Human resources for health; Motivation; Incentives; Tanzania; Rural districts
Abstract :
[en] An increasing number of studies explore the association between financial and non-financial incentives and the retention of health workers in developing countries. This study aims to contribute to empirical evidence on human resource for health motivation factors to assist policy makers in promoting effective and realistic interventions. A cross-sectional survey was conducted in four rural Tanzanian districts to explore staff stability and health workers' motivation. Data were collected using qualitative and quantitative techniques, covering all levels and types of health facilities. Stability of staff was found to be quite high. Public institutions remained very attractive with better job security, salary and retirement benefits. atisfaction over working conditions was very low owing to inadequate working equipment, work overload, lack of services, difficult environment, favouritism and 'empty promotions'. Positive incentives mentioned were support for career development and supportive supervision. Attracting new staff in rural areas appeared to be more difficult than retaining staff in place. The study concluded that strategies to better motivate health personnel should focus on adequate remuneration, positive working and living environment and supportive management. However, by multiplying health facilities, the latest Tanzanian human resource for health plan could jeopardize current positive results.
Disciplines :
Public health, health care sciences & services Human resources management
Author, co-author :
Zinnen, Véronique; Université Catholique de Louvain - UCL > Faculté de Santé Publique
Paul, Elisabeth ; Université de Liège - ULiège > Institut des sciences humaines et sociales > Sociologie du développement
Mwisongo, Aziza; National Institute for Medical Research, Tanzania
Nyato, Daniel; University of Dodoma, Tanzania > Political Science and Sociology
Robert, Annie; Université Catholique de Louvain - UCL > Faculté de Santé Publique
Language :
English
Title :
Motivation of human resources for health: a case study at rural district level in Tanzania
Publication date :
2012
Journal title :
International Journal of Health Planning and Management
ISSN :
0749-6753
eISSN :
1099-1751
Publisher :
Wiley, Hoboken, United States - New Jersey
Volume :
27
Issue :
4
Pages :
327-347
Peer reviewed :
Peer reviewed
Name of the research project :
GRAP-SWAP; GRAP-PA Santé
Funders :
CUD - Commission Universitaire pour le Développement [BE]
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