Population Council, 16 Mafemi Crescent, off Solomon Lar Way, Utako, Abuja, Nigeria.
BMC Res Notes. 2021 Jun 30;14(1):250. doi: 10.1186/s13104-021-05671-z.
This study was designed to explore the patterns of financial incentives received by some frontline health workers (including nurses, midwives as well as community health workers in paid employment) and the implications for their productivity within rural settings in Nigeria. A cross-sectional quantitative design in two States in Nigeria was adopted. Structured interviews were conducted with 114 frontline health workers. Bivariate analysis and multivariate regression analysis were carried out to explore relationships between the satisfaction of frontline health workers with the financial incentives received and their productivity in rural settings as well as the extent of any such relationships.
Bivariate analysis demonstrated a statistically significant relationship (P = 0.013) between satisfaction with incentives received by frontline health workers and their productivity in rural settings. When other predictors were controlled for within a multivariate regression model, those who received incentives and were satisfied with the incentives were about three times more likely to be more productive at work than those who were unsatisfied with incentives (AOR: 3.3; P = 0.009, 95% CI = 1.3-8.2). In conclusion, the determination of type and content of incentives should be done in consultation with all relevant stakeholders, including possibly a cross-section of health workers themselves.
本研究旨在探讨尼日利亚农村地区部分一线卫生工作者（包括护士、助产士和受薪社区卫生工作者）获得的财务激励模式及其对生产力的影响。本研究采用尼日利亚两个州的横断面定量设计。对 114 名一线卫生工作者进行了结构访谈。采用双变量分析和多变量回归分析探讨了一线卫生工作者对获得的财务激励的满意度与其在农村环境中的生产力之间的关系，以及这些关系的程度。
双变量分析显示，一线卫生工作者对获得的激励的满意度与他们在农村环境中的生产力之间存在统计学上显著的关系（P=0.013）。当在多变量回归模型中控制其他预测因素时，那些获得激励且对激励感到满意的人比那些对激励不满意的人更有可能在工作中更有成效（AOR：3.3；P=0.009，95%CI=1.3-8.2）。总之，激励的类型和内容的确定应该与所有相关利益攸关方协商进行，包括可能是一线卫生工作者自己的一个横断面。
