Comparative study on job motivation and job stress among urban and rural community health workers of Hubballi taluk in Karnataka
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252895Keywords:
Accredited social health activists, Auxiliary nurse midwife, Burnout, Community health workers, Job stress, MotivationAbstract
Background: Health workers account for the largest share of public expenditures on health and play a crucial role in efforts to improve the availability and quality of health services. The performance of community health worker depends on their job satisfaction which is derived from certain intrinsic and extrinsic motivators. Objectives were to compare the motivation and job stress among community health workers in Hubballi Taluk in Karnataka.
Methods: Comparative cross-sectional study was conducted among 134 community health workers of 3 rural PHCs from Noolvi, Byahatti, Adargunchi, and 3 urban PHCs from Bantikatta, Ayodhyanagar, Navanagar of Hubballi taluk. After obtaining informed consent, data was collected using pretested structured questionnaire and 4 point Likert scale method used.
Results: Out of 134 community health workers, 68 were from rural areas and 66 were from urban areas. In urban area 24.2% were ANMs and 75.8% were ASHA workers while in the rural 8.8% were ANMs and 91.2% were ASHA. 56.1% in the urban and 50% in the rural were aged between 31-40 years respectively. The mean score of total motivation was higher in urban (72.13) than in rural (70.04) and also mean score of total occupational stress was higher in urban (60.3939) than rural (58.5588).
Conclusions: Our study showed that the motivation and job stress is more among the urban as compared to rural There is a need to motivate more in the rural health workers and reduce the job stress in urban area.
Metrics
References
Li L, Hu H, Zhou H, He C, Fan L, Liu X, et al. Work stress, work motivation and their effects on job satisfaction in community health workers: a cross-sectional survey in China. BMJ Open. 2014;4(6):e004897. DOI: https://doi.org/10.1136/bmjopen-2014-004897
Tripathy J, Goel S, Kumar A. Measuring and understanding motivation among community health workers in rural health facilities in India- a mixed method study. BMC Health Serv Res. 2016;16(1). DOI: https://doi.org/10.1186/s12913-016-1614-0
Peters D, Chakraborty S, Mahapatra P, Steinhardt L. Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states. Hum Res Health. 2010;8(1). DOI: https://doi.org/10.1186/1478-4491-8-27
Gopalan S, Mohanty S, Das A. Assessing community health workers’ performance motivation: a mixed-methods approach on India’s Accredited Social Health Activists (ASHA) programme. BMJ Open. 2012;2(5):e001557. DOI: https://doi.org/10.1136/bmjopen-2012-001557
Goel S, Dixit J, Sharma V. A comparative study on the level of satisfaction among regular and contractual health-care workers in a Northern city of India. J Fam Med Prim Care. 2017;6(2):416. DOI: https://doi.org/10.4103/jfmpc.jfmpc_278_16
Hotchkiss D, Banteyerga H, Tharaney M. Job satisfaction and motivation among public sector health workers: evidence from Ethiopia. Hum Res Health. 2015;13(1). DOI: https://doi.org/10.1186/s12960-015-0083-6
Kim G, Lee C. Construct validation of occupational stress scale in Korean dental technician. Int J Clin Prevent Dentist. 2014;10(4):266-72. DOI: https://doi.org/10.15236/ijcpd.2014.10.4.266
Dieleman M, Cuong P, Anh L, Martineau T. Identifying factors for job motivation of rural health workers in North Viet Nam. Hum Res Health. 2003;1(1). DOI: https://doi.org/10.1186/1478-4491-1-10
Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Res Health. 2006;4(1). DOI: https://doi.org/10.1186/1478-4491-4-24
Pan B, Shen X, Liu L, Yang Y, Wang L. Factors associated with job satisfaction among university teachers in northeastern region of China: a cross-sectional study. Int J Environ Res Public Health. 2015;12(10):12761-75. DOI: https://doi.org/10.3390/ijerph121012761
Dieleman M, Toonen J, Touré H, Martineau T. The match between motivation and performance management of health sector workers in Mali. Hum Res Health. 2006;4(1). DOI: https://doi.org/10.1186/1478-4491-4-2
Agyepong I, Anafi P, Asiamah E, Ansah E, Ashon D, Narh-Dometey C. Health worker (internal customer) satisfaction and motivation in the public sector in Ghana. Int J Health Plan Manage. 2004;19(4):319-36. DOI: https://doi.org/10.1002/hpm.770
Mbindyo P, Blaauw D, Gilson L, English M. Developing a tool to measure health worker motivation in district hospitals in Kenya. Hum Res Health. 2009;7(1). DOI: https://doi.org/10.1186/1478-4491-7-40
Jaiswal P, Singhal A, Gadpayle A, Sachdeva S, Padaria R. Level of motivation amongst health personnel working in a tertiary care government hospital of New Delhi, India. Indian J Community Med. 2014;39(4):235. DOI: https://doi.org/10.4103/0970-0218.143027
Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, et al. Human resources for health: overcoming the crisis. Lancet. 2004;364:1984-90. DOI: https://doi.org/10.1016/S0140-6736(04)17482-5
World Health Organization. Working Together for Health: World Health Report 2006. Geneva: The World Health Organization; 2006.
Franco LM, Bennett S, Kanfer R. Health sector reform and public sector health worker motivation: a conceptual framework. Soc Sci Med. 2002;54:1255-66. DOI: https://doi.org/10.1016/S0277-9536(01)00094-6