2019
DOI: 10.21203/rs.2.19657/v1
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Which mechanisms explain motivation of primary health workers? Insights from realist evaluation of a maternal and child health programme in Nigeria

Abstract: Background: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage and the Sustainable Development Goal 3 of ensuring healthy lives and promoting well-being for all. While there is abundant literature on drivers of workforce motivation, published knowledge on the mechanisms of how motivation works within different contexts is limited, particularly from low- and middle-income countries. This paper contributes to health workforce lite… Show more

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“…Although, the recruited security staff were not strong enough, which could be attributed to deficiencies in age (older adults) and equipment. Several studies highlight the presence of key security infrastructure (perimeter fence and lighting at nights), and human security as motivators for health workers to attend work, especially at nights [10,11,12,13]. Unfortunately, these infrastructures are found lacking across most PHC facilities in Nigeria.…”
Section: Introductionmentioning
confidence: 99%
“…Although, the recruited security staff were not strong enough, which could be attributed to deficiencies in age (older adults) and equipment. Several studies highlight the presence of key security infrastructure (perimeter fence and lighting at nights), and human security as motivators for health workers to attend work, especially at nights [10,11,12,13]. Unfortunately, these infrastructures are found lacking across most PHC facilities in Nigeria.…”
Section: Introductionmentioning
confidence: 99%