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

Authors: Frederique Vallieres, Maryse Kok, Ilias Mahmud, Malabika Sarker, Philippa Jeacocke, Robinson Karuga, Licia Limato, Aschenaki Z Kea, Kikngsley Chikaphupha, Mohsin Sidat, Brynne Gilmore, and Miriam Taegtmeyer

Close-to-community health service (CTC) providers serve as critical support in low- and middle-income countries with limited access to formalized health care providers. However, motivational challenges cause CTC providers to suffer high rates of turnover. Frederique Vallieres conducted interviews and discussions with CTC providers across six countries to develop a survey measuring CTC provider motivation. Job satisfaction, organizational commitment, work conscientiousness, and community commitment emerged as key themes influencing motivation.