Authors: Khurshid Alam, Sakiba Tasneem, and Molla Huq
BRAC, a large Bangladeshi NGO, recently has been using female volunteer community health workers (CHWs) in Dhaka urban slums to provide maternal and child health services. Due to erratic performance-based income and higher opportunity cost the urban CHWs lose motivation which contributes to high dropout and poor performance. This results challenges for the cost effectiveness and sustainability of the urban health program. CHWs also consider their performance-based income very low compare to their work load. So, CHWs raise their voice for a fixed income. In order to understand this problem the authors explored fixed income for CHWs and the correlates that influence it.
The authors surveyed a sample of 542 current CHWs and used a “bidding game” approach to derive the equilibrium reservation wage for CHWs for providing full-time services. Then, they performed ordered logit models with bootstrap simulation to identify the determinants of reservation wage.
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Resource Topic: CHW Role, Community Health Workers/Volunteers, Gender, Human Resources Management/Workforce Development, Motivation/incentives, Performance management, Recruitment and Retention
Resource Type: Research
Year: 2014
Region: Asia
Country: Bangladesh
Publisher May Restrict Access: No