Motivation, money and respect: a mixed-method study of Tanzanian non-physician clinicians.

Poor quality of care is a major concern in low-income countries, and is in part attributed to low motivation of healthcare workers. Non-physician clinicians (mid-level cadre healthworkers) are central to healthcare delivery in half of the countries in Africa, but while much is expected from these clinicians, little is known about their expectations and motivation to perform well. Understanding what motivates these healthworkers in their work is essential to provide an empirical base for policy decisions to improve quality of healthcare. In 2006-2007, we conducted a mixed-method study to evaluate factors affecting motivation, including reasons for varying levels of motivation, amongst these clinicians in Tanzania. Using a conceptual framework of 'internal' and 'environmental' domains known to influence healthworker motivation in low-income countries, developed from existing literature, we observed over 2000 hospital consultations, interviewed clinicians to evaluate job satisfaction and morale, then designed and implemented a survey instrument to measure work motivation in clinical settings. Thematic analysis (34 interviews, one focus group) identified social status expectations as fundamental to dissatisfaction with financial remuneration, working environments and relationships between different clinical cadres. The survey included all clinicians working in routine patient care at 13 hospitals in the area; 150 returned sufficiently complete data for psychometric analysis. In regression, higher salary was associated with 'internal' motivation; amongst higher earners, motivation was also associated with higher qualification and salary enhancements. Salary was thus a clear prerequisite for motivation. Our results are consistent with the hypothesis that non-salary motivators will only have an effect where salary requirements are satisfied. As well as improvements to organisational management, we put forward the case for the professionalization of non-physician clinicians

Study on Capacity, Change and Performance: Interim Report

In 2002 the chair of the Govnet, the OECD's Network on Governance and Capacity Building, asked the European Centre for Development Policy Management (ECDPM) in Maastricht, the Netherlands, to undertake a study of the capacity of organisations and groups of organisations, mainly in low-income countries, its development over time and its relationship to improved performance. The specific purposes of this study were twofold:to enhance understanding of the interrelationships amongst capacity, change and performance across a wide range of development experiences; andto provide general recommendations and tools to support the effectiveness of external interventions aimed at improving capacity and performance

Cordaid-IICD Health Programme Uganda:Health Management Information Systems as a Tool for Organisational Development\ud

A Health Management Information System (HMIS) can be a powerful tool to make health care delivery more effective and far more efficient. This paper describes how an HMIS can also be used for organisational development and reports on the experiences of the HMIS programme of the Uganda Catholic Medical Bureau (UCMB) in Uganda. The programme forms part of a larger programme on ICTs for health in Uganda, Tanzania and Zambia and is supported jointly by the International Institute for Communication and Development (IICD) and the Catholic Organisation for Relief and Development Aid (Cordaid). The goal of the paper is to evaluate the project against a background of organisational development and to draw practical lessons from the project that may provide guidance to new HMIS projects in the development context.\u

The Digitalisation of African Agriculture Report 2018-2019

An inclusive, digitally-enabled agricultural transformation could help achieve meaningful livelihood improvements for Africa’s smallholder farmers and pastoralists. It could drive greater engagement in agriculture from women and youth and create employment opportunities along the value chain. At CTA we staked a claim on this power of digitalisation to more systematically transform agriculture early on. Digitalisation, focusing on not individual ICTs but the application of these technologies to entire value chains, is a theme that cuts across all of our work. In youth entrepreneurship, we are fostering a new breed of young ICT ‘agripreneurs’. In climate-smart agriculture multiple projects provide information that can help towards building resilience for smallholder farmers. And in women empowerment we are supporting digital platforms to drive greater inclusion for women entrepreneurs in agricultural value chains

Goodbye to Projects? ¿ A livelihoods-grounded audit of the Sexual Health and Rights Programme (SHARP!) in Southern Africa.

