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

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Authors: Daniel Llywelyn Strachan, Karin Källander, Maureen Nakirunda, Sozinho Ndima, Abel Muiambo

The aim of this paper is to demonstrate how a behavioural theory, which accounts for the influence of group identification, in combination with data generated from qualitative interviews with CHWs and stakeholders, can be used to inform the design of interventions to improve CHW motivation, retention and performance in two settings—Uganda and Mozambique—with diverse, government-led CHW programmes. This work was conducted as part of the Innovations at Scale for Community Access and Lasting Effects (inSCALE) project, which is testing the impact of the interventions on the motivation, retention and performance of CHWs delivering Integrated Community Case Management (ICCM) of childhood diseases in Uganda and Mozambique. The inSCALE project will advocate for the incorporation of interventions found to be cost effective into the national CHW strategies of the respective countries. 

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Resource Topic: Behavior Change and Communication, CHW Role, Data Collection, Integrated Management of Childhood Illness/IMCI, Motivation/incentives, Performance-based incentives, Recognition/remuneration, Recruitment and Retention

Resource Type: Research

Year: 2015

Region: Sub-Saharan Africa (SSA)

Country: Mozambique, Uganda

Publisher May Restrict Access: No

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