Health care provider survey

Methodology and selectedpreliminary findings

Julia Lohmann

Objective

To assess the influence of the introductionof PBF on health care providers‘

• Attitudes

• Knowledge

• Working conditions

Methodology

Sample

• Sampling criteria

– Provider of health care services (hospitals: ANC, Maternity, PNC); fluent in English

– Present during the IE team visit

• Final sample

– 80 health care providers

– Ø 6.8 interviews at hospitals, 1.7 at health centers

Balakan=23

Dedzan=21

Mchinjin=16

Ntcheun=20

Questionnaire contents

1. In-service training

2. Clinical knowledge

3. Work tasks and working hours

4. Salary, other compensation, supplemental income

5. Supervision

6. Perceived workplace characteristics

7. Job satisfaction, organizational commitment

8. Work motivation

Work motivation (1)

The self-determination continuum (adapted from Gagné & Deci, 2005)

Adapted version of the Work Extrinsic and Intrinsic Motivation Scale

(WEIMS; Tremblay et al., 2009)

Work motivation (2)

Selected preliminary findings

0% 20% 40% 60% 80% 100%

Management of malaria in pregnancy

Prevention of malaria in pregnancy

Focused ANC

PMTCT

Emergency newborn care

Emergency obstetric care

Primary facilities Secondary facilities

Continuous training levels in midwives in service twoyears or more

(„Have you ever been trained following your initial formation?“)

n=47

Absenteeism• 24 providers (32%) were absent for reasons other than annual leave

in the last month, missing work for 4.5 days on average

Salary• 18 % report not having received all salary for the past 6 months

• 44 % report delays in salary payment in the last 6 months

• Only in 2 cases, the facility assisted with a loan

Supervision

• 68 % (excl. facility heads) report having an internal supervisor

• 21 % have never met with them to discuss performance orcareer

Satisfaction

Salary and benefits

Rewards for good performance

Material and workplace

Workload and demands

Relationship with community

Facility management

Relationship with colleagues, DHMT, etc.

Relationship with clients

SatisfiedUnsatisfied

n=79

Thank you foryour attention!