Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study.
Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study.
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DOI：
10.1093/cid/ciw625
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发表时间：
2016-12-15
期刊：
影响因子：
--
通讯作者：
Gomes M
中科院分区：
文献类型：
--
作者：
Sanou AK;Jegede AS;Nsungwa-Sabiiti J;Siribié M;Ajayi IO;Turinde A;Oshiname FO;Sermé L;Kabarungi V;Falade CO;Kyaligonza J;Afonne C;Balyeku A;Castellani J;Gomes M
背景： 社区卫生工作者(CHW)是为各种疾病提供护理服务的重要因素，但他们的离职率很高。关于卫生工作者的动机已经进行了许多研究，重点是正规部门的工作人员，而不是社区卫生工作者。虽然社区卫生工作者很容易招募，但很难在提供服务时激励和留住他们。本文探讨影响卫生服务提供中CHW动机和留存的因素。方法：收集 的定量和定性数据，以确定有利于CHW动机和留存的关键因素以及阻碍他们的因素。我们使用结构化问卷分别采访了布基纳法索、尼日利亚和乌干达的47名、25名和134名CHW。还与社区卫生工作者、社区参与者和设施卫生工作者进行了焦点小组讨论(FGD)。结果： 除布基纳法索外，大多数CHW是女性。平均年龄在38岁到41岁之间，大多数来自农业社区。大多数人(52%-80%)认为他们的满意度很高到非常高，但布基纳法索和乌干达的大多数社区妇女(约75%)表示他们准备离开这份工作，理由是收入是主要原因。社区认可以及培训和监督的机会是所有国家的主要诱因，但在疟疾阳性病例和农业需求都处于高峰期之际，无偿工作的数量是具有挑战性的。结论： 大多数CHW理解他们职位的志愿者性质，但希望得到社区的认可和适度的经济报酬。临床试验注册。 ISRCTN13858170。
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.
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影响因子：
2.5
作者：
Abbey, Mercy;Bartholomew, L. Kay;van den Borne, Bart
通讯作者：
van den Borne, Bart
影响因子：
11.8
作者：
Ajayi, IkeOluwapo O.;Nsungwa-Sabiiti, Jesca;Gomes, Melba
通讯作者：
Gomes, Melba
影响因子：
1
作者：
Appleford, Gabrielle
通讯作者：
Appleford, Gabrielle
影响因子：
3.2
作者：
Banek K;Nankabirwa J;Maiteki-Sebuguzi C;DiLiberto D;Taaka L;Chandler CI;Staedke SG
通讯作者：
Staedke SG
影响因子：
5.9
作者：
Dil, Yasemin;Strachan, Daniel;Hill, Zelee
通讯作者：
Hill, Zelee