Identifying factors for job motivation of rural health workers in North Viet Nam

被引:212
作者
Marjolein Dieleman
Pham Viet Cuong
Le Vu Anh
Tim Martineau
机构
[1] Royal Tropical Institute, Amsterdam
[2] Hanoi School of Public Health, Hanoi
[3] Liverpool Sch. of Tropical Medicine, Liverpool
关键词
Health Worker; Human Resource Management; Health Staff; Performance Appraisal; Staff Performance;
D O I
10.1186/1478-4491-1-10
中图分类号
学科分类号
摘要
Background: In Viet Nam, most of the public health staff (84%) currently works in rural areas, where 80% of the people live. To provide good quality health care services, it is important to develop strategies influencing staff motivation for better performance. Method: An exploratory qualitative research was carried out among health workers in two provinces in North Viet Nam so as to identify entry points for developing strategies that improve staff performance in rural areas. The study aimed to determine the major motivating factors and it is the first in Viet Nam that looks at health workers' job perception and motivation. Apart from health workers, managers at national and at provincial level were interviewed as well as some community representatives. Results: The study showed that motivation is influenced by both financial and non-financial incentives. The main motivating factors for health workers were appreciation by managers, colleagues and the community, a stable job and income and training. The main discouraging factors were related to low salaries and difficult working conditions. Conclusion: Activities associated with appreciation such as performance management are currently not optimally implemented, as health workers perceive supervision as control, selection for training as unclear and unequal, and performance appraisal as not useful. The kind of non-financial incentives identified should be taken into consideration when developing HRM strategies. Areas for further studies are identified. © 2003 Dieleman et al; licensee BioMed Central Ltd.
引用
收藏
页数:10
相关论文
共 14 条
[1]  
Primer for policy makers: Health worker motivation and health sector reform, (2003)
[2]  
Franco L.M., Bennett S., Kanfer R., Health sector reform and public sector health worker motivation a conceptual framework, Social Science and Medicine, 54, pp. 1255-1266, (2002)
[3]  
Training Manual on Management of Human Resources for Health, (1993)
[4]  
Martinez J., Assessing quality, outcome and performance management, (2001)
[5]  
Public service as an employer of choice 2002, (2003)
[6]  
Herzberg F., One more time: How do you motivate employees?, Harvard Business Review, 81, 1, pp. 87-96, (2003)
[7]  
A study on motivation of health staff in Northern Vietnam, (2001)
[8]  
Health Strategy for the year 2000 to 2020, (1996)
[9]  
Wright E.P., Vietnam Health Sector Review 1999: Institutional Setting and Human Resources Report, (1999)
[10]  
Pretty J., Guijt I., Thompson J., Scoones I., A trainer's guide for Participatory Learning and Action, (1995)