Motivations and Challenges of Community-Based Surveillance Volunteers in the Northern Region of Ghana
Motivations and Challenges of Community-Based Surveillance Volunteers in the Northern Region of Ghana
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DOI：
10.1007/s10900-012-9569-5
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发表时间：
2012-12-01
影响因子：
5.9
通讯作者：
Hill, Zelee
中科院分区：
文献类型：
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作者：
Dil, Yasemin;Strachan, Daniel;Hill, Zelee
社区卫生工作者 (CHW) 是许多卫生系统和计划的重要组成部分，旨在促进和提供广泛的健康干预措施和疾病监测。了解社区卫生工作者的动机和保留被认为是至关重要的，但来自撒哈拉以南非洲地区的数据很少。这项定性研究通过对 28 名 CBSV、12 名区域协调员、9 名加纳卫生服务 (GHS) 分区级工作人员、10 名 GHS 地区级工作人员和行政首都的 2 名 GHS 地区级工作人员进行半结构化访谈，探讨了加纳北部地区社区监测志愿者 (CBSV) 的激励因素和面临的挑战。社区成为利他主义、对社区的责任感以及获得社区尊重和自豪感的重要激励因素。志愿者的社区选择进一步加强了这一点。主要挑战包括社区对 CBSV 的不正确看法、交通和设备问题、开展志愿者和农场工作的困难以及国家免疫日等临时任务的延迟或缺乏付款。大多数 CBSV 认识到自己是志愿者，了解卫生系统的限制并且不要求报酬。然而，CBSV 强烈希望有一些有形的东西来表明他们的工作得到认可和赞赏，并描述了许多可以使用的低成本项目。他们还需要雨衣等装备以及 T 恤和证书等标识。
Community health workers (CHWs) are an important element of many health systems and programmes for the promotion and delivery of a wide range of health interventions and disease surveillance. Understanding the motivation and retention of CHWs is recognized as essential but there are few data from sub-Saharan Africa. This qualitative study explored factors that motivate, and the challenges faced by community-based surveillance volunteers (CBSVs) in the Northern Region of Ghana through semi-structured interviews with 28 CBSVs, 12 zonal coordinators, nine Ghana Health Service (GHS) sub-district level staff, ten GHS district level staff and two GHS regional level staff in the administrative capital. The community emerged as an important motivating factor in terms of altruism, a sense of duty to the community and gaining community respect and pride. This was enhanced by community selection of the volunteers. Major challenges included incorrect community perceptions of CBSVs, problems with transportation and equipment, difficulties conducting both volunteer and farm work and late or lack of payment for ad hoc tasks such as National Immunization Days. Most CBSVs recognized that they were volunteers, understood the constraints of the health system and were not demanding remuneration. However, CBSVs strongly desired something tangible to show that their work is recognized and appreciated and described a number of low cost items that could be used. They also desired equipment such as raincoats and identifiers such as tee-shirts and certificates.