Employee Extrinsic Motivation and Performance of Health Care Workers at Garissa County Referral Hospital, Kenya

Purpose: The general objective of the study was to investigate the relationship between employee extrinsic motivation and performance of healthcare workers at Garissa County referral hospital. The specific objectives of the study were to examine the relationship between working conditions, performance appraisal and capacity building and performance of healthcare workers. The study was carried out between January 2023 and May 2024. The study was underpinned by Herzberg Two-Factor Theory, Goal-setting Theory and Human Capital Theory of Motivation. Methodology: The study adopted a correlational research design. The target population of the study consisted of all 389 healthcare workers in Garissa County Referral Hospital. A sample size of 193 respondents was selected. Stratified sampling technique was used to select respondents proportionally. Collected data was analysed using both descriptive statistics and inferential statistics. The results will be presented in the form of figures, tables and percentages. Findings: The findings revealed that working conditions had a significant positive effect on the performance of the healthcare workers contributing to 10.2% of the performance of the healthcare workers with a P-value of 0.043. The study findings on performance appraisal and performance of healthcare workers at Garissa County Referral Hospital revealed that there was significant positive impact of performance appraisal on the performance of the healthcare workers contributing to 25.5% of the performance of healthcare workers with a P-value of 0.032. Unique contribution to theory, policy and practice: To improve fairness in salaries and the work environment at Garissa County Referral Hospital, a thorough salary review aligned with job responsibilities and market standards should be conducted and work-life balance can be enhanced through flexible hours and wellness programs. Upgrading equipment, ensuring ergonomic workstations and training supervisors in fair appraisal methods will foster a positive workplace and improve perceptions of appraisals, supported by standardized procedures for consistency and trust. Strengthen capacity-building initiatives by expanding access to training, workshops, and conferences, along with regular skill gap assessments and targeted training.