P. Khanal, B. Choulagai, P. Acharya
Jul 16, 2020
Journal name not available for this finding
Background Work motivation and job satisfaction are linked with the performance and retention of health workforce. Primary health facilities, mostly comprising of mid-level health workers, serve majority of the population in Nepal. The aim of the study was to assess the determinants of job satisfaction in relation to socio-demographics, job characteristics and work motivation status among health workers working in primary health facilities. Methods A mixed-methods study was conducted in Jhapa district in Eastern Nepal covering 40 primary health facilities. The data collection involved 151 self-administered questionnaire interviews and 16 in-depth interviews with the health workers. Mean differences in work motivation among those satisfied and unsatisfied with their job was examined using t tests. Logistic regression with 95% confidence interval at p<0.05 was used for identifying associated factors with job satisfaction. Thematic analysis was done for qualitative data. Results Among the study participants, 78.2% were either auxiliary health workers or auxiliary nurse midwives. The median employment period of health workers was 174 months. In the likert scale of five points, the mean score of work motivation was highest for team work (3.99) and lowest for financial motivation (2.21). Age of health workers and satisfaction with career development, and financial motivation were significantly associated with job satisfaction. The qualitative findings also revealed that majority of the health workers were not satisfied with the existing career development opportunities, availability of resources in health facility and financial motivation. Conclusions Dissatisfaction with career development and financial motivation was significantly associated with lower odds of job satisfaction among health workers. Additionally, resource availability in health facility, recognition of work and management support affected job satisfaction. A focus on improving work environment through increased financial motivation and career development opportunities as well as investing in primary health facilities with increased resource support is recommended to improve job satisfaction.