Evaluating the capacity of community health volunteers and factors affecting their implementation of community health strategy in Mogotio Sub-County, Baringo, Kenya

Authors

  • Bartena Kimosop Samuel Mount Kenya University, School of Public Health, Thika, Kenya
  • Moses Otiati Esilaba Egerton University, Department of Environmental Sciences, Egerton, Kenya
  • Oscar Omondi Donde Egerton University, Department of Environmental Sciences, Egerton, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20204719

Keywords:

Capacity, Community, Health, Mogotio sub county, Strategy, Volunteers

Abstract

Background: Community health volunteers (CHVs) play key role in the delivery of community health strategy. Mogotio Sub County has a total of thirty-two health facilities with nine established Community Units. However, the dissemination of information on community health strategy to household members is low or non-existence, probably due to poor training and facilitation of CHV and lack of awareness creation to local communities in the implementation of the programme.

Methods: Cross-sectional study design was used to collect primary and secondary data through administration of questionnaires to selected respondents in three locations to assess the capacity of CHVs and factors affecting their implementation of community health strategy in Mogotio Sub-County, Baringo, Kenya.

Results: The results indicated that 46%, 36% and 18% of the household respondents had primary, secondary and tertiary level of education respectively. More than 33% of household heads respondents were not employed and hence had no sustainable source of income. A big number of CHV had not attained all the required qualifications for proper implementation of community health strategy. Additionally, the CHVs experienced numerous challenges that affected the efficient implementation of community health strategy. Majority (52.2%) of the CHVs had attained secondary education, and (45%) were unemployed, 35 % were engaged in business and 20% earned their living by engaging in casual labor.

Conclusion: The study revealed the need by the county government to strengthen the capacity of the CHVs through proper training and adequate financial support.

References

WHO guideline on health policy and system support to optimize community health worker programmes. Geneva. World Health Organization. 2010. Accessed on 20 July, 2020.

ROK. Ministry of Health. Manual for Training Community Health Volunteers. Nairobi, Kenya. 2017. Accessed on 20 July, 2020.

Tracking Universal Health Coverage; First Global Monitoring Report, Geneva, Switzerland. WHO and World Bank. 2015. Accessed on 20 July, 2020.

ROM. Ministry of Health (MOH) Malawi, National Community Health Volunteers Policy. January 2015. Lilongwe, Malawi. 2015. Accessed on 20 July, 2020.

Compilation of WHO recommendations on maternal, newborn, child and adolescent health. World Health Organization. 2013. www.who.int/maternal_child_adolescent/documents/mnca-recommendations/en. Accessed on 20 July, 2020.

Greenspan JA, McMahon SA, Chebet JJ, Mpunga, M, Urassa DP, Winch PJ. Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania. Hum Resour Health. 2013;11:52.

National roll out of District Health Information Software (DHIS 2), central server and cloud based infrastructure in Kenya. Nairobi, Kenya. District Health Information System. 2018. https://www.health.go.ke/district-health-information-systemdhis2/. Accessed on 20 July, 2020.

Mugenda OM, Mugenda AG. Research Methods, Quantitative and Qualitative Approaches. ACT 2003, Nairobi.

Eng J. Sample Size Estimation: How Many Individuals Should Be Studied? Radiol. 2003;227(2).

Bird dK. The use of questionnaires for acquiring information on public perception of natural hazards and risk mitigation –a review of current knowledge and practice. Nat. Hazards Earth Syst. Sci. 2009;9:1307-25.

Babbie E. Survey Research Methods. Belmont, Calif: Wadsworth. 1990.

Kuule Y, Dobson AE, Woldeyohannes D, Zolfo M, Najjemba R, Edwin B et al. Community Health Volunteers in Primary Healthcare in Rural Uganda: Factors Influencing Performance. Frontiers in Public Hhealth. 2017;5:62.

Aseyo RE, Mumma J, Scott K, Nelima D, Davis E, Baker KK et al. Realities and experiences of community health volunteers as agents for behaviour change: evidence from an informal urban settlement in Kisumu, Kenya. Human Resource Health. 2018;16:53.

Strengthening the capacity of community health workers to deliver care for sexual, reproductive, maternal, newborn, child and adolescent health: technical brief by the H4+ (UNAIDS, UNFPA, UNICEF, UN women, WHO and the World Bank): World Health Organization; 2015. WHO. 2014;34.

Mbugua GR, Oyore JP, Mwitari J. Role of Monetary Incentives on Motivation and Retention of Community Health Workers: An Experience in a Kenyan Com Pub Health Res. 2018;8(1):1-5.

Mohajer N, Singh D. Factors enabling community health workers and volunteers to overcome socio-cultural barriers to behaviour change: meta-synthesis using the concept of social capital. Hum Resour Health. 2018;16:63.

Constitution of Kenya. The Kenyan constitution draft. Government printer, Nairobi, Kenya. 2010. Accessed on 20 July, 2020.

Swastika C, Paul W, Masoud M. Factors Associated With Patient Satisfaction in Outpatient Department of Suva Sub-divisional Health Center, Fiji, 2018: A Mixed Method Study. Frontiers in Public Health. 2018;7:183.

Rachlis B, Naanyu V, Wachira J, Genberg B, Koech B, Kamene R, Akinyi JE et al. Community Perceptions of Community Health Workers (CHWs) and Their Roles in Management for HIV, Tuberculosis and Hypertension in Western Kenya. PLOS ONE. 2011;1.e0149412.

Nelima D. Prevalence and Determinants of Anaemia among Adolescent Girls in Secondary Schools in Yala Division Siaya District, Kenya. Uni J Food Nut Sci. 2014;3(1):1-9.

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Published

2020-10-26

How to Cite

Samuel, B. K., Esilaba, M. O., & Donde, O. O. (2020). Evaluating the capacity of community health volunteers and factors affecting their implementation of community health strategy in Mogotio Sub-County, Baringo, Kenya. International Journal Of Community Medicine And Public Health, 7(11), 4233–4241. https://doi.org/10.18203/2394-6040.ijcmph20204719

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Original Research Articles