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
