Using theory and formative research to design interventions to improve community health worker motivation, retention and performance in Mozambique and Uganda

Human Resources for Health

Volumn 13, Issue 1, 2015, Pages

  Strachan, Daniel Llywelyn ^a   Källander, Karin ^b,c   Nakirunda, Maureen ^b   Ndima, Sozinho ^d   Muiambo, Abel ^d   Hill, Zelee ^a   Meek, Sylvia ^b   Tibenderana, James ^b   Castel Branco, Ana Cristina ^b   Kertho, Edmound ^b   Strachan, Daniel ^a   Kirkwood, Betty ^e   Soremekun, Seyi ^e   Lingam, Raghu ^e   Vassal, Anna ^e   Kasteng, Frida ^e  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b MALARIA CONSORTIUM   (United Kingdom)

^c KAROLINSKA INSTITUTE   (Sweden)

^d MALARIA CONSORTIUM   (Mozambique)

^e LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

Community health workers; Human resources for health; Motivation; Mozambique; Performance; Retention; Social identity approach; Uganda

Indexed keywords

COMMUNITY CARE; DEMOGRAPHY; HEALTH AUXILIARY; HUMAN; INFORMATION PROCESSING; MANPOWER; MOTIVATION; MOZAMBIQUE; PERSONNEL MANAGEMENT; PROFESSIONAL COMPETENCE; PSYCHOLOGICAL THEORY; QUALITATIVE RESEARCH; SOCIAL BEHAVIOR; STANDARDS; UGANDA; WORK;

COMMUNITY HEALTH SERVICES; COMMUNITY HEALTH WORKERS; FOCUS GROUPS; HUMANS; MOTIVATION; MOZAMBIQUE; PERSONNEL TURNOVER; PROFESSIONAL COMPETENCE; PSYCHOLOGICAL THEORY; QUALITATIVE RESEARCH; RESIDENCE CHARACTERISTICS; SOCIAL IDENTIFICATION; UGANDA; WORK;

EID: 84929153772     PISSN: None     EISSN: 14784491     Source Type: Journal    
DOI: 10.1186/s12960-015-0020-8     Document Type: Article

References (52)

