Health Worker Motivation Index

The Health Worker Motivation Index is a 23-item measure assessing motivation of health workers, which affects the success of an intervention. The scale measures three latent factors including organizational commitment, job satisfaction, and conscientiousness.


Geographies Tested: Kenya

Populations Included: Female, Male

Age Range: Adults


  1. These days, I feel motivated to work as hard as I can
  2. I only do this job so that I get paid at the end of the month
  3. I do this job as it provides long term security for me
  4. I feel emotionally drained at the end of every day
  5. Sometimes when I get up in the morning, I dread having to face another day at work
  6. Overall, I am very satisfied with my job
  7. I am not satisfied with my colleagues in my ward
  8. I am satisfied with my supervisor
  9. I am satisfied with the opportunity to use my abilities in my job
  10. I am satisfied that I accomplish something worthwhile in this job
  11. I do not think that my work in the hospital is valuable these days
  12. I am proud to be working for this hospital
  13. I find that my values and this hospital's values are very similar
  14. I am glad that I work for this facility rather than other facilities in the country
  15. I feel very little commitment to this hospital
  16. This hospital really inspires me to do my very best on the job
  17. I cannot be relied on by my colleagues at work
  18. I always complete my tasks efficiently and correctly
  19. I am a hard worker
  20. I do things that need doing without being asked or told
  21. I am punctual about coming to work
  22. I am often absent from work
  23. It is not a problem if I sometimes come late to work

Response Options:
A 5-point Likert scale, ranging from 1 to 5 (strongly disagree to strongly agree).

Scoring Procedures

Sum and mean motivational scores are calculated across the items.

Original Citation

Mbindyo, P. M., Blaauw, D., Gilson, L., & English, M. (2009). Developing a tool to measure health worker motivation in district hospitals in Kenya. Human resources for health, 7(1), 40.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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