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- Title
Balancing workload, motivation and job satisfaction in Rwanda: assessing the effect of adding family planning service provision to community health worker duties.
- Authors
Chin-Quee, Dawn; Mugeni, Cathy; Nkunda, Denis; Uwizeye, Marie Rose; Stockton, Laurie L.; Wesson, Jennifer
- Abstract
Background: Task shifting from higher cadre providers to CHWs has been widely adopted to address healthcare provider shortages, but the addition of any service can potentially add to an already considerable workload for CHWs. Objective measures of workload alone, such as work-related time and travel may not reflect how CHWs actually perceive and react to their circumstances. This study combined perception and objective measures of workload to examine their effect on quality of services, worker performance, and job and client satisfaction. Methods: Three hundred eighty-three CHWs from control and intervention districts, where the intervention group was trained to provide contraceptive resupply, completed diaries of work-related activities for one month. Interviews were also conducted with a subset of CHWs and their clients. Results: CHW diaries did not reveal significant differences between intervention and control groups in time spent on service provision or travel. Over 90 % of CHWs reported workload manageability, job satisfaction, and motivation to perform their jobs. Clients were highly satisfied with CHW services and most stated preference for future services from CHWs. Conclusion: The study demonstrated that adding resupply of hormonal contraceptives to CHWs' tasks would not place undue burden on them. Accordingly, the initiative was scaled up in all 30 districts in the country.
- Subjects
RWANDA; COMMUNITY health workers; CONTRACEPTION; INTERVIEWING; JOB satisfaction; LONGITUDINAL method; RESEARCH methodology; MOTIVATION (Psychology); RESEARCH funding; STATISTICAL sampling; EMPLOYEES' workload; CROSS-sectional method; FAMILY planning; DIARY (Literary form)
- Publication
Reproductive Health, 2016, p1
- ISSN
1742-4755
- Publication type
Article
- DOI
10.1186/s12978-015-0110-z