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Human Resources for Health
Published in: Human Resources for Health 1/2013

Open Access 01-12-2013 | Research

Sociocultural and individual determinants for motivation of sexual and reproductive health workers in Papua New Guinea and their implications for male circumcision as an HIV prevention strategy

Authors: Anna Tynan, Andrew Vallely, Angela Kelly, Martha Kupul, James Neo, Richard Naketrumb, Herick Aeno, Greg Law, John Milan, Peter Siba, John Kaldor, Peter S Hill

Published in: Human Resources for Health | Issue 1/2013

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Abstract

Background

The motivation of health workers (HWs) to deliver services in developing countries has been described as a critical factor in the success of health systems in implementing programmes. How the sociocultural context of Papua New Guinea (PNG) affects the values, motivation and actions of HWs involved in sexual and reproductive health services is important for policy development and programme planning. With interest in male circumcision (MC) as an HIV prevention option in PNG, this study explored the perceptions and motivations of HWs involved in sexual and reproductive health services in PNG, examining their implications for the possible future roll out of a national MC programme.

Methods

A multi-method qualitative study was conducted with HWs across a range of health care professions working in sexual health facilities. A total of 29 in-depth interviews and one focus group discussion were completed. Qualitative thematic analysis of the transcripts and field notes was undertaken using a social constructivist approach and complemented by documentary organizational, programme and policy analysis.

Results and discussions

Introduction of new health programmes, such as a MC programme for HIV prevention, are likely to impact upon one or more of the many motivational determinants. Social–cultural and individual factors influencing HW motivation to be involved in sexual and reproductive health services in PNG included community expectation and concern, sense of accomplishment and religious conviction. Strong links to community responsibility outweighed organizational ties. Faced with an often dysfunctional work environment, HWs perceived themselves as responsible to compensate for the failed health system. The impact of community influence and expectation needs to be considered when introducing a MC programme, particularly to communities in PNG where penile foreskin cutting is a common and accepted practice.

Conclusions

The potential contribution to the success of a MC programme that HWs may have means that taking into account the differing needs of communities as well as the motivational influences on HWs that exist within the sociocultural environment is important. These findings will assist not only in programme planning for MC, but also in the expansion of other existing sexual and reproductive health services.
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Metadata
Title
Sociocultural and individual determinants for motivation of sexual and reproductive health workers in Papua New Guinea and their implications for male circumcision as an HIV prevention strategy
Authors
Anna Tynan
Andrew Vallely
Angela Kelly
Martha Kupul
James Neo
Richard Naketrumb
Herick Aeno
Greg Law
John Milan
Peter Siba
John Kaldor
Peter S Hill
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2013
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/1478-4491-11-7

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