Influence of Motivation of Community Health Volunteers on Implementation of Community Health Projects: A Case of Mukuru Slum Community, Nairobi County, Kenya
Abstract
Community health volunteers play an important role in delivering healthcare services, especially to underserved populations in low and middle-income countries. They have shown to be successful in providing a range of preventive, promotive and curative services. This study examined the influence of Motivation on implementation of community health project in Mukuru Slum, Nairobi County, Kenya. Nairobi County, Kenya. Kanter’s theory of empowerment was used to inform the study. Mukuru is a large informal settlement, on the edge of the industrial area in the south of the city. The study adopted a descriptive research design. The target population of the study was one thousand five hundred (1,500) trained CHVs in Mukuru community slum. Yamane (1967) formula was utilized to obtain a sample size of 362 respondents. Stratified random sampling technique was employed to select the sample. The study utilized both the questionnaires and interview guide, as the data collection methods. SPSS software was used to generate the descriptive statistics and inferential statistics. Regression results indicated that motivation, of CHVs was positively and significantly related to implementation of community health projects. Based on the findings the study concluded that motivation of community health workers had a significant effect on implementation of community health projects in Mukuru Slum Community. The study recommends motivation through monetary compensation, career development, regular replenishment of supplies and work flexibility should be regularly revised.
Keywords: Community Health Volunteers, Motivation, Community Health & Project Implementation
References
Adelanwa, O. (2013). Motivation and employee performance: A study of international institute of tropical Africa, IITA. (Student Project). Ibadan, Nigeria: Joseph Ayo Babalola University (JABU)
Alinsky, S. D. (1971) Rules for Radicals. New York: Vintage.
Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior: Springer Science & Business Media.
Hill, Z., Dumbaugh, M., Benton, L., Källander, K., Strachan, D., Ten Asbroek, A., & Meek, S. (2014). Supervising community health volunteers (workers) in low-income countries–a review of impact and implementation issues. Global health action, 7(1), 24085.
Jaskiewicz, W., & Tulenko, K. (2012). Increasing Community Health Worker Productivity and Effectiveness: a review of the influence of the work environment. Human resources for health, 10(1), 38.
Kanter. (1993).The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of nursing management, 16(2), 214-221.
Kothari, A. (2006). Community conserved areas: towards ecological and livelihood security. Parks, 16(1), 3-13.
Likoko, E. (2013). Ecological Management of Human Excreta in an Urban Slum: A Case Study of Mukuru in Kenya.
Malaolu, V. A., & Ogbuabor, J. E. (2013). Training and manpower development, employee productivity and organizational performance in Nigeria: An Empirical investigation. International Journal of Advances in Management and Economics, 2(5), 163-177.
Muhula, S., Memiah, P., Mbau, L., Oruko, H., Baker, B., Ikiara, G., & Ilako, F. (2016). Uptake and linkage into care over one year of providing HIV testing and counselling through community and health facility testing modalities in urban informal settlement of Kibera, Nairobi Kenya. BMC public health, 16(1), 373.
Nafula, M., Prytherch, H., & Szecsenyi, J. (2015). Working atmosphere and job satisfaction of health care staff in Kenya: an exploratory study. BioMed research international, 2015.
Ndetei, D. M., Khasakhala, L., & Omolo, J. O. (2016). Incentives for health worker retention in Kenya: An assessment of current practice. EQUINET, 62, 29.
Nyamu, D. M. (2015). Factors Influencing Sustainability of Community Based Projects in Kitui County, Kenya.
Oburu, A., Githinji, S., Malinga, J., Amboko, B., Bejon, P., & Zurovac, D. (2017). Efficacy of text-message reminders on pediatric malaria treatment adherence and their post-treatment return to health facilities in Kenya: a randomized controlled trial. Malaria journal, 16(1), 46.
Ojakaa, D., Olango, S., & Jarvis, J. (2014). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Human resources for health, 12(1), 33.
Oliver, M. (2015). What do community health volunteers (workers) have to say about their work, and how can this inform improved programme design? A case study with CHV (W)s within Kenya. Global health action, 8(1), 27168.
Onyango, J. W., & Wanyoike, D. M. (2014). Effects of training on employee performance: a survey of health workers in Siaya County, Kenya. European Journal of Material Sciences, 1(1), 11-15.
Orodho, A. J., & Kombo, D. K. (2002). Research methods. Nairobi: Kenyatta University, Institute of Open Learning.
Oti, S. O., Van De Vijver, S., Gomez, G. B., Agyemang, C., Egondi, T., Kyobutungi, C., & Stronks, K. (2016). Outcomes and costs of implementing a community-based intervention for hypertension in an urban slum in Kenya. Bulletin of the World Health Organization, 94(7), 501.
Owek, C., Abong’o, B., Oyugi, H., Oteku, J., Kaseje, D., Muruka, C., & Njuguna, J. (2013). Motivational factors that influence retention of community health workers in a Kenyan district. Public Health Res, 3(5), 109-115.
Perry, H. B., Zulliger, R., & Rogers, M. M. (2014). Community health volunteers (workers) in low-, middle-, and high-income countries: an overview of their history, recent evolution, and current effectiveness. Annual review of public health, 35, 399-421.
Prata, N., Weidert, K., Fraser, A., & Gessessew, A. (2013). Meeting rural demand: a case for combining community-based distribution and social marketing of injectable contraceptives in Tigray, Ethiopia. PLoS One, 8(7), e68794.
Raven, J., Akweongo, P., Baba, A., Baine, S. O., Sall, M. G., Buzuzi, S., & Martineau, T. (2015). Using a human resource management approach to support community health volunteers (workers): experiences from five African countries. Human resources for health, 13(1), 45.
Sabatier, P. A., & Jenkins-Smith, H. C. (1993). Policy change and learning: An advocacy coalition approach. Westview Pr.
Stekelenburg, J., Kyanamina, S. S., & Wolffers, I. (2013). Poor performance of community health volunteers (workers) in Kalabo District, Zambia. Health Policy, 65(2), 109-118.
Stephen, S. O., & Bula, H. (2017). Human Resource Management Practices and Quality of Health Care Service Delivery at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kenya. Human Resource Management, 126-140.
Wamalwa, T. N., & James, R. (2018). Critical Success Factors In The Implementation Of Projects By Non-Governmental Organization In Busia County, Kenya. Strategic Journal of Business & Change Management, 5(2).
Wanduru, P., Tetui, M., Tuhebwe, D., Ediau, M., Okuga, M., Nalwadda, C., & Rutebemberwa, E. (2016). The performance of community health volunteers (workers) in the management of multiple childhood infectious diseases in Lira, northern Uganda–a mixed methods cross- sectional study. Global health action, 9(1), 33194.
Yamane, T. (1967). Elementary sampling theory: Englewood Cliffs, N.J. Prentice-Hall196405
