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Keeping community health workers in Uganda motivated: key challenges, facilitators, and preferred program inputs

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Authors: Aurélie Bruniea, Patricia Wamala-Mucherib, Conrad Otternessc, Angela Akold, Mario Chene, Leonard Bufumbod, Mark Weaver

In the face of global health worker shortages, community health workers (CHWs) are an important health care delivery strategy for underserved populations. In Uganda, community-based programs often use volunteer CHWs to extend services, including family planning, in rural areas. This study examined factors related to CHW motivation and level of activity in 3 family planning programs in Uganda. Social prestige, social responsibility, and aspirations for other opportunities were important motivators, while main challenges related to transportation and commodity stockouts. CHWs had complex motivations for wanting better compensation, including offsetting time and transportation costs, providing for their families, and feeling appreciated for their efforts. Volunteer CHW programs in Uganda and elsewhere need to carefully consider appropriate combinations of financial and nonfinancial inputs for optimal results.

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Resource Topic: Community Health Workers/Volunteers, Human Resources Management/Workforce Development, Motivation/incentives, Reproductive Health/Family Planning

Resource Type: Journal articles, Research

Year: 2013

Region:

Country: Uganda

Publisher May Restrict Access: No

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