Factors related to retention of community health workers in a trial on community-based management of fever in children under 5 years in the Dangme West District of Ghana

Abbey, Mercy; Bartholomew, L. Kay; Nonvignon, Justice; Chinbuah, Margaret A.; Pappoe, Matilda; Gyapong, Margaret; Gyapong, John; Bart-Plange, Constance; Borne, Bart van den

doi:10.1093/inthealth/ihu007

Cited by 39 publications

(53 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additional motivational factors included incentives in terms of money, materials and technical support. Similar factors enabling the retention of community health workers in community-based health programs have been reported in other studies [10][11][12] .…”

Section: Discussionsupporting

confidence: 77%

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Maung¹,

Sein

Hlaing

et al. 2017

Rural Remote Health

View full text Add to dashboard Cite

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach Rural and Remote Health 17: 4130. (Online) 2017 Available: http://www.rrh.org.au A B S T R A C TIntroduction: Malaria is prevalent in more than 80% of townships in Myanmar. The National Malaria Control Programme (NMCP) has been implementing community-based malaria control programs nationwide. However, these programs are mostly developed and directed by health authorities, while communities are passively involved. This study aimed to increase community participation in malaria control and promote community malaria control knowledge and practice in rural Myanmar. Methods: A community-based study, which employed a mixed method approach, collecting data quantitatively and qualitatively, was conducted in two rural villages. The study implemented an active community participation program (ACPP) using the participatory learning approach in a village (ACPP village) but only routine malaria control was given in another village (non-ACPP village). All households with 142 and 96 household representatives from ACPP and non-ACPP villages participated in baseline and endline surveys. The ACPP was evaluated by process and outcome indicators. A spider gram analysis using five process indicators was applied to evaluate the process of the ACPP. Community participation status in malaria control activities and level of community malaria knowledge and practice were determined as outcomes of the ACPP. Results: The spider gram analysis showed that three indicators (needs assessment and planning, leadership and resource mobilization) gained a score of 4, the organization indicator a score of 5 and the management and evaluation indicator a score of 3. The outcome indicators of the program at 6 months showed that the community participation in malaria control activities in the © CN Maung, TT Sein, T Hlaing, K Okanurak, T Silawan, J Kaewkungwal, 2017. A A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 ACPP village had significantly increased (6.9% to 49.3%) (p<0.001). The program promoted community malaria control knowledge and practice in the ACPP village. The mean scores of knowledge, perception, preventive behavior and treatment-seeking behavior were increased significantly, from 3.0 to 5.9 (p<0.001), 20.1 to 21.0 (p<0.001), 3.4 to 4.2 (p<0.001) and 3.1 to 5.6 (p<0.001), respectively. However, no significant change of outcome indicators was found in the non-ACPP village.Conclusions: The ACPP implemented by community volunteers using the participatory learning approach was feasible in community-based malaria control. This study suggests several features in the ACPP model that may be useful strategies for the implementation of the current NMCP programs in similar rural settings; however, the effect of the ACPP over a longer period to ascertain the impact of such community participation has yet to be further studied.

show abstract

Section: Discussionsupporting

confidence: 77%

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Maung¹,

Sein

Hlaing

et al. 2017

Rural Remote Health

View full text Add to dashboard Cite

show abstract

“…Monetary and nonmonetary incentives were perceived to be critical. CHWs derived satisfaction from community recognition or appreciation and took pride in being called a nurse and felt needed when there was high demand for their services [5]. Equally, they were demoralized when parents or community members did not appreciate that their services were unpaid, and that they were providing social services at some personal cost.…”

Section: Discussionmentioning

confidence: 99%

Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study

Sanou

Jegede²,

Nsungwa-Sabiiti³

et al. 2016

Clin Infect Dis.

View full text Add to dashboard Cite

Background. Community health workers (CHWs) are an important element of care provision for a wide range of conditions, but their turnover rate is high. Many studies have been conducted on health workers’ motivation, focusing on formal sector staff but not CHWs. Although CHWs are easy to recruit, motivating and retaining them for service delivery is difficult. This article investigates factors influencing CHW motivation and retention in health service delivery.Methods. Quantitative and qualitative data were collected to identify the key factors favoring motivation and retention of CHWs as well as those deterring them. We interviewed 47, 25, and 134 CHWs in Burkina Faso, Nigeria, and Uganda, respectively, using a structured questionnaire. Focus group discussions (FGDs) were also conducted with CHWs, community participants, and facility health workers.Results. Except for Burkina Faso, most CHWs were female. Average age was between 38 and 41 years, and most came from agricultural communities. The majority (52%–80%) judged they had a high to very high level of satisfaction, but most CHWs (approximately 75%) in Burkina Faso and Uganda indicated that they would be prepared to leave the job, citing income as a major reason. Community recognition and opportunities for training and supervision were major incentives in all countries, but the volume of unremunerated work, at a time when both malaria-positive cases and farming needs were at their peak, was challenging.Conclusions. Most CHWs understood the volunteer nature of their position but desired community recognition and modest financial remuneration.Clinical Trials Registration. ISRCTN13858170.

show abstract

“…Permission for spousal and other family member visits was an important element of support for the female CHEWs in Kadawawa, enabling them to stay in their posts longer and reducing their feelings of isolation from their families. Similarly, Abbey et al report approval of the community and the health worker's immediate family as the most significant factors in predicting retention of community-based workers in Dangme West district in Ghana 23 . Over the long term, improving the quality of and gender parity in education and training is required to increase the pool of women from remote rural areas who are equipped to serve as health workers in their home areas (a major focus of the DFID-funded Women for Women Health initiative) 24 …”

Section: Discussionmentioning

confidence: 99%

Female Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria

Uzondu¹,

Doctor

Findley

et al. 2015

Glob Health Sci Pract

View full text Add to dashboard Cite

Deployment of resident female Community Health Extension Workers (CHEWs) to a remote rural community led to major and sustained increases in service utilization, including antenatal care and facility-based deliveries. Key components to success: (1) providing an additional rural residence allowance to help recruit and retain CHEWs; (2) posting the female CHEWs in pairs to avoid isolation and provide mutual support; (3) ensuring supplies and transportation means for home visits; and (4) allowing CHEWs to perform deliveries.

show abstract

Factors related to retention of community health workers in a trial on community-based management of fever in children under 5 years in the Dangme West District of Ghana

Cited by 39 publications

References 14 publications

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study

Female Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria

Contact Info

Product

Resources

About