ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016
Motivation of Community Health Workers in Diagnosing, Treating, and Referring Sick Young Children in a Multicountry Study.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review.PloS one · 2023Pooled it
- Quantifying and Valuing Community Health Worker Time in Improving Access to Malaria Diagnosis and Treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Trial
- Does near-vision correction improve digital data entry accuracy? A simulated within-subject crossover study among community health workers in Malawi.BMJ public health · 2026Article
- Estimating rates of treatment delay for malaria fevers among children in Sub-Saharan Africa 2006-2022.Nature communications · 2025Article
- Analysis of evolution of the policy framework and governance mechanisms and their influence on the institutionalisation process of integrated community case management in Burkina Faso between 2010 and 2024: a scoping review.Frontiers in public health · 2025Article
- Job motivation and associated factors among healthcare professionals serving in primary hospitals in the Central Gondar Zone, Northwest Ethiopia: a mixed-methods approach.Frontiers in public health · 2025Article
- Factors influencing health workers' adherence to malaria treatment guidelines in under-five children in Nigeria: A scoping review.MalariaWorld journal · 2024Article
- Role and capacity needs of community based surveillance volunteers in the integrated management of skin neglected tropical diseases (skin NTDs): a qualitative study from central Ghana.BMC public health · 2023Article
- Improving community health worker treatment for malaria, diarrhoea, and pneumonia in Uganda through inSCALE community and mHealth innovations: A cluster randomised controlled trial.PLOS digital health · 2023Article
- Motivation and job satisfaction of community health workers in Ethiopia: a mixed-methods approach.Human resources for health · 2023Article
- Feasibility and utility of Point-of-Care electronic clinical data capture in Uganda's healthcare system: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- "We just have to help": Community health workers' informal task-shifting and task-sharing practices for hypertension and diabetes care in Nigeria.Frontiers in public health · 2023Article
- It is not all about salary: a discrete-choice experiment to determine community health workers' motivation for work in Nigeria.BMJ global health · 2022Article
- "My motivation was to save": a qualitative study exploring factors influencing motivation of community healthcare workers in a cervical cancer screening program in Dschang, Cameroon.Reproductive health · 2022Article
- The building blocks of community health systems: a systems framework for the design, implementation and evaluation of iCCM programs and community-based interventions.BMJ global health · 2022Review
- The usefulness of nutrition and health videos displayed on mobile phones in rural Uganda: Experiences of community health workers and mothers.Maternal & child nutrition · 2022Article
- Article
- Anganwadi worker time use in Madhya Pradesh, India: a cross-sectional study.BMC health services research · 2020Article
- "They have been neglected for a long time": a qualitative study on the role and recognition of rural health motivators in the Shiselweni region, Eswatini.Human resources for health · 2020Article
- Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries.Human resources for health · 2020Article
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Authors and funding
15 authors.
Funding
Abstract
backgroundCommunity 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.
methodsQuantitative 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.
resultsExcept 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.
conclusionsMost CHWs understood the volunteer nature of their position but desired community recognition and modest financial remuneration. CLINICAL TRIALS REGISTRATION: ISRCTN13858170.
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