Financial and Non-Financial Incentives to Improve Performance and the Quality of Health care in Hadiya zone, SNNPR, Ethiopia
Abstract:
Human resources for health are key for
delivery of health care services. According to WHO’s 2006 World Health Report, Ethiopia
had 0.247 doctors, nurses and midwives combined per 1,000 population, and was one
of the 57 countries with health workforce crisis. International Non-Governmental
Organizations and International agencies utilizes financial and non-financial incentive
to retain experienced health workers to deliver health services for targeted population.
This study employed health facility based cross sectional survey. Quantitative and
qualitative data collection techniques was used to gather primary information using
tools. The study was conducted in the selected health facilities in Hadya zone,
Southern Nations and Nationalities Region, Ethiopia. In Hadiya zone, there were
13 rural districts and 4 town administrations. The study targeted 4 rural districts
selected randomly and all 4 town administrations. All health professionals who were
working in the public health sector targeted for the study. The research aim was
to examine the relationship between financial and non-financial incentives and health
workers performance and quality of health care.
This study found that 64.1% (Male 59.3%%; Female 66.7) respondents reported
that both financial and non-financial incentives were equally important to improve
health workers performance and motivation in provision of quality of health care
services. This clearly indicated that the importance of non-financial incentives
on the top of financial incentive to motivate Health Workers for better performance
and quality of health care.
References:
[1]
Kidane
Mariam, W. & Moen, A. (1972). Government health services in Ethiopia and the
role of medical graduates in it. Ethiopian-Medical Journal, PO, 117-13
[2]
Health
Extension Programme: An Innovative Solution to Public Health Challenges of Ethiopia.
A Case Study, USAID.
[3]
Yayehyirad
Kitaw, Yemane Ye-Ebiyo, Amir Said, Hailay Desta, and Awash Teklehaimanot, "Assessment
of the Training of the First Intake of Health Extension Workers”, (2007). The Ethiopian Journal of Health Development,
21 (2007), pp. 232 – 239
[4]
"Global distribution of health workers in WHO Member
States" (2008). The World Health Report 2006. World Health Organization.
[5]
Macro
International Inc. (2008). Ethiopia Atlas of Key Demographic and Health Indicators,
2005." (Calverton: Macro International.
[6]
Conacher, D.G. (1976). "Medical care in Ethiopia".
Transactions of the Royal Society of Tropical Medicine and Hygiene. 70 (2):
141–144. doi:10.1016/0035-9203(76)90176-0.
[7]
The
Ethiopia Sixth Health Accounts (2013/14): Statistical Report Health Insurance (CBHI, SHI), Publications; https://www.hfgproject.org/ethiopia-sixth-health-accounts-201314-statistical-report/
https://web.archive.org/web/20181220231759/
http://www.moh.gov.et/
[8]
National
Human resource for health strategic plan for Ethiopia 2016–2025
[9]
Ministry
of Health. (2010). Health sector development
program IV 2010/11-2014/15. (). Addis Ababa, Ethiopia: Federal Democratic
Republic of Ethiopia.
[10]
The
Health Extension Programme in Ethiopia. The World Bank, Washington DC, January 2013;
[11]
Transforming
Health Care in Ethiopia: An Interview with Dr. Tedros Adhanom Ghebreyesu”. (2013).
Boston Consulting Group.
[12]
EVALUATION
OF HEP (2010). Implementation process and
effect on health outcomes VOLUME IV: SUPPORT AND MANAGEMENT OF HEP, RURAL ETHIOPIA.
[13]
Institute
of Medicine (2001). Crossing the quality chasm: A new healthcare system for the
twenty-first century Washington, DC: National Academies Press.
[14] Midwest Business Group on Health (2002). Reducing the costs of poor-quality health care
through responsible purchasing leadership Chicago, IL: Mid- west Business Group
on Health.
[15] Pink GH, Brown AD, Stutter ML, Reiter KL, Leatt P (2006). Pay-for-Performance in publicly financed
health care: some international
experiences and considerations for Canada. Healthcare Papers, 6:8-26.
[16] Bossert T (1998). Decentralization of health systems: decision
space, innovation, and performance. Soc Sci Med, 10:1513-1127.
[17] Saltman R, Bankauskaite V (2006). Conceptualizing decentralization
in European health systems: a functional perspective. Health Economics, Policy and Law, 1:127-147.
[18] Saltman R, Bankauskaite V (2006). Conceptualizing decentralization
in European health systems: a functional perspective. Health Economics, Policy and Law, 1:127-147.
[19] Herzberg, F., (1968). One more time: how do you motivate
employees? Harvard Business Review, Vol 46, Issue 1
[20] Hotchkiss, D.R., Banteyerga, H. & Tharaney, M. (2015).
Job satisfaction and motivation among public sector health workers: evidence from
Ethiopia. Hum Resource Health 13, 83 (2015) doi: 10.1186/s12960-015-0083-6.
[21]
Vroom,
V. H. (1964). Work and Motivation. New York: John Wiley.
[22]
Brewer,
D. J., & Picus, L. O. (Eds.). (2014). Encyclopedia of Education Economics and
Finance. SAGE Publications.
[23] Herzberg, F., Mausner,
B., Peterson, R., & Capwell, D. (1957). Job attitudes: Review of research and
opinion. Pittsburg: Psychological Service of Pittsburg.
[24]
Herzberg,
F. (1966). Work and the nature of man. Cleveland: World Publishing.
[25]
Herzberg,
F. (1968). One more time: How do you motivate your employees? Harvard
[26] Value
Based Management.net. 2016. Retrieved from http://www.valuebased management.net/methods_herzberg_two_factor_theory.html.
