Factors that influence the performance of community Health workers: the case of Addis Ababa city Administration health bureau
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Date
2019-05
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Addis Ababa University
Abstract
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.
Description
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
Keywords
Community Health, Health Performance