The Impact of Participative Goal setting, Feedback, and Expectancies on the Staff of Health Service Facilities in Debre-zeit
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Date
1994-05
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Addis Abeba Universty
Abstract
An intervention study to assess the impact of
participative goal setting and feedback on the staff of
health service facilities was conducted in three
districts of East Shewa Zone over a period of three
months, from October to December, 1993. A pretested
questionnaire was administered twice to measure the
motivational force score (MFS) for seven selected primary
health care (PHC) activities. The correlation of these
scores with the performance of each activity was
calculated to determine their association.
The study included a total of 12 health
institutions: six in the intervention group and six in
the control group with 48 and 46 health workers
respectively. Health institutions in the intervention
group participatively set goals and developed strategies
to attain them for the selected PHC activities for three
months (October to December, 1993).
were also conducted during this
Feedback sessions
period. Health
insti tutions in the control group had assigned goals
without feedback but conducted clinical sessions in the
same period.
Comparison of the pre- and post-intervention period
mean changes in coverage for the selected PHC variables
together revealed a significant difference (t : 2.28, p
< 0.05) between the intervention and control groups, and
a positive association was found between the
participatively set goal levels ' and mean change in
coverage of the variables ( r = 0.762, 95% CI = 0.642 to
0.882) in the intervention group .
Comparison of both the first and second MFS for the
variables between the intervention and control groups
showed significantly higher MFS in the intervention group
(t = 2.49 , p < 0.05 and t = 4.53, p < 0 . 001) than in the
control group.
between MFSs
But no significant association was found
and mean changes in coverage of the
variables in both study groups.
These findings are suggestive of the potential
usefulness of participative goal-setting and feedback
acti vi ties to improve organizational performance .
Participatory goal-setting with feedback appears to have
both cognitive and motivational impact on the staff of
health service facilities. On the other hand, higher
expectancy or valence for PHC activiti es by health
workers alone was found not to lead to increased
performance .
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Keywords
The Impact of Participative Goal setting,