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Measuring health workers ’ motivation in rural health facilities: baseline results from three study districts in Zambia Wilbroad Mutale1,2*, Helen Ayles2,3, Virginia Bond2,3, Margaret Tembo Mwanamwenge3 and Dina Balabanova4 Introduction: Health worker motivation can potentially affect the provision of health services. Low morale among the workforce can undermine the quality of service provision and drive workers away from the profession. While the presence of high-quality, motivated staff is a key aspect of health system performance, it is also one of the most difficult factors to measure. Methods: We assessed health worker motivation as part of the baseline assessment for a health syste