Motivation as an effective source of organizational performance improvement, the case of health facilities in kindu, maniema province, democratic republic of the congo: a cross-sectional observational study with descriptive and analytical aims.

Prosper Tunda Kasongo Lukali; Bob Senker Ndimba; Emery Kafinga Luzolo; Dieudonné Ndjonka; Alphonse Masandi Milondo; Benjamin Hamuli Mastaki

doi:10.51168/aw0yxy68

Autori

Prosper Tunda Kasongo Lukali PhD candidate at the University of the Martyrs of Congo and the University of Ngaoundéré, Cameroon; Senior Lecturer at the Higher Institute of Medical Techniques (ISTM) of Kindu, Democratic Republic of the Congo
Bob Senker Ndimba Senior Lecturer, PhD Candidate in Public Health, University of Ngaoundéré, Cameroon.
Emery Kafinga Luzolo Full Professor at the Higher Institute of Medical Techniques (ISTM) of Kinshasa, Democratic Republic of the Congo
Dieudonné Ndjonka Professor at the University of Ngaoundéré, Cameroon
Alphonse Masandi Milondo Full Professor at the National Pedagogical University and Rector of the University of the Martyrs of Congo.
Benjamin Hamuli Mastaki Professor at the University of Lwiro and Head of Research at the Geological Institute of Congo.

DOI:

https://doi.org/10.51168/aw0yxy68

Cuvinte cheie:

motivation, organizational performance, quality of care, older people, health workforce, Kindu, RACINE de TUKALUP

Rezumat

Background: The performance of a health facility depends on staff competencies, work organization, available resources, leadership, and professional motivation. Care for older people particularly requires continuous, coordinated, and person-centred services.

Objective: To analyze motivation as a potential lever for improving the performance of health facilities in Kindu and to propose the RACINE de TUKALUP model as an action framework for strengthening the quality of integrated care for older people.

Methods: A descriptive secondary analysis of available results from a cross-sectional study involving 423 healthcare providers in the Kindu and Alunguli health zones was conducted. Motivation and performance theories were used to interpret the organizational findings.

Results: A total of 39.0% of healthcare providers fell below the high-quality threshold for integrated care established by the source study. Staff shortages and excessive workloads were reported by 25.1%, inadequate training in geriatrics and palliative care by 22.7%, shortages of medicines and equipment by 18.9%, and difficulties with referral and care coordination by 17.3%. Only 16.1% reported having a formal monitoring system, while 48.5% indicated that patient feedback was never collected.

Conclusion: An equitable motivation policy combining recognition, participation, training, supportive supervision, adequate working conditions, and the availability of necessary resources may support staff engagement and organizational performance. The RACINE de TUKALUP model proposes a systemic approach whose effectiveness will need to be evaluated prospectively.

Biografii autori

Prosper Tunda Kasongo Lukali, PhD candidate at the University of the Martyrs of Congo and the University of Ngaoundéré, Cameroon; Senior Lecturer at the Higher Institute of Medical Techniques (ISTM) of Kindu, Democratic Republic of the Congo

PhD candidate at the University of the Martyrs of Congo and the University of Ngaoundéré, Cameroon; Senior Lecturer at the Higher Institute of Medical Techniques (ISTM) of Kindu, Democratic Republic of the Congo.
Bob Senker Ndimba, Senior Lecturer, PhD Candidate in Public Health, University of Ngaoundéré, Cameroon.

PhD candidate in Public Health and Health Systems Financing, Faculty of Sciences, Department of Biomedical Sciences, University of the Martyrs of Congo, Democratic Republic of the Congo, and University of Ngaoundéré, Cameroon.
Emery Kafinga Luzolo, Full Professor at the Higher Institute of Medical Techniques (ISTM) of Kinshasa, Democratic Republic of the Congo

Full Professor at the Higher Institute of Medical Techniques (ISTM) of Kinshasa, Democratic Republic of the Congo.
Dieudonné Ndjonka, Professor at the University of Ngaoundéré, Cameroon

Professor at the University of Ngaoundéré, Cameroon.

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Alphonse Masandi Milondo, Full Professor at the National Pedagogical University and Rector of the University of the Martyrs of Congo.

Full Professor at the National Pedagogical University and Rector of the University of the Martyrs of Congo.
Benjamin Hamuli Mastaki, Professor at the University of Lwiro and Head of Research at the Geological Institute of Congo.

Professor at the University of Lwiro and Head of Research at the Geological Institute of Congo.

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