Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts
Abstract Background Since its introduction in the national antenatal care (ANC) system in Tanzania in 2001, little evidence is documented regarding the motivation and performance of health workers (HWs) in the provision of intermittent preventive treatment of malaria during pregnancy (IPTp) services...
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ftdoajarticles:oai:doaj.org/article:174f81c1559b44b08108bb8633b0c5d3 2023-05-15T15:15:15+02:00 Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts Mubyazi Godfrey M Bloch Paul Byskov Jens Magnussen Pascal Bygbjerg Ib C Hansen Kristian S 2012-02-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-48 https://doaj.org/article/174f81c1559b44b08108bb8633b0c5d3 EN eng BMC http://www.malariajournal.com/content/11/1/48 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-48 1475-2875 https://doaj.org/article/174f81c1559b44b08108bb8633b0c5d3 Malaria Journal, Vol 11, Iss 1, p 48 (2012) Human resources Health worker motivation Malaria Health-care services Malaria in pregnancy Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-48 2022-12-31T04:31:09Z Abstract Background Since its introduction in the national antenatal care (ANC) system in Tanzania in 2001, little evidence is documented regarding the motivation and performance of health workers (HWs) in the provision of intermittent preventive treatment of malaria during pregnancy (IPTp) services in the national ANC clinics and the implications such motivation and performance might have had on HWs and services' compliance with the recommended IPTp delivery guidelines. This paper describes the supply-related drivers of motivation and performance of HWs in administering IPTp doses among other ANC services delivered in public and private health facilities (HFs) in Tanzania, using a case study of Mkuranga and Mufindi districts. Methods Interviews were conducted with 78 HWs participating in the delivery of ANC services in private and public HFs and were supplemented by personal communications with the members of the district council health management team. The research instrument used in the data collection process contained a mixture of closed and open-ended questions. Some of the open-ended questions had to be coded in the form that allowed their analysis quantitatively. Results In both districts, respondents acknowledged IPTp as an essential intervention, but expressed dissatisfaction with their working environments constraining their performance, including health facility (HF) unit understaffing; unsystematic and unfriendly supervision by CHMT members; limited opportunities for HW career development; and poor (HF) infrastructure and staff houses. Data also suggest that poor working conditions negatively affect health workers' motivation to perform for ANC (including IPTp) services. Similarities and differences were noted in terms of motivational factors for ANC service delivery between the HWs employed in private HFs and those in public HFs: those in private facilities were more comfortable with staff residential houses, HF buildings, equipment, availability of water, electricity and cups for clients to use ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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Human resources Health worker motivation Malaria Health-care services Malaria in pregnancy Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Human resources Health worker motivation Malaria Health-care services Malaria in pregnancy Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Mubyazi Godfrey M Bloch Paul Byskov Jens Magnussen Pascal Bygbjerg Ib C Hansen Kristian S Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
topic_facet |
Human resources Health worker motivation Malaria Health-care services Malaria in pregnancy Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Since its introduction in the national antenatal care (ANC) system in Tanzania in 2001, little evidence is documented regarding the motivation and performance of health workers (HWs) in the provision of intermittent preventive treatment of malaria during pregnancy (IPTp) services in the national ANC clinics and the implications such motivation and performance might have had on HWs and services' compliance with the recommended IPTp delivery guidelines. This paper describes the supply-related drivers of motivation and performance of HWs in administering IPTp doses among other ANC services delivered in public and private health facilities (HFs) in Tanzania, using a case study of Mkuranga and Mufindi districts. Methods Interviews were conducted with 78 HWs participating in the delivery of ANC services in private and public HFs and were supplemented by personal communications with the members of the district council health management team. The research instrument used in the data collection process contained a mixture of closed and open-ended questions. Some of the open-ended questions had to be coded in the form that allowed their analysis quantitatively. Results In both districts, respondents acknowledged IPTp as an essential intervention, but expressed dissatisfaction with their working environments constraining their performance, including health facility (HF) unit understaffing; unsystematic and unfriendly supervision by CHMT members; limited opportunities for HW career development; and poor (HF) infrastructure and staff houses. Data also suggest that poor working conditions negatively affect health workers' motivation to perform for ANC (including IPTp) services. Similarities and differences were noted in terms of motivational factors for ANC service delivery between the HWs employed in private HFs and those in public HFs: those in private facilities were more comfortable with staff residential houses, HF buildings, equipment, availability of water, electricity and cups for clients to use ... |
format |
Article in Journal/Newspaper |
author |
Mubyazi Godfrey M Bloch Paul Byskov Jens Magnussen Pascal Bygbjerg Ib C Hansen Kristian S |
author_facet |
Mubyazi Godfrey M Bloch Paul Byskov Jens Magnussen Pascal Bygbjerg Ib C Hansen Kristian S |
author_sort |
Mubyazi Godfrey M |
title |
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
title_short |
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
title_full |
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
title_fullStr |
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
title_full_unstemmed |
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts |
title_sort |
supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in tanzania: evidence from two rural districts |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-48 https://doaj.org/article/174f81c1559b44b08108bb8633b0c5d3 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 48 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/48 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-48 1475-2875 https://doaj.org/article/174f81c1559b44b08108bb8633b0c5d3 |
op_doi |
https://doi.org/10.1186/1475-2875-11-48 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
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1766345619510657024 |