Staff attrition among community health workers in home-based care programmes for people living with HIV and AIDS in western Kenya

Health Policy

Volumn 97, Issue 2-3, 2010, Pages 232-237

  Olang'o, Charles Omondi ^a   Nyamongo, Isaac K ^a   Aagaard Hansen, Jens ^b  

^a UNIVERSITY OF NAIROBI   (Kenya)

^b STENO DIABETES CENTER   (Denmark)

Author keywords

Attrition; Community health workers; Home based care; Kenya; PLWHA

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; ARTICLE; COMMUNITY CARE; EMPLOYMENT STATUS; ETHNOGRAPHIC RESEARCH; FEMALE; HEALTH AUXILIARY; HOME CARE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; INFORMATION PROCESSING; INTERVIEW; KENYA; MALE; PARTICIPANT OBSERVATION; SOCIOECONOMICS; STAFF ATTRITION; WORK ENVIRONMENT; WORK EXPERIENCE;

ADULT; COMMUNITY HEALTH AIDES; FEMALE; FOCUS GROUPS; HEALTH POLICY; HIV INFECTIONS; HOME CARE SERVICES; HUMANS; KENYA; MALE; PERSONNEL SELECTION; SOCIAL SUPPORT; VOLUNTARY WORKERS;

EID: 77956180184     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2010.05.004     Document Type: Article

References (26)

1. UNAIDS. AIDS epidemic update, December 2009. UNAIDS/09.36E/JC1700E. UNAIDS, Geneva; 2009.
2. National AIDS and STI Control Programme, Ministry of Health. Kenya AIDS Indicator Survey 2007: preliminary report. NASCOP and Ministry of Health; 2008.
3. National AIDS Control Programme and STI Ministry of Health AIDS in Kenya: trends, interventions and impact 2005, NASCOP and Ministry of Health, Nairobi. 7th ed.
4. National AIDS and STI Control Programme, Ministry of Health. Report of the second national HIV/AIDS/STD conference: lessons learned 28-30 October 1998. Nairobi: NASCOP and Ministry of Health; 1998.
5. National AIDS and STI Control Programme, Ministry of Health Home-based care handbook: a reference manual for home-based care for people living with HIV/AIDS in Kenya 2002, NASCOP and Ministry of Health, Nairobi.
6. Celletti F., Wright A., Palen J., Frehywot S., Markus A., Greenberg A., et al. Can the deployment of community health workers for the delivery of HIV services represent an effective and sustainable response to health workforce shortages? Results of a Multicounty Study. AIDS 2010, 24(Suppl. 1):S45-S57.
7. World Health Organization. Strengthening the performance of community health workers in primary health care: report of a WHO Study Group. Geneva: WHO, Technical Report Series, No. 780; 1989.
8. Uys L. The practice of community caregivers in a home based HIV/AIDS project in South Africa. Journal of Clinical Nursing 2002, 11(1):99-108.
9. National AIDS Control Council. Maisha: Kenya National HIV/AIDS Strategic Plan 2005/6-2009/10; a call for action. Nairobi: NACC; 2005.
10. National Coordinating Agency for Population and Development ORC Macro Kenya HIV/AIDS Service Provision Assessment Survey 2004. Key Findings 2005, NCAPD, Ministry of Health, Central Bureau of Statistics and ORC Macro, Nairobi, Kenya.
11. UNAIDS Report on the global HIV/AIDS epidemic June 2000 2000, UNAIDS, Geneva.
12. Bhattacharyya K., Winch P., LeBan K., Tien M. Community health worker incentives and disincentive: how they affect motivation, retention and sustainability 2001, Basic Support for Institutionalizing Child Survival Project (BASICS II) for the United States Agency for International Development, Arlington.
13. Akintola O. A gendered analysis of the burden of care on family and volunteer caregivers in Uganda and South Africa. Health Economics and Research and HIV/AIDS Research Division (HEARD). August 2004. Available at ; 2004. http://www.heard.org.za/.
14. Parlato M., Favin M. Primary health care. Progress and problems: an analysis of 52 AID assisted projects 1982, American Public Health Association, Washington, DC.
15. Hermann K., Van Damme W., Pariyo G.W., Schouten E., Assefa Y., Cirera A., et al. Community health workers for ART in sub-Saharan Africa: learning from experience-capitalizing on new opportunities. Human Resources for Health 2009, 7:31.
16. Perez F., Ba H., Dastagire S.G., Altmann M. The role of community health workers in improving child health programmes in Mali. BMC International Health and Human Rights 2009, 9:28.
17. Lehmann U, Sanders D. Community health workers: what do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers; 2007 []. WHO, Geneva. Accessed 27 April 2010. http://www.who.int/hrh/documents/community_health_workers.pdf.
18. Doherty T., Coetzee M. Community Health Workers and Professional Nurses: defining the roles and understanding the relationships. Public Health Nursing 2005, 22:360-436.
19. Onyango-Ouma W. Children and health communication. Learning about health in everyday relationships among the Luo of western Kenya. Unpublished PhD Thesis. Institute of Anthropology, University of Copenhagen and Danish Bilharziasis Laboratories; 2000.
20. Central Bureau of Statistics and Ministry of Finance and Planning Kenya 1999 population and Housing Census 2002, Government printer, Nairobi.
21. Strauss A., Corbin J. Basics of qualitative research. Grounded theory, procedures and techniques 1990, Sage, Newbury Park, CA.
22. Miles M., Huberman A. Qualitative data analysis 1994, Sage, Newbury Park.
23. Qualitative research practice: a guide for social science students and researchers 2003, Sage, London. J. Ritchie, J. Lewis (Eds.).
24. Hardon A., Boonmongkon P., Streetfland P., Tan M., Hongvivatana T., Geest S., et al. Applied Health Research Manual: Anthropology of Health and Health Care 1995, International Development Research Centre (IDRC), World Health Organization.
25. Ouko G, Wandibba S. The potential of the Nyoluoro in the preventive and management of AIDS in Usigu Division, Bondo District, Western Kenya. MILA, (N.S.) 2003;5:9-15.
26. Farmer P., Kim J. Human rights, community-based health care and child survival. Child survival: the State of the World's Children 2008, UNICEF, p. 90-91.