“…They present three levels of factors that affect a worker"s willingness and ability to perform in line with organisational goals (Figure 1): the individual level of worker self-concept, expectations, experience of outcomes, and technical and intellectual capacity; the organisational level of structures, resources, processes and culture; and a broader level of political and economic change with a particular interest in the effect of health sector reform on healthworker motivation through these levels. This framework has been widely used in forming a basis for understanding influences on healthworker behaviour in different country settings (Gilson, Palmer, & Schneider, 2005;Rowe, de Savigny, Lanata, & Victora, 2005;World Health Organisation, 2006). The quantification of motivation, based on this conceptual framework, has been undertaken by Bennett et al(2001) amongst hospital workers in Jordan and Georgia and by Penn-Kekana et al (2005) amongst maternal health nurses at hospitals and clinics in South Africa.…”