Health worker satisfaction and motivation: an empirical study of incomes, allowances and working conditions in Zambia

Gow, Jeff and George, Gavin and Mwamba, Sylvia and Ingombe, Lutangu and Mutinta, Given (2012) Health worker satisfaction and motivation: an empirical study of incomes, allowances and working conditions in Zambia. International Journal of Business and Management, 7 (10). pp. 37-48. ISSN 1833-3850

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Abstract

Health worker salaries in Zambia are low by any standard. In recent times there have been real reductions in the salaries of health workers. This has resulted in significant attrition in the public sector as health workers are attracted to the private sector or leave Zambia entirely, leaving a large deficit in public sector health workers. In this study we examine the relationship between health worker incomes and their satisfaction and motivation. Cross-sectional data collection was undertaken using both quantitative and qualitative methods. A refined survey instrument was used for the quantitative data method. Document review (past and current records) was employed for the qualitative method. Data was collected in three regions that represent extremes in overall remuneration and benefits. Lusaka represented the favourable area while Monze and Nyimba represented less favourable areas for study in Zambia. There are hefty disparities between different health workers. There are also enormous salary differentials for the same workers between the public and private sectors. These salary differentials explain the experience of public to private 'traffic' of health workers as well as casual private sector work by public sector health workers. In addition, there are negligible efforts by government to reduce the benefits gaps among key public health cadres. The low incomes received by public health workers in Zambia have many negative implications: it begets absenteeism, results in low output, poor quality health care, and the departure of health workers to the private sector and overseas.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: This is an Open Access journal, and is licensed under a Creative Commons Attribution 3.0 License. Copyrights for articles published in CCSE journals are retained by the authors, with first publication rights granted to the journal.
Depositing User: Dr Jeffrey Gow
Faculty / Department / School: Historic - Faculty of Business and Law - School of Accounting and Finance
Date Deposited: 11 Oct 2012 10:34
Last Modified: 19 Feb 2013 02:00
Uncontrolled Keywords: Zambia; health workers; income; satisfaction
Fields of Research (FOR2008): 15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150306 Industrial Relations
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
Socio-Economic Objective (SEO2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
Identification Number or DOI: doi: 10.5539/ijbm.v7n10p37
URI: http://eprints.usq.edu.au/id/eprint/21651

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