A shortage of qualified staff, transportation barriers, and insufficient salaries yield chronic staff openings.
In most conflict-affected countries, health workers are in short supply and there is a high turnover of health care workers as a result of insufficient salaries in public facilities, poor working conditions and insecurity [ 46, 47].
An obvious explanation is that of "serious lack of motivation" and insufficient salaries: "economic reasons, and low salaries... those are the reasons... it is a means of surviving" [ 20].
Heavy workloads and long working hours [ 34, 35, 42, 51, 67, 68, 77, 94, 106], weak supportive supervision or poor relations with co-workers [ 35, 42, 57, 64, 77], insufficient salaries [ 51, 56, 57, 74, 77, 86] and a lack of equipment and supplies to deliver the services required [ 64, 90] were common, mostly in public facilities.
In any case, such informal payment practice reflects in general the issue of an under-funded health system where health providers at the PHC level continue to have insufficient salaries and other inputs, and the gap is being filled through direct payments from patients.
In fact, the decision of health workers to migrate to other countries or take employment in the private sector is not due solely to demotivation caused by insufficient salaries and extreme working conditions, but is also influenced by the difficult environment remaining workers face, having to manage staff shortages resulting from health worker migration [ 22, 23].
Benefit performance, in theatre, originally a supplemental performance by an actor or actress, who kept all or part of the proceeds to compensate for insufficient salary.
The participants mentioned the "insufficient salary of nurses" frequently.
Also all participants mentioned the insufficient salary of nurses, but the managers and doctors believed that the governmental rules don't permit them to increase the nurses' salary.
Organizational stressors are exemplified by conflicts with other professions, lack of financial or personnel resources, organizational changes and/or new routines, insufficient salary, poor managerial or supervisory services, etc [ 52- 55].
When asked about their reasons for leaving, the Officers expressed a variety of concerns, including inadequate support from supervisors, insufficient salary, high workload, and limited job security due to contract employment status.
