STRATEGIC INTERVENTIONS AND HEALTH WORKFORCE MOTIVATION: A CASE OF SELECTED HEALTH FACILITIES IN BUGESERA DISTRICT.

Abstract

Abstract: The main objective of this study was to evaluate the effectiveness of strategic interventions for health workforce motivation in selected health facilities in Bugesera District, Rwanda. Specifically, the study examined the effectiveness of performance-based financing (PBF), salary increases, professional development opportunities, and work environment factors on healthcare workers' motivation. A descriptive research design using both qualitative and quantitative methods was employed, with data collected from 140 healthcare providers in Nyamata Hospital and Benefactor David Clinic calculated using Slovin’s (1960) formula n=N/(1+N*e²). The data was analyzed through descriptive statistics, including means, standard deviations, and correlation analysis, with a t-test applied to assess significance at a 95% confidence interval. The study found that PBF had a significant positive effect on motivation, with a mean score of 4.07 and a strong correlation (r = .945**). Salary increases also significantly impacted motivation (mean = 3.54, r = .965**). Similarly, professional development opportunities (r = .965**) and work environment factors (r = .949**) strongly correlate positively with health workforce motivation. The study concluded that strategic interventions, including financial and non-financial incentives, are key to improving health workforce motivation. It recommended that the Ministry of Health provide a balanced approach to incentives, incorporating career development and professional growth opportunities.