Retention and sustainability of community-based health volunteers' activities: A qualitative study in rural Northern Ghana
Identifieur interne : 000026 ( Main/Curation ); précédent : 000025; suivant : 000027Retention and sustainability of community-based health volunteers' activities: A qualitative study in rural Northern Ghana
Auteurs : Samuel Chatio [Ghana] ; Patricia Akweongo [Ghana]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
The shortage of formal health workers has led to the utilization of Community-Based Health Volunteers (CBHV) to provide health care services to people especially in rural and neglected communities. Community-based health volunteers have been effective partners in health care delivery at the community level for many years. The challenge is how to retain these volunteers and also sustain their activities. This study explored factors affecting retention and sustainability of community-based health volunteers’ activities in a rural setting in Northern Ghana.
This was a qualitative study comprising thirty-two in-depth interviews (IDIs) with health volunteers and health workers in-charge of health volunteers’ activities. Purposive sampling technique was used to select study participants for the interviews. The interviews were transcribed and coded into themes using Nvivo 10 software. The thematic analysis framework was used to analyze the data.
Study participants reported that the desire to help community members, prestige and recognition as doctors in community mainly motivated them to work as health volunteers. Lack of incentives and logistical supplies such as raincoats, torch lights, wellington boots and transportation in the form of bicycles to facilitate the movement of health volunteers affected the work. They suggested that lack of these things discouraged them from working as health volunteers. Most of the dropout volunteers said lack of support and respect from community members made them to stop working as health volunteers. They recommended that community support, incentives and logistical supplies such as raincoats, torch light, wellington boots, bicycles, awards to hard working volunteers are mechanisms that can help retain community-based health volunteers and also sustain their activities.
Providing means of transport and non-monetary incentives would help to retain community-based health volunteers and also sustain their activities at the community level.
Url:
DOI: 10.1371/journal.pone.0174002
PubMed: 28296971
PubMed Central: 5352025
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<author><name sortKey="Chatio, Samuel" sort="Chatio, Samuel" uniqKey="Chatio S" first="Samuel" last="Chatio">Samuel Chatio</name>
<affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Navrongo Health Research Centre, Navrongo, Ghana</addr-line>
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<author><name sortKey="Akweongo, Patricia" sort="Akweongo, Patricia" uniqKey="Akweongo P" first="Patricia" last="Akweongo">Patricia Akweongo</name>
<affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>University of Ghana, School of Public Health, Accra, Ghana</addr-line>
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<orgName type="university">Université du Ghana</orgName>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Retention and sustainability of community-based health volunteers' activities: A qualitative study in rural Northern Ghana</title>
<author><name sortKey="Chatio, Samuel" sort="Chatio, Samuel" uniqKey="Chatio S" first="Samuel" last="Chatio">Samuel Chatio</name>
<affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Navrongo Health Research Centre, Navrongo, Ghana</addr-line>
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<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Navrongo Health Research Centre, Navrongo</wicri:regionArea>
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<author><name sortKey="Akweongo, Patricia" sort="Akweongo, Patricia" uniqKey="Akweongo P" first="Patricia" last="Akweongo">Patricia Akweongo</name>
<affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>University of Ghana, School of Public Health, Accra, Ghana</addr-line>
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<country xml:lang="fr">Ghana</country>
<wicri:regionArea>University of Ghana, School of Public Health, Accra</wicri:regionArea>
<placeName><settlement type="city">Accra</settlement>
<region nuts="2">Région du Grand Accra</region>
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<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title>
<p>The shortage of formal health workers has led to the utilization of Community-Based Health Volunteers (CBHV) to provide health care services to people especially in rural and neglected communities. Community-based health volunteers have been effective partners in health care delivery at the community level for many years. The challenge is how to retain these volunteers and also sustain their activities. This study explored factors affecting retention and sustainability of community-based health volunteers’ activities in a rural setting in Northern Ghana.</p>
</sec>
<sec id="sec002"><title>Methods</title>
<p>This was a qualitative study comprising thirty-two in-depth interviews (IDIs) with health volunteers and health workers in-charge of health volunteers’ activities. Purposive sampling technique was used to select study participants for the interviews. The interviews were transcribed and coded into themes using Nvivo 10 software. The thematic analysis framework was used to analyze the data.</p>
</sec>
<sec id="sec003"><title>Results</title>
<p>Study participants reported that the desire to help community members, prestige and recognition as doctors in community mainly motivated them to work as health volunteers. Lack of incentives and logistical supplies such as raincoats, torch lights, wellington boots and transportation in the form of bicycles to facilitate the movement of health volunteers affected the work. They suggested that lack of these things discouraged them from working as health volunteers. Most of the dropout volunteers said lack of support and respect from community members made them to stop working as health volunteers. They recommended that community support, incentives and logistical supplies such as raincoats, torch light, wellington boots, bicycles, awards to hard working volunteers are mechanisms that can help retain community-based health volunteers and also sustain their activities.</p>
</sec>
<sec id="sec004"><title>Conclusion</title>
<p>Providing means of transport and non-monetary incentives would help to retain community-based health volunteers and also sustain their activities at the community level.</p>
</sec>
</div>
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