Improving the performance of community health workers in Swaziland: findings from a qualitative study

by Pascal Geldsetzer, Jan-Walter De Neve, Chantelle Boudreaux et al.
Human Resources for Health 15(68)1-9, 2017

9 pp. 874 kB
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-017-
0236-x?site=human-resources-health.biomedcentral.com

This qualitative formative research study aimed to inform the design of interventions intended to increase the performance of CHW programs in Swaziland. Specifically, focusing on four CHW programs, the authors aimed to determine what leads to improved performance of CHWs. The CHW cadres studied were the rural health motivators, mothers-to-mothers mentors, HIV expert clients, and a community outreach team for HIV. Across the four cadres, participants perceived the following four changes to likely lead to improved CHW performance: increased monetary compensation of CHWs, a more reliable supply of equipment and consumables, additional training, and an expansion of CHW responsibilities to cover a wider array of the community’s healthcare needs. The supervision of CHWs and opportunities for career progression were rarely viewed as key factors.

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