ArticlePloS one2022
Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Health extension workers job satisfaction and associated factors in Ethiopia: a systematic review and meta-analysis.BMC health services research · 2025Pooled it
- Mapping multilevel barriers impacting the performance of Ethiopia's Community-Based Health Extension Program: A scoping review.PloS one · 2026Article
- Article
- Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia.Health SA = SA Gesondheid · 2026Article
- Sociodemographic characteristics, occupational characteristics, motivational factors, and job satisfaction among primary health service practitioners.BMC primary care · 2025Article
- Work motivation and associated factors among nurses working in public hospitals of the Wolaita Zone, Southern Ethiopia.Frontiers in health services · 2025Article
- Generational perspectives and advocacy barriers among community health workers: implications for public health workforce leadership.Frontiers in public health · 2025Article
- Motivational determinants of frontline health extension workers in East Hararge Zone, Ethiopia: implications for primary health care systems in low-resource settings.Frontiers in public health · 2025Article
- Multidimensional performance enablers of Ethiopian community-based health extension program: A scoping review.PloS one · 2025Article
- Challenges and enablers in measles vaccination implementation in Ethiopia: Insights from a qualitative study.PLOS global public health · 2025Article
- Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China.BMC health services research · 2024Article
- Motivation and job satisfaction of community health workers in Ethiopia: a mixed-methods approach.Human resources for health · 2023Article
- Association Between Individual-Level Knowledge and Motivation among Community Health Workers in Rural Areas of Northern States of India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
12 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough Ethiopia has improved access to health care in recent years, quality of care remains low. Health worker motivation is an important determinant of performance and affects quality of care. Low health care workers motivation can be associated with poor health care quality and client experience, non-attendance, and poor clinical outcome. Objective this study sought to determine the extent and variation of health professionals' motivation alongside factors associated with motivation.
methodsWe conducted a facility based cross-sectional study among health extension workers (HEWs) and health care professionals in four regions: Amhara, Oromia, South nations, and nationalities people's region (SNNPR) and Tigray from April 15 to May 10, 2018. We sampled 401 health system workers: skilled providers including nurses and midwives (n = 110), HEWs (n = 210); and non-patient facing health system staff representing case team leaders, facility and district heads, directors, and officers (n = 81). Participants completed a 30-item Likert scale ranking tool which asked questions across 17 domains. We used exploratory factor analysis to explore latent motivation constructs.
resultsOf the 397 responses with complete data, 61% (95% CI 56%-66%) self-reported motivation as "very good" or "excellent". Significant variation in motivation was seen across regions with SNNPR scoring significantly lower on a five-point Likert scale by 0.35 points (P = 0.003). The exploratory factor analysis identified a three-factors: personal and altruistic goals; pride and personal satisfaction; and recognition and support. The personal and altruistic goals factor varied across regions with Oromia and SNNPR being significantly lower by 0.13 (P = 0.018) and 0.12 (P = 0.039) Likert points respectively. The pride and personal satisfaction factor were higher among those aged > = 30 years by 0.14 Likert scale points (P = 0.045) relative to those aged between 19-24years.
conclusionsOverall, motivation was high among participants but varied across region, cadre, and age. Workload, leave, and job satisfaction were associated with motivation.
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