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. 2025 Nov 19;13:1678937. doi: 10.3389/fpubh.2025.1678937

Table 2.

Factors influencing motivation of HEWs in East Hararge Zone.

Motivational factor Questions Strongly disagree Disagree Neutral Agree Strongly agree
Community recognition Do you feel that the communities you serve at the health posts genuinely need your services? 5 (1.6%) 6 (1.9%) 31 (9.9%) 66 (21%) 206 (65.6%)
Do you believe that the changes in the community’s health status reflect an appreciation for your work? 4 (1.3%) 4 (1.3%) 37 (11.8%) 62 (19.7%) 207 (65.9)
Career development Is there an established system in the Health Office for supporting the career development of Health Extension Workers? 49 (15.6%) 50 (15.9%) 80 (25.5%) 52 (16.6%) 83 (26.4%)
Do you think career development opportunities enhance (motivate) the performance of Health Extension Workers? 10 (3.2%) 25 (8%) 50 (15.9%) 58 (18.5%) 171 (54.5%)
Supervision Do you receive regular and constructive feedback from your immediate supervisor? 10 (3.2%) 30 (9.6%) 105 (33.4%) 66 (21%) 103 (32.8%)
Do you believe that the feedback you receive from your supervisor motivates you to improve your performance? 9 (2.9%) 30 (9.6%) 61 (19.4%) 73 (23.2%) 141 (44.9%)
Training Do you believe your job requires regular on-the-job or off-the-job training? 2 (0.6%) 7 (2.2%) 61 (19.4%) 72 (22.9%) 172 (54.8%)
Do you agree your job requires a variety of knowledge and skills sharing to co-workers? 0 (0%) 6 (1.9%) 35 (11.1%) 66 (21%) 207 (65.9%)
Incentives and decision making Are you satisfied with the current opportunities for promotions, transfers, and educational or training advancements in your work? 15 (4.8%) 29 (9.2%) 83 (26.4%) 57 (18.2%) 130 (41.4%)
Do you have the autonomy to make decisions and perform your work independently? 8 (2.5%) 10 (3.2%) 58 (18.5%) 65 (20.7%) 173 (55.1%)