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[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
stake in HRH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Low job satisfaction / low motivation Push factor  of migration Poor  performance
[object Object],[object Object],Low job satisfaction / low motivation Push factor  of migration Poor  performance Performance  improvement Staff retention Challenge
[object Object],[object Object],Low job satisfaction / low motivation Push factor  of migration Poor  performance Performance  improvement Staff retention What is the role of non-financial incentives & Quality Management tools? Challenge
Motivation and  the role of non-financial incentives ,[object Object],[object Object],Empirical evidence
Motivation and  the role of non-financial incentives ,[object Object],[object Object],Common agreement on: Non-financial incentives are an essential component to increase motivation. Empirical evidence
Multicountry study  on motivation and incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multicountry study  on motivation and incentives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Multicountry study  on motivation and incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Country study Kenya Views of health workers on migration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Country study Kenya Views of health workers on their work ,[object Object],[object Object],[object Object],[object Object],[object Object]
Country study Kenya: Some observations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non- / financial incentives applied Survey findings in % N = 18 countries Study  leave Training Awards Performance related pay Bonus
Incentives to stay in remote areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Survey findings
Quality Management tools in % Survey findings N = 18 countries Regular meetings Regular supervision Feedback Performance  assessments
Survey findings Staff  satisfaction surveys   Leadership & management training Disciplinary  action  enforced Clear formulation  of expectations  and organizational  goals Quality Management tools N = 18 countries in %
Some examples of good practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Survey findings
Suggestions for  effective incentive schemes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Survey findings
Difficulties in implementing incentives ,[object Object],[object Object],[object Object],[object Object],Survey findings
Difficulties in implementing incentives (cont.) ,[object Object],[object Object],[object Object],Survey findings
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Open questions ,[object Object],[object Object],[object Object]
Motivational determinants Individual Organizational factors Cultural factors Cf. Franco et al. 2002 Goals, motives, values,  self-efficacy, expectations HRM, structures, processes, communication, mission Cultural values, also regarding the patient-provider relation
Ways to increase motivation Individual Organizational factors Cultural factors Financial incentives
Ways to increase motivation Individual Organizational factors Cultural factors Financial incentives Non-financial incentives
Ways to increase motivation Individual Organisational factors Cultural factors HR related  Quality management  tools Financial incentives Non-financial incentives
Motivation and  the role of non-financial incentives ,[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non- / financial incentives applied Survey findings in % N = 29 countries
Management and QM tools:   Staff supervision and recognition in % Survey findings N = 18 countries
Management and QM tools: Staff surveys, leadership, disciplinary action Staff  satisfaction surveys  Some form  of leadership  & management training in % Disciplinary  action  enforced Survey findings N = 29 countries Clear formulation  of expectations  and org. goals
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multicountry study  on motivation and incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reasons for ineffectiveness  of incentive schemes ,[object Object],[object Object],[object Object],[object Object],Survey findings
Motivation and  the role of non-financial incentives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Motivation and  the role of non-financial incentives ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Motivation

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  • 15. Non- / financial incentives applied Survey findings in % N = 18 countries Study leave Training Awards Performance related pay Bonus
  • 16.
  • 17. Quality Management tools in % Survey findings N = 18 countries Regular meetings Regular supervision Feedback Performance assessments
  • 18. Survey findings Staff satisfaction surveys Leadership & management training Disciplinary action enforced Clear formulation of expectations and organizational goals Quality Management tools N = 18 countries in %
  • 19.
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  • 27. Motivational determinants Individual Organizational factors Cultural factors Cf. Franco et al. 2002 Goals, motives, values, self-efficacy, expectations HRM, structures, processes, communication, mission Cultural values, also regarding the patient-provider relation
  • 28. Ways to increase motivation Individual Organizational factors Cultural factors Financial incentives
  • 29. Ways to increase motivation Individual Organizational factors Cultural factors Financial incentives Non-financial incentives
  • 30. Ways to increase motivation Individual Organisational factors Cultural factors HR related Quality management tools Financial incentives Non-financial incentives
  • 31.
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  • 34. Non- / financial incentives applied Survey findings in % N = 29 countries
  • 35. Management and QM tools: Staff supervision and recognition in % Survey findings N = 18 countries
  • 36. Management and QM tools: Staff surveys, leadership, disciplinary action Staff satisfaction surveys Some form of leadership & management training in % Disciplinary action enforced Survey findings N = 29 countries Clear formulation of expectations and org. goals
  • 37.
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  • 41.