Does Motivation Contribute on Health Care Provision?

Elizabeth Landa


This study aimed to examine the contribution of employee motivation on provision of customer care in public health centres, in Morogoro Municipality. Data were collected from four selected public health institutions namely Morogoro General Hospital, Nunge Health Centre, Mafiga Health Centre and Kingolwila Health Centre respectively. The sample of 124 respondents were used, that is; employees and heads of the health centres. Collected data were coded using SPSS, where frequencies, percentages and chi-square were employed. The study identified that career development, training, appreciation, recognition, membership to the Social Security Fund, team work, working condition, paid leave, housing allowances and acting allowance were, the motivation schemes provided to public health employees. However public health workers are motivated by being a member on social security fund, medical cover, supervision, and job security. The result shows that there is significant difference between the employee who are motivated and those who are not motivated with regard to their provision of customer care to patients. The study concludes that most of the employees are not motivated by the existing motivation schemes which consequences lower their ability to provide the appropriate health services. The study recommends that strategies for improving motivation of employee to improve customer care include increase salary, improve working condition, pay housing allowance to all employees, allowance such as leave, overtime should be paid on time, promotion should be made in appropriate time and fair.

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Adebayo, A. (2006). Motivation for activity-based costing implementation: Administrative and institutional influences, Journal of Accounting & Organizational Change, 21(1), 42 – 73.

Brewster, C., Carey, L., Dowling, L., Globbler, P., Holland, P., & Warch, S. (2003). Contemporary Issue in Human resources management: gaining a competitive advantage. Cape Town Oxford University press.

Dieleman, M., Toonen, J., & Toure, H. (2003). The match between motivation and performance management of health sector workers in Mali. Human Resources for Health, 4(2), 1478-4491.

Drafke, M. W., & Kossen, S. (2002). The Human side of Organization 8th ed. Upper Saddle River, New Jersey:Prentice Hall.

Elmer, N., De Gilder, D., & Haslan, S. A. (2004). Motivating Individual and Groups at work: a Social Identity persdpective on leadership and group performance: Academy of management review, 29(3), 459-476.

Gray, R. (2004). How People Work and How you can help them to give their best. Tapei Prentice Hall, Finance Times.

Koontz, A., & Weihrich, J. (2007). Essentials of Management, London, Pearson Education Prentice Hall.

Leshabari, M. T., Eustace P. Y., Muhondwa, E. P., Naboth, A. A., & Mbembati, A. A. (2008).Motivation of health care workers in Tanzania: a case study of Muhimbili National Hospital, East African Journal of Public Health, 5(1), 32-37.

Manongi R. N., Marchant, T. C., & Bygbjerg, I. C. (2006). Improving motivation among primary health care workers in Tanzania: a health worker perspective, Human Resources for Health, 4(6).

Mathauer, I., & Imhoff, I. (2006). Health worker motivation in Africa: the role of non financial incentives and human resource management tools. Human Resources for health 4(24), 1478-4491.

Nelson, B. (2003). Top Ten ways to motivate your employee, ABA Bank marketing, 35(10), 56 – 65.

Ramasodi, J. M. B. (2010). Factors influencing job satisfaction among healthcare professionals at south rand hospital. Dissertation Submitted in fulfillment of the requirements for the degree of master of public health in the faculty of health systems management and policy (school of public health) at The University of Limpopo.

Sharma, S. (2006). A right way to win an employee, to win his heart, retrieve on Tuesday 13th December 2016

Songstad, N. G., Rekdal, O. B., Massay, D, A. & Blystad, A. (2011). Perceived unfairness in working conditions: The case of public health services in Tanzania, Health Services Research, 11(34), p. 1-15 retrieve on Tuesday 13th December 2016

URT. (2004). Summary Results from Service Delivery Surveys 2003/04(Part I).

URT. (2005). The staff circulars 1996-2005 Dar es Salaam: Tanzania Government Printer.

URT. (2009). Health sector strategic plan III July 2009- June 2015. Dar es Salaam: Ministry of Health and Social Welfare.

URT. (2010). Consultancy Services to Conduct Survey of Public Servants’ Service Delivery, President’s Office, Public Service Management.

WHO. (2006).The World Health Report 2006: Working together for health Geneva: World Health Organization.


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