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Staff motivation and welfare in Adventist health facilities in Malawi: a qualitative study
Malawi Union of the Seventh Day Adventist Church, P. O. Box 951, Blantyre, Malawi.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
2014 (English)In: BMC Health Services Research, ISSN 1472-6963, Vol. 14, no 1, 486Article in journal (Refereed) Published
Abstract [en]

Background To explore factors that motivate members of staff at Adventist health facilities in Malawi to maximize their potential for work and improve their welfare. This was a qualitative study that utilized group discussions and in-depth interviews with health care staff members.

Methods Four group discussions with health care workers and support staff were conducted. Results: Both motivating and demotivating factors were found. The motivating factors were spiritual nourishment of the institutions and working conditions with long term benefits for individuals and their families. The demotivating factors were unfair treatment without respect to staff by management. Specific areas like working condition, housing, allowances, training, communication, and personal support were highlighted as some of the factors that poorly motivated staff to stay at the health facility Further, issues related to the loose of purpose, where Christian values were seen to be deteriorating were observed to be undermining mission of the institutions.

Conclusions Staff motivation is vital in any working condition in as far as good performance at the work environment is concerned. Poor working conditions have not been exceptions among the Adventist health institutions. Based on these findings, the study recommended that conditions of services for the Adventist health facilities need to be revised and implemented accordingly; training of staff for further facility development to be intensified, communication between management and health care staff through scheduled routine meetings need to be strengthened. Spiritual nourishment through staff interaction with church officials and pastors should always be considered. A further study is needed to look at the community perceptions towards the services offered in the Adventist health facilities.

Place, publisher, year, edition, pages
2014. Vol. 14, no 1, 486
Keyword [en]
Staff motivation, Adventist health facility, staff development, Malawi
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
URN: urn:nbn:se:umu:diva-95804DOI: 10.1186/s12913-014-0486-4ISI: 000348415000001PubMedID: 25361716OAI: diva2:761094
Available from: 2014-11-05 Created: 2014-11-05 Last updated: 2015-07-08Bibliographically approved

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