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Factors influencing motivation and job satisfaction of community health workers in Africa and Asia—A multi‐country study

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  • Abimbola Olaniran
  • Barbara Madaj
  • Sarah Bar‐Zeev
  • Aduragbemi Banke‐Thomas
  • Nynke van den Broek

Abstract

As key stakeholders continue to affirm the relevance of community health workers (CHWs) in universal health coverage, there is a need for a commensurate focus on their motivation and job satisfaction especially in low‐ and middle‐income countries (LMICs) where they play prominent roles. Despite the wealth of literature on motivation and job satisfaction, many studies draw on research conducted in high‐income settings. This study explored factors influencing motivation and satisfaction among CHWs in LMICs. Thirty‐two focus group discussions and 116 key informant interviews were conducted with CHWs, programme staff, health professionals and community leaders in Bangladesh, India, Kenya, Malawi and Nigeria. Data were analysed using thematic analysis. Overall, CHWs desired: (1) CHW programmes with manageable workload; work schedules that address concerns of female CHWs on work‐life balance; clear career pathway; and a timely, regular and sustainable remuneration. However, no remuneration type guaranteed satisfaction because of an insatiable quest for additional financial reward. (2) Relationship with stakeholders that enhances their reputation. This was more important for unsalaried CHWs. (3) Opportunities to support community members. This was popular among all cadres as it resonated with their altruistic values. This study provides insights for developing a ‘comprehensive motivation package’ for CHWs.

Suggested Citation

  • Abimbola Olaniran & Barbara Madaj & Sarah Bar‐Zeev & Aduragbemi Banke‐Thomas & Nynke van den Broek, 2022. "Factors influencing motivation and job satisfaction of community health workers in Africa and Asia—A multi‐country study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 112-132, January.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:1:p:112-132
    DOI: 10.1002/hpm.3319
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    References listed on IDEAS

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    1. Khurshid Alam & Sakiba Tasneem & Molla Huq, 2014. "Reservation wage of female volunteer community health workers in Dhaka urban slums: a bidding game approach," Health Economics Review, Springer, vol. 4(1), pages 1-10, December.
    2. Alam, Khurshid & Tasneem, Sakiba & Oliveras, Elizabeth, 2012. "Performance of female volunteer community health workers in Dhaka urban slums," Social Science & Medicine, Elsevier, vol. 75(3), pages 511-515.
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    1. Shin, Hyunsook & Shon, Soonyoung & Kim, Hyerang & Lee, Suk Jeong, 2023. "Understanding community health workers’ activities in a community-based child health promotion project in Kyrgyzstan," Evaluation and Program Planning, Elsevier, vol. 99(C).

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