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The relative importance of material and non-material incentives for community health workers: Evidence from a discrete choice experiment in Western Kenya

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  • Saran, Indrani
  • Winn, Laura
  • Kipkoech Kirui, Joseph
  • Menya, Diana
  • Prudhomme O'Meara, Wendy

Abstract

Motivating community health workers (CHWs), many of whom are volunteers, is important for the sustainability of integrated community case management programs. Given the limited budgets of many of these programs, and the increasingly important role played by CHWs, it is crucial to not only identify important motivators driving their engagement, but also which incentives could have the greatest impact on CHW motivation in their role. In this study, we aimed to assess CHWs' relative preferences for material and non-material incentives.

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  • Saran, Indrani & Winn, Laura & Kipkoech Kirui, Joseph & Menya, Diana & Prudhomme O'Meara, Wendy, 2020. "The relative importance of material and non-material incentives for community health workers: Evidence from a discrete choice experiment in Western Kenya," Social Science & Medicine, Elsevier, vol. 246(C).
    • Handle: RePEc:eee:socmed:v:246:y:2020:i:c:s027795361930721x
    DOI: 10.1016/j.socscimed.2019.112726
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    References listed on IDEAS

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    1. Wendy Prudhomme O’Meara & Diana Menya & Jeremiah Laktabai & Alyssa Platt & Indrani Saran & Elisa Maffioli & Joseph Kipkoech & Manoj Mohanan & Elizabeth L Turner, 2018. "Improving rational use of ACTs through diagnosis-dependent subsidies: Evidence from a cluster-randomized controlled trial in western Kenya," PLOS Medicine, Public Library of Science, vol. 15(7), pages 1-24, July.
    2. Mandeville, Kate L. & Ulaya, Godwin & Lagarde, Mylène & Muula, Adamson S. & Dzowela, Titha & Hanson, Kara, 2016. "The use of specialty training to retain doctors in Malawi: A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 169(C), pages 109-118.
    3. Robert Kaba Alhassan & Edward Nketiah-Amponsah & Nicole Spieker & Daniel Kojo Arhinful & Tobias F Rinke de Wit, 2016. "Assessing the Impact of Community Engagement Interventions on Health Worker Motivation and Experiences with Clients in Primary Health Facilities in Ghana: A Randomized Cluster Trial," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-19, July.
    4. G. Vareilles & J. Pommier & Sumit Kane & G. Pictet & B. Marchal, 2015. "Understanding the motivation and performance of community health volunteers involved in the delivery of health programmes in Kampala, Uganda: a realist evaluation protocol," Post-Print hal-02598141, HAL.
    5. Yang, Jui-Chen & Johnson, F. Reed & Kilambi, Vikram & Mohamed, Ateesha F., 2015. "Sample size and utility-difference precision in discrete-choice experiments: A meta-simulation approach," Journal of choice modelling, Elsevier, vol. 16(C), pages 50-57.
    6. Pallas, S.W. & Minhas, D. & Pérez-Escamilla, R. & Taylor, L. & Curry, L. & Bradley, E.H., 2013. "Community health workers in low- and middle-income countries: What do we know about scaling up and sustainability?," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 74-82.
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    1. Arora, Nikita & Quaife, Matthew & Hanson, Kara & Lagarde, Mylène & Woldesenbet, Dorka & Seifu, Abiy & Crastes dit Sourd, Romain, 2022. "Discrete choice analysis of health worker job preferences in Ethiopia: separating attribute non-attendance from taste heterogeneity," LSE Research Online Documents on Economics 113529, London School of Economics and Political Science, LSE Library.
    2. Nikita Arora & Matthew Quaife & Kara Hanson & Mylene Lagarde & Dorka Woldesenbet & Abiy Seifu & Romain Crastes dit Sourd, 2022. "Discrete choice analysis of health worker job preferences in Ethiopia: Separating attribute non‐attendance from taste heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 806-819, May.
    3. Arora, Nikita & dit Sourd, Romain Crastes & Quaife, Matthew & Vassall, Anna & Ferrari, Giulia & Alangea, Deda Ogum & Tawiah, Theresa & Dwommoh Prah, Rebecca Kyerewaa & Jewkes, Rachel & Hanson, Kara & , 2023. "The stated preferences of community-based volunteers for roles in the prevention of violence against women and girls in Ghana: A discrete choice analysis," Social Science & Medicine, Elsevier, vol. 324(C).
    4. Arora, Nikita & Crastes dit Sourd, Romain & Hanson, Kara & Woldesenbet, Dorka & Seifu, Abiy & Quaife, Matthew, 2022. "Linking health worker motivation with their stated job preferences: A hybrid choice analysis in Ethiopia," Social Science & Medicine, Elsevier, vol. 307(C).

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