Determinants of Health Worker Motivation in Public Hospitals in Baring County, Kenya

Abstract

Broad Objective: To establish how motivational factors influence Health worker motivation in public Hospitals in Baringo County, Kenya. This study examined how Individual, Financial and Non-Financial factors influence health worker motivation in 4 sub-County Hospitals and Baringo County Referral Hospital. Materials and Methods: A descriptive cross-sectional design with mixed qualitative and quantitative approaches of data collection was employed. The study enrolled 466 health workers drawn from five public hospitals in Baringo County. The sample comprised of Doctors, Nurses, Pharmacists, Laboratory scientists, Nutritionists, Health records officers, Public health officers, Technical staff, Health managers, Financial officers and Supportive staff who have worked for at least one year. Data was collected using self-administered questionnaire, where responses on each statement were based on a 5-point likert scale and key informant interviews conducted. The (SPSS) version 20 was used to enter data and R-Statistical software was used in data analysis. Descriptive statistical summaries were generated and presented inform of frequency tables. Bivariate relationships were assessed by Chi-square tests, symmetric measures and Odds ratios. Logistic regression models were used to assess predictors of motivation. Results: Achievement of personal goals and utilization of personal resources were variables in the Individual factor category that influenced motivation the greatest with p<0.05. Monthly salary was found to be the only independent variable in the Financial factor Category that influenced health worker motivation the greatest with p<0.05. Several Non-financial variables found to influence health worker motivation the greatest with p<0.05 include: Career and skills development, Departmental resource allocation, Recognition and appreciation. Conclusion: This study recommends County government of Baringo to incorporate these six key variables into the development of Health Sector Strategic plan in order to address Health worker motivation challenges. This strategy upon implementation will enhance health worker motivation resulting to a well- functioning health system with better Health outcomes