Ahenkro, Ghana
Margaret Chebere
Human Resources Directorate, Ghana Health Service – Headquarters, PMB – Ministries, Accra, Ghana
*Author to whom correspondence should be addressed.
Abstract
This study examined the level of motivation of health workers in a rural hospital in Ghana and the factors affecting it. A cross sectional survey was employed to study one hundred (100) health professionals who consented to participate in the study. The results show that on a 10-point scale where 1 represents the least level of motivation and 10 being the highest level of motivation, the average level of motivation among the multidisciplinary health team was 4.88 (48.8%) (standard deviation = 0.22). Many factors influenced health workers’ level of motivation including supervision and management style (B = 0.869, P < 0.001); pay increase/incentives (B = 0.453, P < 0.001); opportunities for personal and professional growth (B = 0.577, P < 0.001) and challenging duties (B = 0.491, P = 0.003). Finally, the study found that professionals in the multidisciplinary health team preferred equality (55.8%) and performance-based equity (61.1%) approaches to motivating staff. On the other hand, the health workers rejected the use of academic qualifications (55.8%) or seniority (70.5%) as the basis for offering motivational incentives. It is recommended that hospital managers and policy makers pay particular attention to the factors that workers deemed important in motivating them. Furthermore, approaches to motivation in the health sector should be revisited by policy makers to address the concerns of equity and equality.
Keywords: Motivation, health workers, district hospital, determinants of motivation levels