... hospitals, and 25 primary health clinics and/ or solo practitioners wererandomly selected from the lists of public and privatefacilities in e ach district, using a random starting point and fixed ... [15]. TheJoint Learning Initiative Report also highlights theimportance of management culture and working condi-tions in affecting motivation, and cites small studies in four African and Asian ... Institute of Management, Lucknow, India.3The Institute of Health Systems, Hyderabad, India.Authors’ contributionsDHP conceived of the study, participated in the design and coordination,and...