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Table 2 Factors, items, and uses of the initial 24-item CTC Provider Motivational Indicator Scale

From: Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries

Factor Source(s)/use(s) Items Comments
Organisational commitment (Mbindyo et al., 2009, Prytherch et al., 2012, Mutale et al., 2013, Penn-Kekana et al., 2005, Bennett et al., 2001) I am proud to be working for my organisation as a CTC provider (OC1) In each context, the word ‘organisation’ was adapted from ‘hospital’ or ‘health facility’ used in other questionnaires. In most of the six countries, the organisation was identified as the Ministry of Health.
(Mutale et al., 2013, Mbindyo et al., 2009, Penn-Kekana et al., 2005, Bennett et al., 2001, Brunie et al., 2014) I feel very little commitment to my organisation (OC2)
(Mutale et al., 2013, Mbindyo et al., 2009, Bennett et al., 2001) My organisation really inspires me to do the very best on the job (OC3)
Extrinsic job satisfaction Phase I findings as well as adapted from Mutale et al., 2013, Mbindyo et al., 2009 I am satisfied with the support I receive from my colleagues (JS1) Satisfaction with the support from colleagues, community, and supervisor all identified as important during phase I data analysis.
(Bennett et al., 2001, Prytherch et al., 2012) I am satisfied with the opportunities for further training I have on this job (JS2)
Phase I findings I am satisfied with the community thanks and recognition I receive for my work (JS3)
Phase I findings and adapted from Prytherch et al., 2012, Brunie et al., 2014, Penn-Kekana et al., 2005, Bennett et al., 2001 I am satisfied with the financial support I receive from doing my work (JS4)
Phase I findings and adapted from Mbindyo et al., 2009, Prytherch et al., 2012, Mutale et al., 2013, Penn-Kekana et al., 2005, Brunie et al., 2014, Bennett et al., 2001 I am satisfied with the support I receive from my supervisor (JS5)
Community commitment Phase I findings I am proud to be working for my community (CC1) None of the motivation scales identified during phase II incorporated a community commitment factor. The inclusion of this factor is therefore based on the findings from phase I only, borrowing from the language used in items measuring organisational commitment.
My community inspires me to do the very best I can for them (CC2) Brunie et al. (2014) do allude to the community as an important factor, but all item statements are combined with a remuneration component (i.e. ‘I enjoy working in my community, even if it is without pay’; ‘I do not think it makes good sense for me to spend any time working in my community without payment’).
Intrinsic job satisfaction (Mbindyo et al., 2009, Mutale et al., 2013, Penn-Kekana et al., 2005, Brunie et al., 2014, Prytherch et al., 2012, Bennett et al., 2001) Overall, I am very satisfied with my job as a CTC provider (JS6) The term ‘CTC provider’ was replaced in each country with the context-appropriate term (i.e. HSAs, CHWs).
(Mbindyo et al., 2009, Mutale et al., 2013, Bennett et al., 2001) I am satisfied with the opportunities I have to use my abilities in my work (JS7)  
Phase I findings and adapted from Mbindyo et al., 2009, Mutale et al., 2013, Prytherch et al., 2012, Bennett et al., 2001 I am satisfied that I accomplish something worthwhile with my work (JS8)  
(Mbindyo et al., 2009, Mutale et al., 2013) I think that my work as a CTC provider is not valuable these days (JS9) Adapted from negatively worded item ‘I do not think that my work in this health facility is valuable these days’.
Phase I findings I am satisfied with the positive impact of my work (JS10)  
Work conscientiousness (Mbindyo et al., 2009, Mutale et al., 2013, Bennett et al., 2001) I can be relied upon at work (WC1) Adapted from ‘I am reliable and dependable at work’.
(Mbindyo et al., 2009, Mutale et al., 2013, Bennett et al., 2001) I always complete my tasks efficiently and correctly (WC2)  
(Mbindyo et al., 2009, Mutale et al., 2013, Bennett et al., 2001) I take initiative to do things without being asked or told (WC3) Adapted from ‘I do things that need doing without being asked or told’.
(Mbindyo et al., 2009, Mutale et al., 2013, Bennett et al., 2001) I am a hard worker (WC4)  
General motivation (Bennett et al., 2001), adapted for/used in Mbindyo et al., 2009, Prytherch et al., 2012, Mutale et al., 2013, Penn-Kekana et al., 2005 These days I feel motivated to work as hard as I can (MOT1)  
(Morrison et al., 2015) I feel I am the right person to do this job (MOT2) Adapted from ‘I am confident in my ability to do my job’.
Burnout (Mbindyo et al., 2009, Mutale et al., 2013, Penn-Kekana et al., 2005) When I get up in the morning I don’t feel like going to work (BO1) Adapted from ‘Sometimes when I get up in the morning, I dread having to face another day at work’.
(Mbindyo et al., 2009, Mutale et al., 2013, Penn-Kekana et al., 2005) I feel emotionally tired at the end of the day (BO2)  
  I feel physically tired at the end of the day (BO3) Added as connected to BO2.
  1. OC organisational commitment, JS job satisfaction, WC work conscientiousness, MOT general motivation, BO burnout