Influence of the Health Provider Non-Financial Incentives on Motivation of CHPs for Provision of Community Health Services in Voi Sub-County, Taita Taveta County
DOI:
https://doi.org/10.47604/jhmn.3043Keywords:
Health Provider, Non-Financial Incentives, Motivation, CHPs, Community Health ServicesAbstract
Purpose: The study aimed to assess the influence of the health provider non-financial incentives on motivation of chps for provision of community health services in Voi Sub-County, Taita Taveta County
Methodology: A cross-sectional research design was used, employing various data collection methods such as questionnaires and key informant interviews. The primary population included 1,394 CHPs, with a sample of 310 selected via cluster sampling. Additionally, 40 members from the Sub-County Health Management Team (SCHMT) and 12 from the County Health Management Team (CHMT) were purposively sampled. Pre-testing of the tools ensured their validity and reliability, followed by a baseline survey before any interventions. Quantitative data were analyzed using SPSS version 26, while qualitative data underwent thematic analysis.
Findings: The findings indicated that CHPs exhibited high levels of motivation, which correlated with several non-financial incentives. CHPs acknowledged certain health provider non-financial incentives, these did not significantly affect their motivation, thereby upholding the null hypothesis.
Unique Contribution to Theory, Practice and Policy: This suggests a critical need for enhanced support in this area. To enhance CHP motivation, the study recommends developing structured career pathways, improving recognition systems, strengthening supply chains, and tailoring non-financial incentives. Future research should focus on longitudinal studies, regional comparisons, financial incentive impacts, qualitative insights, and the correlation between CHP motivation and community health outcomes.
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Ankomah, S. E., Kumah, E., & Kusiwaa-Karikari, A. (2016). Health Worker Motivation in Ghana: The Role of Non-Financial Incentives. A Case Study of Accident and Emergency Department of Komfo Anokye Teaching Hospital. International Journal of Biosciences, Healthcare Technology and Management, 6(4), 34–49. https://doi.org/10.5281/zenodo.1421931
Bhattacharyya, K., Winch, P., LeBan, K., Tien, M. (2001). Community health worker incentives and disincentives: how they affect motivation, retention and sustainability. Arlington, Virginia: BASICS/USAID.
Crigler, L., Gergen, J., Perry, H. (2014). Supervision of Community Health Workers. In H. Perry, & L. Crigler (Eds.), Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policy Makers. Washington, DC: USAID/MCHIP. https://coregroup.org/wp-content/uploads/2017/08/CHW-Reference-Guide-Chapter-10-Supervision-of-Community-Health-Workers.pdf
Cuevas, L. E. (2017). Health extension workers improve tuberculosis case finding and treatment outcome in Ethiopia: a large-scale implementation study. BMJ global health, 2(4), e000390. https://doi.org/10.1136/bmjgh-2017-000390
Kenya Red Cross Society and British Red Cross. (2021). An Evaluation Report of the Taita Taveta Cash for Health in Emergencies Project. Kenya Red Cross Society. https://cash-hub.org/wp-content/uploads/sites/3/2021/07/Evaluation-Report-Cash-for-Health-in-Emergencies-Taita-Taveta-Kenya-FINAL.pdf
Kithuka, P. M. (2016). Predictors of community health volunteers’ retention in service in Makueni county, Kenya [Unpublished doctoral dissertation]. Kenyatta University. https://ir-library.ku.ac.ke/bitstream/handle/123456789/10617/Predictors%20of%20community%20%20health.....pdf?isAllowed=y&sequence=4
Kok, M., Abdella, D., Mwangi, R., Ntinginya, M., Rood, E., Gassner, J., Church, K., & Wheatley, N. (2019). Getting more than "claps": incentive preferences of voluntary community-based mobilizers in Tanzania. Human Resources for Health, 17(1), 101. https://doi.org/10.1186/s12960-019-0438-5
Lehmann, U., Sanders, D. (2007). Community Health Workers; what do we know about them? The state of the evidence on programs, activities, costs and impact on health outcomes of using community health workers. Geneva. World Health Organization
Lusambili, A.M., Nyanja, N., Chabeda, S.V., Temmerman, M., Nyaga, L., Obure, J., & Ngugi, A.K. (2021). Community health volunteers challenges and preferred income generating activities for sustainability: a qualitative case study of rural Kilifi, Kenya. BMC Health Serv Res, 21, 642. https://doi.org/10.1186/s12913-021-06693-w
Mbugua, R., Oyore, J.P., & Mwitari, J. (2017). Role of Monetary Incentives on Motivation and Retention of Community Health Workers: An Experience in a Kenyan Community. Kenyan Journal of Nursing & Midwifery, 2(2), 170-181. http://article.sapub.org/10.5923.j.phr.20180801.01.html
Ministry of Health, Kenya. (2020). Kenya Community Health Policy 2020-2030. Ministry of Health. https://www.health.go.ke/wp-content/uploads/2020/07/Kenya-Community-Health-Policy-Signed.pdf
Ministry of Health, Kenya. (2020). Kenya Community Health Strategy 2020-2025. Ministry of Health. https://www.health.go.ke/wp-content/uploads/2021/01/Kenya-Community-Health-Strategy-Final-Signed-off_2020-25.pdf
Olang’o, C. O., Nyamongo, I. K., & Aagaard-Hansen, J. (2010). Staff attrition among community health workers in home-based care programmes for people living with HIV and AIDS in western Kenya. Health Policy, 97(2-3), 232-237.
Oliver, M., Geniets, A., Winters, N., Rega, I., & Mbae, S. M. (2015). What do community health workers have to say about their work, and how can this inform improved programme design? A case study with CHWs within Kenya. Global health action, 8(1), 1-17. 27168. https://doi.org/10.3402/gha.v8.27168
Parlato, M. B., & Favin, M. N. (1982). Primary health care--progress and problems. American Public Health Association.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
Sarma, H., Jabeen, I., Luies, S. K., Uddin, M. F., Ahmed, T., Bossert, T. J., & Banwell, C. (2020). Performance of volunteer community health workers in implementing home-fortification interventions in Bangladesh: A qualitative investigation. PloS one, 15(4), e0230709. https://doi.org/10.1371/journal.pone.0230709
Singh, D., Negin, J., Otim, M., Garimoi, O., Cumming, R. (2015). The effect of payment and incentives on motivation and focus of community health workers: five case studies from low-and middle-income countries. Human Resources for Health, 13(1), 58. https://doi.org/10.1186/s12960-015-0051-1
Tripathy, J. P., Goel, S., & Kumar, A. M. (2016). Measuring and understanding motivation among community health workers in rural health facilities in India-a mixed method study. BioMed Central Health Services Research, 16(a), 366. https://doi.org/10.1186/s12913-016-1614-0
Tulenko, K., Møgedal, S., Afzal, M. M., Frymus, D., Oshin, A., Pate, M., Quain, E., Pinel, A., Wynd, S., & Zodpey, S. (2013). Community health workers for universal health-care coverage: from fragmentation to synergy. Bulletin of the World Health Organization, 91(11), 847–852. https://doi.org/10.2471/BLT.13.118745
UNICEF. (2010). Implementing Community Health Strategy in Kenya; an evaluation report. Division of Community Health Services, UNICEF. http://guidelines.health.go.ke:8000/media/Evaluation_Report_of_the_Community_Health_Strategy_Implementation_in_Kenya.pdf
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Copyright (c) 2024 Ndegwa Mwanyoha Ndegwa, Dr. Kezia Njoroge, PhD, Dr. Eunice Nyavanga, PhD
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