Effects of Motivation on Employee Retention: A Case of Bugando Medical Centre in Mwanza City.

Allay, Prosper Pascal (2025) Effects of Motivation on Employee Retention: A Case of Bugando Medical Centre in Mwanza City. Masters thesis, The Open University of Tanzania.

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Abstract

This study examined the effects of motivation on employee retention at Bugando Medical Centre using a case study approach. The objectives were to assess how employee autonomy, job satisfaction, and the reward system influence employee retention at the hospital. The study was guided by Social Exchange Theory and followed a positivist research philosophy. A quantitative research approach, together with a descriptive research design, was employed. A total of structured questionnaires 223 were distributed and respondents were obtained using stratified random sampling. Data were analyzed using descriptive statistics and multiple regression analyses with the aid of SPSS version 26. The findings revealed that employee autonomy, job satisfaction, and the reward system all have a significant positive influence on employee retention. In particular, the reward system was found to play a notable role in enhancing retention rates. The study concludes that promoting employee autonomy, improving job satisfaction, and implementing a well-structured reward system are key drivers of retention. Empowering staff, enhancing working conditions, and offering both financial and non-financial incentives significantly improve employee loyalty, motivation, and long-term commitment. Based on these findings, it is recommended that Bugando Medical Centre implement programs that provide employees with greater control over their tasks and decision-making processes, regularly assess and address employee satisfaction, and review the reward system to ensure it is competitive and effectively incentivizes performance. Keywords: Organizational Climate, Employee Retention, Bugando Medical Centre.

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