[Excerpt from authors] It is becoming increasing important that policymakers be aware of health worker motivation and it's impact on health sector performance. Health care delivery is highly labor-intensive, and service quality, efficiency, and equity are all directly mediated by workers' willingness to apply themselves to their tasks. While resource availability and worker competencies are essential, decision makers should know that they are not sufficient in themselves to ensure desired worker performance. Worker performance is also dependent on workers' level of moti-vation stimulating them to come to work regularly, work diligently, and be flexible and willing to carry out the necessary tasks.