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Retention and attrition of community health volunteers in rural Malawi; a mixed-methods study

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Authors: Blessings N. Kaunda-Khangamwa, Harrison Msuku, Cecilia T. Kamiza, Alfred A. Chimala, Christopher C. Stanley, Jobiba Chinkhumba, Victor Mwapasa & Don P. Mathanga

This study in Malawi looked at what helps community health volunteers stay in their roles and what causes them to leave. Among nearly 2,900 volunteers, only about 10% had left the program over four years. Volunteers were more likely to stay when they received financial or other incentives, had opportunities to learn from other volunteers, worked in smaller areas, and could take part in different community programs. They were more likely to leave when they experienced disrespect, had few opportunities to develop their skills, or saw limited chances for career growth. Overall, the study shows that fair incentives, respectful treatment, flexibility, and opportunities to learn and grow can help keep community health volunteers engaged.

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Resource Topic: CHW Motivation, CHW Retention, CHW programs

Resource Type: Mixed Methods

Year: 2026

Region: Sub-Saharan Africa (SSA)

Country: Malawi

Publisher May Restrict Access: No

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