Increased training corresponding to a broader scope of work and, in particular, having more curative tasks may too increase motivation, service delivery time and time spent working [ 12].
However this optimism needs to be matched with organizational support from the health facilities' management as well as managerial support from the State's Ministry of Health to improve health workers' motivation, service delivery and health outcomes.
Regarding research to policy influence, the study project has the potential of influencing policy on how to improve quality of health services through modeling the continuous re-training of health workers, their motivation, service provision and supplies, as well as mechanisms of community involvement and accessing health services.
Additionally, an important motivation for service managers, underpinned by the desire to improve services delivered to patients, was to effect a culture change, i.e. raising the base level of research awareness and skills to a level where staff felt ready and supported to take active steps towards research participation and activity at an appropriate time.
The army says that while motivation for service remains high, it does grant a small number of exemptions each year on the ground of conscientious objection.
Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers' willingness to apply themselves to their tasks.
And I firmly believe that regardless of that motivation, the service provided is invaluable to the recipients - creating a win-win.
"Are profits what motivate us to share our gifts?" Asking that question to myself and others, I find the answer to be overwhelmingly, "No!" More and more, I find that those of us who wish to create value are already in the beyond-profit mindset, driven by a strong motivation of service through a channeling of our greatest creative gifts.
The survey included modules on CHW characteristics, knowledge, training, supervision, remuneration, satisfaction, motivation, and service delivery.
The limitations of our study include that it does not link motivation to service delivery in order to establish any possible causal link.
It is clear that environmentally sustainable behaviour and decisions at the household level require knowledge, motivation and services that support actions.
