Factors that influence the performance of community Health workers: the case of Addis Ababa city Administration health bureau

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Addis Ababa University


In Ethiopia, Community health workers workforce was adopted as addressing the health care needs of underserved communities. Despite the vast experience with CHWs the burden of disease continues to increase in magnitude and diversity and relatively little scientific evidence is available to answer basic questions notably the determinants influencing the performance of CHW. However both the performance of CHWs as change agents and the feasibility of implementing and sustaining large-scale CHW programs have been called into question. The purpose of this study was to investigate the factors that influencing performance of CHWs in Addis Ababa city administration health bureau. The objectives of the study were to assess the influence of social-cultural, health system practice and policy, economic factors on the performance of CHWs in Addis Ababa city administration health bureau. A descriptive research design was used. Quantitative data collection methods were used. Systematic sampling method was used to identify the respondents. Quantitative data was collected from 145 community health workers of which 140 responded to the questionnaires. Findings showed that from socio cultural aspects, weak family support and from health system practice, too much workload. Also economically (payment, supplies and incentives) were not satisfied CHWS .There should be improved payments, incentives, supplies and workloads needs.


A Thesis Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment of the requirements for the Masters Degree of Public Management and Policy in the Department of Public Administration and Development Management


Community Health, Health Performance