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Table 3 Illustrative excerpts from interviews on internal sources of motivation

From: What can motivate Lady Health Workers in Pakistan to engage more actively in tuberculosis case-finding?

Intrinsic

•I enjoy helping people by increasing their information about illnesses and how to tackle them. I want to help them. (LHW G)

•If someone get better from our efforts, it gives us happiness (LHW G)

•We don’t have work related problems, instead we feel happy when we help someone regarding any disease because we serve people as a humanitarian work. (LHW S)

•I personally feel that even if I don’t get paid for TB work, I’ll still give services as humanitarian work.. (LHW S)

•So money is secondary, I joined this profession with the passion to serve the community. (LHW S)

•It is not like every worker works for money, there are others who accept to work without it and work whole heartedly. (Programme manager U)

•I am very happy with the work as I came to know how people are living in their socio economic condition, so I feel happy to provide them services. (LHW U)

Religious/Moral

•The livelihood is from God; He provides it on my doorstep. I am so proud that He choose me for this (LHW G)

•The amount given for TB case is sufficient for me, just God bestow His blessings on it. Patient will recover, his/her life doesn’t buy from money. God gave us a chance to share information and about free health facility to poor patients through this programme. (LHW G)

•I like my work because we serve poor and deprived people who doesn’t know about different diseases and we provide them awareness about it. I feel blessed as God chosen me to serve his people. (LHW G)

•We are working continuously and God is rewarding us for our efforts (LHW G)

•This job is not only a source of our income and our need, but, also we are getting its religious reward. (LHW S)

•There are some very old women who cannot even sit or walk properly and when they pray for us or caress our foreheads, we find peace in our hearts. We get a different kind of happiness. (LHW S)

•LHW are really performing their duties and responsibilities well. They consider it as a humanitarian work and feel happy to spread awareness to the community people (Programme manager S)

•We get Rs. 1000 on per positive case in TB program, this amount is sufficient, we should consider that if someone’s life is saved it’s a big achievement. Money is just like the dirt on your hands, which will not remain forever. So, if a human’s life is saved, it is very important to us (LHW U)

•And if, someone’s live saves because of our efforts, it a Sawaab. Salary is a separate case, whosoever work, he/she can get, but, this is matter of Sawaab (LHW U)