1. Travis P, Bennett S, Haines A, Pang T, Bhutta Z, Hyder AA, et al. Overcoming health-systems constraints to achieve the millennium development goals. Lancet. 2004;364:900-6.
2. WHO. Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva: WHO Press; 2008.
3. Schellenberg JA, Victora CG, Mushi A, de Savigny D, Schellenberg D, Mshinda H, et al. Inequities among the very poor: health care for children in rural southern Tanzania. Lancet. 2003;361:561-6.
4. Campbell C, Scott K. Retreat from Alma Ata: the WHO's report on task shifting to community health workers for AIDS care in poor countries. Glob Public Health. 2011;6:125-38.
5. Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, et al. Human resources for health: overcoming the crisis. Lancet. 2004;364:1984.
6. Panisset U. Informed choices for attaining the millennium development goals: towards an international cooperative agenda for health-systems research. Lancet. 2004;364:997-1003.
7. WHO. World development report 1993: investing in health. Oxford: Oxford University Press; 1993.
8. Bhutta ZA, Lassi ZS, Pariyo G, Huicho L. Global experience of community health workers for delivery of health related millennium development goals: a systematic review, country case studies, and recommendations for integration into national health systems. Geneva, Switzerland: World Health Organization and Global Health Workforce Alliance; 2010.
9. Strachan DL, Källander K, ten Asbroek AH, Kirkwood B, Meek SR, Benton L, et al. Interventions to improve motivation and retention of community health workers delivering integrated community case management. (iCCM): stakeholder perceptions and priorities. Am J Trop Med Hyg. 2012;87:111.
10. Bhattacharyya K, Winch P, LeBan K, Tien M. Community health worker incentives and disincentives: how they affect motivation, retention and sustainability. Arlington, Virginia: Basic Support for Institutionalizing Child Survival Project (BASICS II) for the United States Agency for International Development; 2001.
11. Mueller DHKC, Mills A. Managing health workforce performance. Component - literature review: determinants and levers of health worker motivation and satisfaction. London: London School of Hygiene and Tropical Medicine; 2005.
12. Chandler CI, Chonya S, Mtei F, Reyburn H, Whitty CJ. Motivation, money and respect: a mixed-method study of Tanzanian non-physician clinicians. Soc Sci Med. 2009;68:2078-88.
13. Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health. 2010;31:399-418.
14. Brownson RC, Fielding JE, Maylahn CM. Evidence-based public health: a fundamental concept for public health practice. Annu Rev Public Health. 2009;30:175-201.
15. Kane S, Gerretsen B, Scherpbier R, Dal Poz M, Dieleman M. A realist synthesis of randomised control trials involving use of community health workers for delivering child health interventions in low and middle income countries. BMC Health Serv Res. 2010;10:286.
16. Franco LM, Bennett S, Kanfer R. Health sector reform and public sector health worker motivation: a conceptual framework. Soc Sci Med. 2002;54:1255-66.
17. Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resour Health. 2006;4:24.
18. Rahman SA, Nabeel A, Larissa J, Habibur SM, Ishtiaq M, Rasheduzzaman S, et al. Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh. Hum Resour Health. 2010;8:12.
19. MCHIP. What motivates community health workers? Designing programs that incentivize community health worker performance and retention. In: Colvin CJ, editor. Developing and strengthening community health worker programs at scale: a reference guide for program managers and policy makers. USA: Jhpiego Corporation; 2013. p. 205-22.
20. Franco LM, Bennett S, Kanfer R, Stubblebine P. Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia. Soc Sci Med. 2004;58:343-55.
21. Glenton C, Scheel IB, Pradhan S, Lewin S, Hodgins S, Shrestha V. The female community health volunteer programme in Nepal: decision makers' perceptions of volunteerism, payment and other incentives. Soc Sci Med. 2010;70:1920-7.
22. inSCALE: The Innovations at Scale for Community Access and Lasting Effects (inSCALE) project web page. Malaria Consortium, Charity No. 1099776 Company No. 4785712. 2015. http://www.malariaconsortium.org/inscale/ . Accessed 24 Apr 2015.
23. Frank T, Källander K. Developing intervention strategies to improve community health worker motivation and performance. In: The learning papers series: Malaria Consortium. London, UK: ACW; 2012.
24. Kallander K, Strachan DL, Soremekun S, Hill Z, Lingam R, Tibenderana J, et al. Evaluating the effect of innovative motivation and supervision approaches on community health worker performance and retention in Uganda and Mozambique: study protocol for a randomized controlled trial. Trials. 2015;16(1):157.
25. Dil Y, Strachan D, Cairncross S, Korkor AS, Hill Z. Motivations and challenges of community-based surveillance volunteers in the northern region of Ghana. J Commun Health. 2012;37:1192-8.
26. Uganda MOH. Ministry of health policy and guideline on how to engage and utilize village health teams in community-based health services delivery in Uganda. Kampala, Uganda: Division HEaP; 2010.
27. Mozambique MOH. Programa de revitalizacao dos agentes polivalentes elementares. Maputo, Mozambique: Ministry of Health; 2010.
28. Bauer MW, Gaskell G. Qualitative researching with text, image and sound: a practical handbook for social research. London, UK: SAGE Publications; 2000.
29. Hill Z, Tawiah-Agyemang C, Okeyere E, Manu A, Fenty J, Kirkwood B. Improving hygiene in home deliveries in rural Ghana: how to build on current attitudes and practices. Pediatr Infect Dis J. 2010;29:1004.
30. Halcomb EJ, Davidson PM. Is verbatim transcription of interview data always necessary? Appl Nurs Res. 2006;19:38-42.
31. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77-101.
32. Pope C, Ziebland S, Mays N. Analysing qualitative data. BMJ. 2000;320:114-6.
33. Patton MQ. Qualitative research & evaluation methods. London, UK: Sage Publications Ltd.; 2002.
34. Haslam SA. Psychology in organizations. London, UK: SAGE Publications Limited; 2004.
35. Latham GP, Pinder CC. Work motivation theory and research at the dawn of the twenty-first century. Annu Rev Psychol. 2005;56:485-516.
36. Latham GP. Work motivation: history, theory, research, and practice. Thousand Oaks, CA: SAGE Publications, Incorporated; 2007.
37. Hepburn A. An introduction to critical social psychology. London, UK: SAGE Publications Limited; 2003.
38. Winstanley J. Key concepts in psychology. Palgrave Macmillan: Basingstoke, Hampshire, UK; 2006.
39. Kanfer R, Heggestad ED. Individual differences in motivation: traits and self-regulatory skills. In: Ackerman P, Roberts P, editors. Learning and individual differences: process, trait and content determinants. Washington, DC: American Psychological Association; 1999.
40. Hicks V, Adams O. Pay and non-pay incentives, performance and motivation. In: Ferrinho P, Dal Poz M, editors. Towards a global health workforce strategy. Antwerp: ITGPress; 2003: 257-274. [Van Lerberghe W, Kegels G, De Brouwere V (Series Editors): Studies in Health Services Organisation & Policy 21].
41. Campbell C, Jovchelovitch S. Health, community and development: towards a social psychology of participation. J Commun Applied Social Psychol. 2000;10:255-70.
42. Turner JC, Reynolds KJ. The story of social identity. In: Postmes T, Branscombe NR, editors. Rediscovering social identity: core sources. Hove, East Sussex, UK: Psychology Press; 2010. p. 13-32.
43. Haslam SA, Powell C, Turner J. Social identity, self-categorization, and work motivation: rethinking the contribution of the group to positive and sustainable organisational outcomes. Appl Psychol. 2000;49:319-39.
44. Lewis T. Assessing social identity and collective efficacy as theories of group motivation at work. Int J Human Resource Manag. 2011;22:963-80.
45. Postmes T, Haslam SA, Jans L. A single-item measure of social identification: reliability, validity, and utility. British J Social Psychol. 2013;52:597-617.
46. Haslam SA, Jetten J, Postmes T, Haslam C. Social identity, health and well-being: an emerging agenda for applied psychology. Appl Psychol. 2008;58:1-23.
47. Tanis M, Postmes T. A social identity approach to trust: interpersonal perception, group membership and trusting behaviour. Eur J Soc Psychol. 2005;35:413-24.
48. van Knippenberg D. Work motivation and performance: a social identity perspective. Appl Psychol. 2001;49:357-71.
49. Wegge J, Van Dick R, Fisher GK, Wecking C, Moltzen K. Work motivation, organisational identification, and well-being in call centre work. Work Stress. 2006;20:60-83.
50. van Knippenberg D, Schie E. Foci and correlates of organizational identification. J Occup Organ Psychol. 2000;73:137-47.
51. van Dick R, Wagner U. Social identification among school teachers: dimensions, foci, and correlates. European J Work Organizational Psychol. 2002;11:129-49.
52. Waterkeyn J. Hygiene behaviour change through the community health club approach: a cost-effective strategy to achieve the millennium developments goals for improved sanitation in Africa. Germany: Lambert Academic Publishing; 2010.