Association between health worker motivation and healthcare quality efforts in Ghana

Table 4 Association between staff motivation and quality healthcare

	Staff motivation factors^b
ESS and NHIA quality care markers	Motivating factor 1	Motivating factor 2	Motivating factor 3	Motivating factor 4
ESS patient risk areas	Coef.	Coef.	Coef.	Coef.
Leadership and accountability	0.2702^a	0.3013^a	0.2538^a	0.0896
Competency of workforce	0.1616^a	0.1258^a	0.2411^a	0.1788^a
Environmental safety	0.1086	0.1306^a	0.1600^a	0.0452
Clinical care	0.2621^a	0.2273^a	0.2918^a	0.1526^a
Quality improvement	0.1776^a	0.2387^a	0.2952^a	0.2463^a
Overall quality care	0.2478^a	0.2716^a	0.2764^a	0.1110^a
NHIA core standard areas	Coef.	Coef.	Coef.	Coef.
Range of services	−0.1851^a	−0.1731^a	−0.1352^a	−0.0129
Staffing	−0.0847^a	−0.1219^a	−0.0099	0.0544
Organization and management	0.0289	−0.1357^a	0.1057	0.0858
Quality and safety management	0.0419	0.0207	0.1475^a	0.1250^a
Care delivery	−0.0821	−0.0299	0.0854	0.0601
Overall quality care	−0.0258	0.0271	0.0760	0.1236^a

^aSpearman correlation coefficient statistically significant at 0.05 level of significance. Source: COHEISION Project Clinic Staff Interviews Data (March-June, 2012).
^bMotivating factors: Motivating factor 1 = clinic physical work environment; Motivating factor 2 = availability of resources and drugs; Motivating factor 3 = financial and extrinsic incentives; Motivating factor 4 = job prospects and career development.

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