Dissertation (MA Public Administration)
Tanzania is among the developing countries which have been facing the challenge of
ineffective and inefficient work performance in the health sector of which in turn leads
to poor health service delivery. This incident, therefore, compelled the researcher to
conduct this study with the general objective to assess effectiveness of motivation in
improving work performance in Tanzania health sector with Iringa Referral Hospital as
a case study
The study employed a cross - sectional design in which a case study approach was
used. The study used three main tools of data collection; namely interviews with key
stake holders, questionnaires as well as documentary review. Interviews and
questionnaires have been used considering the desire of the researcher to obtain first
hand data so as to formulate rational and sound conclusions and recommendations for
the study. The data analysis technique was done through the use of Statistical Packages
for Social Sciences (SPSS – Version 17).
Basing on the analysis, the major findings were identified as the problems of
motivation in health sector: low salary and other allowances such as extra duty and on
call allowances, lack of working facilities, absence of proper arrangement for training,
un-conducive working environment, poor or no recognition on good performance and
no provision of housing, transport and refreshments to workers.
The study provides recommendations on what is to be done for the health workers to be
well motivated, to improve work performance and hence deliver quality health service
and meet customer's satisfaction. The study therefore recommends improvement on financial incentives which include the increase of salary and other allowances such as
on call, uniform and extra duty allowances. Also, non financial incentives which
include enough working facilities, good working environment, clear training
programme and recognition on good performance through provision of a thank you
note, prize or letter of appreciation and recognition in the meetings.