- Title
- 'We pledge to improve the health of our entire community'
- Creator
- Grant, Carolyn
- Creator
- Nawal, Dipty
- Creator
- Guntur, Sai Mala
- Creator
- Kumar, Manish
- Creator
- Chaudhuri, Indrajit
- Creator
- Galavotti, Christine
- Creator
- Mahapatra, Tanmay
- Creator
- Ranjan, Kunal
- Creator
- Kumar, Gangesh
- Creator
- Mohanty, Sunil
- Creator
- Alam, Mohammed Aftab
- Creator
- Das, Aritra
- Creator
- Jiwani, Safia
- Subject
- To be catalogued
- Date Issued
- 2018
- Date
- 2018
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/281179
- Identifier
- vital:55699
- Identifier
- xlink:href="https://doi.org/10.1371/journal.pone.0203265"
- Description
- Background: Motivation is critical to health worker performance and work quality. In Bihar, India, frontline health workers provide essential health services for the state’s poorest citizens. Yet, there is a shortfall of motivated and skilled providers and a lack of coordination between two cadres of frontline health workers and their supervisors. CARE India developed an approach aimed at improving health workers’ performance by shifting work culture and strengthening teamwork and motivation. The intervention—“Team-Based Goals and Incentives”—supported health workers to work as teams towards collective goals and rewarded success with public recognition and non-financial incentives. Methods: Thirty months after initiating the intervention, 885 health workers and 98 supervisors completed an interviewer-administered questionnaire in 38 intervention and 38 control health sub-centers in one district. The questionnaire included measures of social cohesion, teamwork attitudes, self-efficacy, job satisfaction, teamwork behaviors, equitable service delivery, taking initiative, and supervisory support. We conducted bivariate analyses to examine the impact of the intervention on these psychosocial and behavioral outcomes. Results: Results show statistically significant differences across several measures between intervention and control frontline health workers, including improved teamwork (mean = 8.8 vs. 7.3), empowerment (8.5 vs. 7.4), job satisfaction (7.1 vs. 5.99) and equitable service delivery (6.7 vs. 4.99). While fewer significant differences were found for supervisors, they reported improved teamwork (8.4 vs. 5.3), and frontline health workers reported improved fulfillment of supervisory duties by their supervisors (8.9 vs. 7.6). Both frontline health workers and supervisors found public recognition and enhanced teamwork more motivating than the non-financial incentives. Conclusions: The Team-Based Goals and Incentives model reinforces intrinsic motivation and supports improvements in the teamwork, motivation, and performance of health workers. It offers an approach to practitioners and governments for improving the work environment in a resource-constrained setting and where there are multiple cadres of health workers.
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (19 pages)
- Format
- Publisher
- PLOS One
- Language
- English
- Relation
- PLoS One
- Relation
- Grant, C., Nawal, D., Guntur, S.M., Kumar, M., Chaudhuri, I., Galavotti, C., Mahapatra, T., Ranjan, K., Kumar, G., Mohanty, S. and Alam, M.A., 2018. 'We pledge to improve the health of our entire community': Improving health worker motivation and performance in Bihar, India through teamwork, recognition, and non-financial incentives. PLoS One, 13(8), p.e0203265
- Relation
- PLoS One volume 13 number 8 p.e.0203265 2018 1932-6203
- Rights
- Publisher
- Rights
- Use of this resource is governed by the terms and conditions of the PLOS Terms of Use Statement ( https://www.plos.org/terms-of-use)
- Rights
- Open Access
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Collections
Grant, Carolyn (Prof)
RU Department of Education
SDG 04. Quality Education
SDG 03. Good Health and Well-Being
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | We pledge to improve the health of our entire community.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |