Table 4.
Binary logistic regression analysis of the association between organizational, contextual, and motivational factors and motivation among HEWs.
| Variables | Characteristics | Motivation | Crude OR (95% CI) | Adjusted OR (95% CI) | |
|---|---|---|---|---|---|
| No | Yes | ||||
| Distance from Woreda town | <1 Hour | 12 | 25 | ||
| 1–2 | 16 | 35 | 1.75 (0.75, 4.09) | 0.91 (0.21, 3.87) | |
| 2–3 | 15 | 47 | 1.65 (0.68, 3.99) | 1.62 (0.45, 5.89) | |
| 3–4 | 16 | 55 | 1.05 (0.42, 2.60) | 1.74 (0.48, 6.31) | |
| >4 Hours | 20 | 73 | 1.50 (0.61, 3.70) | 0.93 (0.21, 4.02) | |
| Gross salary | <1,000 Birr | ||||
| 1,001–2000 | 26 | 64 | 0.41 (0.05, 3.58) | 0.25 (0.01, 6.61) | |
| 2001–3,000 | 53 | 171 | 0.53 (0.06, 4.49) | 0.48 (0.02, 11.77) | |
| 3,001–4,000 | |||||
| >4,001 Birr | |||||
| Recognition | Do you feel that members of the community recognize and value your work at the Health Post? | 79 | 235 | 1.84 (1.39, 2.45) | 0.83 (0.43, 1.61) |
| Do you believe that improvements in the health status of the communities reflect appreciation for your work? | 79 | 235 | 2.07 (1.54, 2.79) | 1.25 (0.73, 2.13) | |
| Career development | Is there a system in the Health Office that provides career development opportunities for HEWs? | 79 | 235 | 1.01 (0.84, 1.21) | 0.51 (0.31, 0.85)* |
| Do you believe career development opportunities count as a motivational factor for HEWs? | 79 | 235 | 1.83 (1.46, 2.29) | 1.51 (0.98, 2.31) | |
| Supervision | Do you receive regular supervision and feedback from your immediate supervisor? | 79 | 235 | 1.16 (0.92, 1.45) | 0.50 (0.29, 0.88)* |
| Do you believe regular supervision and feedback from your supervisor encourages you to perform well? | 79 | 235 | 1.66 (1.33, 2.08) | 1.18 (0.65, 2.15) | |
| Incentives | Are you satisfied with the performance related incentive opportunities (promotion, transfer, educational/training) for HEWs? | 79 | 235 | 2.03 (1.61, 2.56) | 2.46 (1.50, 4.05)* |
| Training | Do you believe your job requires regular on-the-job or off-the-job training? | 79 | 235 | 2.05 (1.54, 2.72) | 0.44 (0.21, 0.92)* |
| Do you agree your job requires a variety of knowledge and skill transfer among co-workers? | 79 | 235 | 3.32 (2.34, 4.72) | 3.52 (1.62, 7.63)* | |
| Decision making autonomy | Can you do your work the way you want independently? | 79 | 235 | 2.72 (2.05, 3.61) | 3.11 (1.68, 5.78)* |
Statistically significant (p < 0.05) are indicated with an asterisk.