Approaches to projects and development have undergone considerable change in the last decade with significant policy shifts on governance, gender, poverty eradication, and environmental issues. Most recently this has led to the adoption and promotion of the sustainable livelihood (SL) approach. The adoption of the SL approach presents challenges to development interventions including: the future of projects and programmes, and sector wide approaches (SWAPs) and direct budgetary support.This paper `A livelihoods-grounded audit of the Sexual Health and Rights Programme (SHARP!) in Southern Africa¿ is the tenth in the series of project working papers.Department for International Developmen

The Education and Training of Artisans for the Informal Sector in Tanzania

Teaching/Communication/Extension/Profession,

Feminism in Action: Evaluation of AWDF's MDG3 Project

In the year 2011, the African Women's Development Fund (AWDF) received a grant of 32 million from Comic Relief for the period of April 2011 to March 2014. This was preceded by a grant of 31 million in November 2012, making it a total of 33 million. The framework for the delivery of this project has largely been determined by AWDF's 2011-15 Strategic Plan (SPIII) and was to be implemented in Sub-Saharan Africa. An end of project evaluation was conducted for AWDF between July and August 2014. The evaluation was specifically focused on the performance of AWDF's Phase II Project which was part of Comic Relief's (CR) Devolved Grant Making Program. The project focused on four areas, namely: Grant Making in each of AWDF's six thematic areas; Capacity and Movement Building; Strengthening AWDF's Communications; and Partnership Development.The purpose of the evaluation was to evaluate the project performance, identify good practices and draw out lessons that can be applied in future interventions. As the Comic Relief grant was meant to support AWDF's Strategic Plan, the evaluation looked at AWDF's main areas of work and assessed the role of the Comic Relief grant within which the AWDF initiatives were conducted. The evaluation also coincided with AWDF's Strategic Plan mid-way point. In 2008, the African Women's Development Fund (AWDF) received a grant of u20ac5 million from the Dutch Ministry of Foreign Affairs to promote the achievement of the Millennium Development Goal (MDG) 3 on women's empowerment. The grant was provided for a three-year period from 2008 to 2011 and was implemented as AWDF's MDG3 Project. As the project was coming to end, between July and September 2011, AWDF commissioned an independent consultant to conduct a summative evaluation. This evaluation sought to achieve four key objectives: (i) Document activities undertaken; (ii) Assess outcomes arising from the activities undertaken; (iii) Assess which strategies were most effective; and (iv) Based on this, make recommendations for future programming. In addition to this, the evaluation sought to assess the extent to which AWDF, as a feminist organization, had lived up to feminist principles in implementation of the project. In 2008, the African Women's Development Fund (AWDF) received a grant of 5 million from the Dutch Ministry of Foreign Affairs to promote the achievement of the Millennium Development Goal (MDG) 3 on women's empowerment. The grant was provided for a three-year period from 2008 to 2011 and was implemented as AWDF's MDG3 Project. As the project was coming to end, between July and September 2011, AWDF commissioned an independent consultant to conduct a summative evaluation

The Revolution of Mobile Phone-Enabled Services for Agricultural Development (m-Agri Services) in Africa: The Challenges for Sustainability

The provision of information through mobile phone-enabled agricultural information services (m-Agri services) has the potential to revolutionise agriculture and significantly improve smallholder farmers’ livelihoods in Africa. Globally, the benefits of m-Agri services include facilitating farmers’ access to financial services and sourcing agricultural information about input use, practices, and market prices. There are very few published literature sources that focus on the potential benefits of m-Agri services in Africa and none of which explore their sustainability. This study, therefore, explores the evolution, provision, and sustainability of these m-Agri services in Africa. An overview of the current landscape of m-Agri services in Africa is provided and this illustrates how varied these services are in design, content, and quality. Key findings from the exploratory literature review reveal that services are highly likely to fail to achieve their intended purpose or be abandoned when implementers ignore the literacy, skills, culture, and demands of the target users. This study recommends that, to enhance the sustainability of m-Agri services, the implementers need to design the services with the users involved, carefully analyse, and understand the target environment, and design for scale and a long-term purpose. While privacy and security of users need to be ensured, the reuse or improvement of existing initiatives should be explored, and projects need to be data-driven and maintained as open source. Thus, the study concludes that policymakers can support the long-term benefit of m-Agri services by ensuring favourable policies for both users and implementers

Goodbye to Projects? ¿ A livelihoods-grounded audit of the Agricultural Sector Programme Support (ASPS) in Tanzania

Approaches to projects and development have undergone considerable change in the last decade with significant policy shifts on governance, gender, poverty eradication, and environmental issues. Most recently this has led to the adoption and promotion of the sustainable livelihood (SL) approach. The adoption of the SL approach presents challenges to development interventions including: the future of projects and programmes, and sector wide approaches (SWAPs) and direct budgetary support.This paper `A livelihoods-grounded audit of Agricultural Sector Programme Support (ASPS) ¿ Tanzania¿ is the seventh in the series of project working papers.Department for International Developmen