1. Health care provider survey
Methodology and selected
preliminary findings
Julia Lohmann

2. Objective
To assess the influence of the introduction
of PBF on health care providers‘
• Attitudes
• Knowledge
• Working conditions

3. Methodology

5. Sample
• Sampling criteria
– Provider of health care services (hospitals: ANC,
Maternity, PNC); fluent in English
– Present during the IE team visit
• Final sample
– 80 health care providers
– Ø 6.8 interviews at hospitals,
1.7 at health centers
Ntcheu
n=20
Mchinji
n=16
Balaka
n=23
Dedza
n=21

6. Questionnaire contents
1. In-service training
2. Clinical knowledge
3. Work tasks and working hours
4. Salary, other compensation, supplemental income
5. Supervision
6. Perceived workplace characteristics
7. Job satisfaction, organizational commitment
8. Work motivation

7. Work motivation (1)
The self-determination continuum (adapted from Gagné & Deci, 2005)

8. Work motivation (2)
Adapted version of the Work Extrinsic and Intrinsic Motivation Scale
(WEIMS; Tremblay et al., 2009)

9. Selected preliminary findings

10. Continuous training levels in midwives in service two
years or more
(„Have you ever been trained following your initial formation?“)
n=47
Emergency obstetric care
Emergency newborn care
PMTCT
Focused ANC
Prevention of malaria in pregnancy
Management of malaria in pregnancy
0%
Primary facilities
20%
40%
60%
Secondary facilities
80%
100%

11. Absenteeism
• 24 providers (32%) were absent for reasons other than annual leave
in the last month, missing work for 4.5 days on average
Salary
• 18 % report not having received all salary for the past 6 months
• 44 % report delays in salary payment in the last 6 months
• Only in 2 cases, the facility assisted with a loan
Supervision
• 68 % (excl. facility heads) report having an internal supervisor
• 21 % have never met with them to discuss performance or
career

12. Satisfaction
n=79
Relationship with clients
Relationship with colleagues, DHMT, etc.
Facility management
Relationship with community
Workload and demands
Material and workplace
Rewards for good performance
Salary and benefits
Unsatisfied
Satisfied

13. Thank you for
your attention!