Healthworkers’ motivation in low- and middle-income countries: A systematic review of the literature
Main Article Content
Abstract
Healthcare systems in low- and middle-income countries (LMICs) face a double burden of workforce challenges: low availability of healthworkers, and poor performance of many in post. Knowledge of what motivates healthworkers in their work may help address both challenges. To understand developments in this area, a systematic review of f literature was conducted. From an initial 4341 papers, 73 met the review’s inclusion criteria, encompassing a mix of focuses, methodologies, and geographical areas. Five themes are identified by healthworkers in the studies reviewed as influencing their motivation: working conditions (54 studies), financial incentives (46 studies), social incentives (37 studies), career development (31 studies) and living conditions (28 studies). As in previous reviews, there is a lack of evidence on the effectiveness of interventions for improving the availability, performance and motivation of healthworkers. A number of areas for further research are highlighted such as: developing effective interventions, understanding the role of context, and analysing the cost-effectiveness of different approaches to attracting and motivating healthworkers.
Article Details
How to Cite
VLAEV, Ivo et al.
Healthworkers’ motivation in low- and middle-income countries: A systematic review of the literature.
Medical Research Archives, [S.l.], v. 5, n. 8, aug. 2017.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/1423>. Date accessed: 16 dec. 2024.
Keywords
healthcare, health workforce, motivation, performance, quality, retention
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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what have we learned? Human Resources for Health, 5(1), 4.
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morale in the Ugandan health workforce. Health Affairs, 28(5), w863-w875.
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Results from a Discrete Choice Experiment. Health Systems for Outcomes, the World Bank.
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work in rural settings. Health Affairs, 29(8), 1452-1460.
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retention of mental health workers in Ghana. PloS One, 8(2), e57940.
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their work environment: The role of inter-personal factors on job satisfaction of nurses in rural Papua New Guinea. BMC Health Services Research, 12(1), 156.
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community hospital in the Limpopo Province in South Africa. Curationis, 30(2), 24-35.
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shortage in Africa: Are enough physicians and nurses being trained? Bulletin of the World
Health Organization, 87, 225-230.
Klopper, H. C., Coetzee, S. K., Pretorius, R., & Bester, P. (2012). Practice environment, job
satisfaction and burnout of critical care nurses in South Africa. Journal of Nursing Management, 20(5), 685-695.
Kotzee, T. & Couper, I. (2006). What interventions do South African qualified doctors think
will retain them in rural hospitals of the Limpopo province of South Africa. Rural Remote Health, 6(3), 581.
Lehmann, U., Dieleman, M., & Martineau, T. (2008). Staffing remote rural areas in middle-
and low-income countries: A literature review of attraction and retention. BMC Health Services Research, 8(1), 19.
Leonard, K. L. & Masatu, M. C. (2010). Professionalism and the know-do gap: Exploring
intrinsic motivation among health workers in Tanzania. Health Economics, 19(12), 1461-1477.
Leonard, K. L., Masatu, M. C., & Vialou, A. (2007). Getting doctors to do their best.
Journal of Human Resources, 42(3), 682-700.
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