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Table 3 Percent of providers who agreed with positive statements on the work environment, by study group a

From: Effects of a performance and quality improvement intervention on the work environment in HIV-related care: a quasi-experimental evaluation in Zambia

Items

Intervention

Comparison

Adjusted model – interaction P valueb

Baseline, n = 27

Endline, n = 29

P valueb

Baseline, n = 16

Endline, n = 29

P valueb

Drugs, supplies, and equipment

Drugs are adequate

70.3

82.8

0.28

87.5

72.4

0.25

0.006

Supplies are adequate

74.1

82.8

0.44

100.0

65.5

0.01

0.001

Equipment (e.g., blood pressure cuffs) is adequate

61.5

89.7

0.01

68.8

48.3

0.19

0.036

Training, feedback, and supervision

Job expectations are known

96.3

100.0

0.30

87.5

89.2

0.86

–

Constructive feedback received from supervisor

73.1

89.7

0.11

93.8

75.0

0.13

0.02

Constructive feedback received from co-worker

69.2

86.2

0.13

93.8

82.8

0.31

0.01

Provider received recognition, either as individual or as part of the team

84.6

68.9

0.18

93.8

90.1

0.65

0.76

Training is provided in critical skills

81.5

82.8

0.90

81.3

44.8

0.02

0.004

Training provided is of interest to provider

66.7

65.5

0.93

87.5

44.8

0.01

0.004

Compensation/salary

Provider received appropriate salary

76.9

65.5

0.36

75.0

55.2

0.20

0.750

Provider received timely salary

96.0

96.6

0.92

100.0

100.0

–

–

Provider received appropriate leave time

72.0

58.6

0.31

73.3

55.1

0.25

0.701

Staffing and safety

Number of provider staff is adequate

37.0

34.5

0.85

63.0

50.0

0.43

0.906

Number of support staff is adequate

62.9

62.0

0.95

62.5

55.2

0.64

0.632

Provider feels safe from physical harm when working in the facility

77.8

96.6

0.03

100.0

82.7

0.08

0.001

Fulfilment

Provider feels job is fulfilling

92.5

89.7

0.70

93.8

86.2

0.45

0.813

Department has good morale

81.5

75.9

0.61

87.5

58.6

0.05

0.459

Provider feels work is important

100.0

96.3

0.36

100.0

100.0

----

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Provider feels work is valued by the community

100.0

92.9

0.16

93.8

96.6

0.67

0.001

Your work has a positive impact on the health of the community

100.0

96.6

0.34

100.0

100.0

----

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  1. aResponse scale was 1 to 5, with 5 meaning “strongly agree” and 1 meaning “strongly disagree”. This table reflects the percent of respondents who “agreed” and “strongly agreed”.
  2. bBivariate results show P value from t-test comparing values at baseline or at endline. Interaction term P value is from multivariate logistic regression models of each result on the intervention status, time point, and interaction of these two, while controlling for provider cadre and ZDF branch, and accounting for clustering of responses within each facility.