Non-Financial Incentives

Motivation and Satisfaction Among Community Health Workers in Morogoro Region, Tanzania: Nuanced Needs and Varied Ambitions

In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines and training materials for community health workers (CHWs) in integrated maternal, newborn and child health (Integrated MNCH), with CHWs trained and deployed across five districts of Morogoro Region soon after. To inform future scale up, this study assessed motivation and satisfaction among these CHWs. [from abstract]

Improving Benchmarks for Key Health Service Delivery Areas: Evaluation of Demonstration Sites Interventions

The main objective of the evaluation was to conduct a review of the support given by the Capacity Kenya Project at the selected demonstration sites and their contribution to the health worker productivity and/or retention. [from introduction]

Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique—a discrete choice experiment for eliciting job preferences

Successfully motivating and retaining health workers is critical for the effective performance of health systems. In Mozambique, a shortage of health care professionals and low levels of staff motivation in rural and remote areas pose challenges to the provision of equitable health care delivery.

Assessment of Non-Financial Incentives for Volunteer Community Health Workers – The Case of Wukro District, Tigray, Ethiopia

Volunteer community health workers (VCHW) are health care providers who are trained but do not
have any professional certification. They are intended to fill the gap for unmet curative, preventative, and health promotion health needs of communities. This study aims to investigate the non-financial incentives for VCHWs and factors affecting their motivation. [from abstract]

Should I stay or should I go? The Impact of Working Time and Wages on Retention in the Health Workforce

Inspired by the observation that providing care is based on the duration of practices, tasks and processes (issues of time) rather than exchange values (wages), this paper focuses on the influence of working-time characteristics and wages on an employee’s intention to stay. [from abstract]

Using Incentives to Attract Nurses to Remote Areas of Tanzania: A Contingent Valuation Study

This article analyses (1) how financial incentives (salary top-ups) and non-financial incentives (housing and education) affect nurses’ willingness to work in remote areas of Tanzania and (2) how the magnitude of the incentives needed to attract health workers varies with the nurses’ geographic origin and their intrinsic motivation. [from abstract]

Understanding the Factors Influencing Health-Worker Employment Decisions in South Africa

This paper explores the nonfinancial factors that influence health workers’ choice of employer (public, private or nongovernmental organization) or their choice of work location (urban, rural or overseas). [adapted from author]

Performance Improvement Recognition: Private Providers of Reproductive Health Services in Peru

While pay-for-performance incentives are frequently used in human resource management programs, there is less knowledge of alternative incentives for recognizing provider achievements in improving quality—especially in the private health sector. This report identifies which types of recognition mechanisms private providers prefer and provides recommendations for Peru and other countries on implementing a quality improvement program with a recognition component. [from abstract]

Access to Non-Pecuniary Benefits: Does Gender Matter? Evidence from Six Low- and Middle-Income Countries

There is an accumulating body of evidence on gender differences in health workers’ employment patterns and pay, but inequalities in access to non-pecuniary benefits between men and women have received little attention. This study investigates empirically whether gender differences can be observed in health workers’ access to non-pecuniary benefits across six low- and middle-income countries. [from abstract]

Non-Financial Incentives for Voluntary Community Health Workers: a Qualitative Study

Through in-depth interviews and focus group discussions, this study explores the potential efficacy of non-financial incentives (NFI) proposed by the L10k project, an Ethiopian health extension project. The results of the study outline factors motivating voluntary community health workers, indicate other NFI mechanisms for consideration, and suggest programmatic recommendations. [adapated from publisher]

Retention Strategies for Swaziland's Health Sector Workforce: Assessing the Role of Non-Financial Incentives

This country study in Swaziland thus sought to map and assess incentives for retaining heath workers, particularly non-financial incentives. Specifically it sought to identify existing policies and measures for incentives for retention of health workers, their relevance to current factors driving exit and retention, and propose inputs for guidelines for introducing and managing incentives for health worker retention to maximize their positive impact. [from summary]

Retention Incentives for Health Workers in Zimbabwe

This paper investigates the impact of the framework and strategies to retain critical health professionals (CHPs) that the Zimbabwean government has put in place, particularly regarding non-financial incentives, in the face of continuing high out-migration. [from summary]

Review of Non-Financial Incentives for Health Worker Retention in East and Southern Africa

A growing body of evidence suggests that the quality of a health system depends greatly on highly motivated health workers who are satisfied with their jobs, and therefore stay at their stations and work. This paper reviewed evidence from published and grey literature on the use of non-financial incentives for health worker retention in sixteen countries in east and southern Africa. [adapted from author]

Development of a Framework for the Development of a Benefit and Motivation Package for Rural Health Workers in Voluntary Agencies (VA) Owned Hospitals: Based on Finding in the Lake Zone

This presentation was given as part of the Christian Health Association’s Conference: CHAs at a Crossroad Towards Achieving Health Millennium Development Goals. It discusses the human resources for health situation in Tanzania in general, and specific findings from the Lake zone in terms of health workers in church health institutions. The author proposes options for a motivation package to address the issues of retention for these workers.

Health Worker Motivation in Africa: the Role of Non-Financial Incentives and Human Resource Management Tools

There is a serious human resource crisis in the health sector in developing countries, particularly in Africa. One of the challenges is the low motivation of health workers. Experience and the evidence suggest that any comprehensive strategy to maximize health worker motivation in a developing country context has to involve a mix of financial and non-financial incentives. This study assesses the role of non-financial incentives for motivation in two cases, in Benin and Kenya. [abstract]

Health Worker Motivation in Jordan and Georgia: A Synthesis of Results

Health worker motivation has the potential to have a large impact on health systems performance, yet little is known about the key determinants and outcomes of motivation in developing and transition countries. This study, conducted in Jordan and Georgia focused on the individual determinants and outcomes of the worker’s motivational process. A wide range of psychometric scales was used to assess individual differences, perceived contextual factors and motivational outcomes (feelings, thoughts and behaviors). Although the two countries have very different cultural and socio-economic environments, many similarities existed among key determinants between the two countries.

Identifying Factors for Job Motivation of Rural Health Workers in North Viet Nam

To provide good quality health care services, it is important to develop strategies influencing staff motivation for better performance. An exploratory qualitative research was carried out among health workers in two provinces in North Viet Nam so as to identify entry points for developing strategies that improve staff performance in rural areas. [from abstract]

Pay and Non-Pay Incentives, Performance and Motivation

This paper provides an overview of evidence of the effects of incentives on the performance and motivation of independent health professionals and health workers.