Abstract:
Background: Health systems cannot function effectively without motivated and supportive health care providers. The level of health care providers’ motivation has been identified as a central in the quality of health service delivery. In Ethiopia, it is customary hearing about complaints about the manner service provided especially about its low the quality in general and Public Health Centers (PHC) in particular. With this assumption, this research is carried out in order to assess the level of health workers motivation and associated factors with it. Objectives To describe factors affecting motivation of health care providers working in public Health Centers ,in Addis Ababa. Methods Institution based cross-sectional descriptive study was conducted from February to April 2015among a sample of 384 health care providers selected from 12randomly selected PHCs in Addis Ababa. The sample size was distributed to each PHC proportional to their total number of Health care providers. Then, the study subjects were selected by using simple random sampling technique. Data was collected using self-administered structured and Data was cleaned and analyzed the intrinsic and extrinsic motivating factors using with SPSS software version 20. A summary measure was made to characterize the study population. Multiple logistic regression analysis was used to identify those factors which had significant correlation and to determine those factors affecting motivation. Result: Three hundred eighty four participants completed and responded to the questionnaires making a response rate of hundred percent of these, majority 214(55.7%) were female, 245(63%) were between 21 and 30 years of age, and 230(59.9%) were nurse by profession. Overall, more than the half the respondents 240 (62.5%) agreed and strongly agreed that there were feel motivated to work hard. In multivariateanalysis,healthcareprovidermotivationwassignificantlyandpositivelycorrelatedwithsupervisio n(r=.443,p<0.01),Recognition(r=.386,p<0.01),Management(r=365,p<0.01). Generally, correlations coefficient between supervision and motivation (0.44) is strong among the entire variables and significant at 99% where as work environment has weakest correlation (.149, p<0.01) (0.14) among all variables but significant at 99%. Conclusion: Our findings indicate that, more than the half the respondents were feels motivated to work hard and the main motivating factors of health care providers were supervision, recognition and good management. Therefore, it is importance strengthening intrinsic and extrinsic motivation factors to motivate health care providers at health center level for improving health service quality.