title: Assessing supervisory and motivational factors in the context of a program evaluation in rural Haiti.
abstract: Staff supervisory and motivational factors were assessed in the context of an ongoing program evaluation in Haiti comparing 2 models of targeting an integrated health and nutrition program. The study objectives were to 1) understand and improve supervisory and motivational factors influencing program implementation and 2) compare these factors between the 2 program models being evaluated. Qualitative methods (focus group discussions and semistructured interviews) were used to understand factors related to supervision and motivation. Quantitative measures of supervisory and motivational factors were designed, and factor analysis was used, to develop summary scales of motivational factors and supervision. T-tests were used to compare mean scores on the scales between the 2 program models. Results from the qualitative research were discussed with program management and staff to help develop solutions to implementation bottlenecks. Staff at all levels of the program seemed motivated and generally well supervised. Constraints to motivation included perceived inadequacy of wages (before changes were made to salaries), heavy workloads, and logistical constraints. We found no salient differences between the 2 program models that could contribute to differential implementation or differences in impact. This lack of salient differences between the program models suggested that supervisory and motivational factors were unlikely to contribute to differences in impact. Assessing supervisory and motivational factors was feasible and desirable in the context of this evaluation and deepened understanding of the program context and constraints to implementation.
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA. pm38@cornell.edu
authors.forename: Purnima
authors.initials: P
authors.lastname: Menon
authors.forename: Mduduzi
authors.initials: M
authors.lastname: Mbuya
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Habicht
authors.forename: Gretel
authors.initials: G
authors.lastname: Pelto
authors.forename: Cornelia U
authors.initials: CU
authors.lastname: Loechl
authors.forename: Marie T
authors.initials: MT
authors.lastname: Ruel
mesh_terms: D015362:Child Nutrition Disorders / Q000517:prevention & control; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D006205:Haiti; D006282:Health Personnel; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D007223:Infant; D007588:Job Satisfaction; D010559:Personnel Management / Q000379:methods*; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration*