OBJECTIVES: This paper examines trends and underlying causes of attrition among volunteer community health workers in home-based care for people living with HIV and AIDS in western Kenya. METHODS: Ethnographic data were collected between January and November 2006 through participant observation, focus group discussions and in-depth interviews with 30 CHWs, NGO staff and health care providers and 70 PLWHA. RESULTS: An attrition rate of 33% was observed among the CHWs. The reasons for dropout included: the cultural environment within which CHWs operated; lack of adequate support from area NGOs; poor selection criteria for CHWs; and power differences between NGO officials and CHWs which fostered lack of transparency in the NGOs' operations. CONCLUSIONS: In order to achieve well functioning and sustainable HBC services, factors which influence retention/dropout of CHWs should be addressed taking into account the socio-cultural, programmatic and economic contexts within which CHW activities are implemented. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
OBJECTIVES: This paper examines trends and underlying causes of attrition among volunteer community health workers in home-based care for people living with HIV and AIDS in western Kenya. METHODS: Ethnographic data were collected between January and November 2006 through participant observation, focus group discussions and in-depth interviews with 30 CHWs, NGO staff and health care providers and 70 PLWHA. RESULTS: An attrition rate of 33% was observed among the CHWs. The reasons for dropout included: the cultural environment within which CHWs operated; lack of adequate support from area NGOs; poor selection criteria for CHWs; and power differences between NGO officials and CHWs which fostered lack of transparency in the NGOs' operations. CONCLUSIONS: In order to achieve well functioning and sustainable HBC services, factors which influence retention/dropout of CHWs should be addressed taking into account the socio-cultural, programmatic and economic contexts within which CHW activities are implemented. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Authors: Christopher B Estopinal; Janneke H van Dijk; Stanley Sitali; Hannah Stewart; Mario A Davidson; John Spurrier; Sten H Vermund Journal: PLoS One Date: 2012-12-07 Impact factor: 3.240
Authors: Jennifer L Brenner; Jerome Kabakyenga; Teddy Kyomuhangi; Kathryn A Wotton; Carolyn Pim; Moses Ntaro; Fred Norman Bagenda; Ndaruhutse Ruzazaaza Gad; John Godel; James Kayizzi; Douglas McMillan; Edgar Mulogo; Alberto Nettel-Aguirre; Nalini Singhal Journal: PLoS One Date: 2011-12-14 Impact factor: 3.240
Authors: Maryse C Kok; Marjolein Dieleman; Miriam Taegtmeyer; Jacqueline E W Broerse; Sumit S Kane; Hermen Ormel; Mandy M Tijm; Korrie A M de Koning Journal: Health Policy Plan Date: 2014-12-11 Impact factor: 3.344
Authors: Maryse C Kok; Aschenaki Z Kea; Daniel G Datiko; Jacqueline E W Broerse; Marjolein Dieleman; Miriam Taegtmeyer; Olivia Tulloch Journal: Hum Resour Health Date: 2015-09-30
Authors: Stephanie M Topp; Jessica E Price; Tina Nanyangwe-Moyo; Drosin M Mulenga; Mardieh L Dennis; Mathew M Ngunga Journal: Hum Resour Health Date: 2015-09-02
Authors: Emmanueil Benon Turinawe; Jude T Rwemisisi; Laban K Musinguzi; Marije de Groot; Denis Muhangi; Daniel H de Vries; David K Mafigiri; Robert Pool Journal: Hum Resour Health Date: 2015-09-07
Authors: Philip Baba Adongo; James F Phillips; Moses Aikins; Doris Afua Arhin; Margaret Schmitt; Adanna U Nwameme; Philip Teg-Nefaah Tabong; Fred N Binka Journal: Health Res Policy Syst Date: 2014-04-01