2016
DOI: 10.1093/cid/ciw625
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Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study

Abstract: 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 col… Show more

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Cited by 29 publications
(54 citation statements)
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“…Additionally, examination of CHW satisfaction and perceptions of barriers is necessary. 71 Future research needs to incorporate measures for determining quality of life, health care use, and cost-effectiveness. Additional cost-effectiveness studies can help determine whether CHW interventions are a cost-effective alternative to other diabetes-related health interventions.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, examination of CHW satisfaction and perceptions of barriers is necessary. 71 Future research needs to incorporate measures for determining quality of life, health care use, and cost-effectiveness. Additional cost-effectiveness studies can help determine whether CHW interventions are a cost-effective alternative to other diabetes-related health interventions.…”
Section: Discussionmentioning
confidence: 99%
“…Using the average income in each country for people of equivalent education and experience, the estimated value of their time during 1 year ranged from USD $51.9 in Burkina Faso to USD $294.9 in Nigeria. Some CHWs, but not all, benefited from payments in kind; most stated gaining improved community status; and all were supervised [15]. Each of these incentives contributed to the success of the intervention and increased motivation.…”
Section: Discussionmentioning
confidence: 99%
“…Financial remuneration may well be CHWs’ preferred option, but policies intent upon reducing their attrition rates and maintaining their effectiveness will need to respond to what motivates them. Sanou et al [15] indicate that a substantial component of CHWs’ motivation derives from their status in the community and technical supervision; these 2 components apparently reinforce their technical skills (and hopes of a career path) and link them to community members and the formal health system. If CHWs are highly motivated by community status, then policies can be designed to reinforce that status; if they are motivated more by income prospects, then compensation for their time needs to be structured in a way that improves income and efficient use of time (ie, reduces incentives to “waste time”).…”
Section: Discussionmentioning
confidence: 99%
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“…Globally, the lack of recognition of CHWs in MoH programmes has been cited as a challenge [19,40,[43][44][45]. Increased recognition is seen as potentially improving lay health worker performance [41].…”
Section: Recommendationsmentioning
confidence: 99%