The purpose of this study was to examine the effect of motivational factors on
workers performance in Tanzania primary Healthcare facilities, a case of public
primary health facilities in Ilemela District of Mwanza city. The study aimed at: (i)
to assess the level of motivation to perform among healthcare workers in Primary
Health Care Facilities in Ilemela District of Mwanza city, (ii) to establish
motivational techniques/tools used by heads of Primary healthcare facilities to
motivate workers in Ilemela District of Mwanza city, (iii) to determine the healthcare
views of workers about intrinsic and extrinsic motivation factors/ tools, (iv) to
determine impact of intrinsic and extrinsic motivation factors used heads of
healthcare facilities on overall workers’ performance and (v) to identify patients’
opinions about the performance of healthcare workers. A survey was carried with
52 healthcare workers that included nurses, doctors and health inspectors. In
addition, in- depth interviews were carried out with some nurses and doctors. Data
are analyzed using statistics package for social sciences (SPSS) version 16.0. The
study revealed that the healthcare workers motivation to join the medical service
profession was due to job security and absence of job alternative and salary was not a
concern. Overall, level of motivation among workers was low due to low or absence
of re-numerations to supplement salary. The study further revealed that the currently
used motivational tools were inadequate and undesired. Appropriate remuneration,
introduction of challenging work but interesting and definition of career path
development programs could improve workers morale to work and have an impact
on patients satisfaction.