CHWs' Challenges and Job Satisfaction

Reproductive Issues Clinical Trial

Official title:

Challenges Facing Community Health Workers (CHWs) in Provision of Health Services in Assiut Governorate

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05748418
• Other study ID #: CHWs in Assiut Governorate
• Status: Not yet recruiting
• Start date: October 1, 2023
• Est. completion date: December 1, 2025

Study information

• Verified date: February 2023
• Source: Assiut University
• Contact: Doneez Amir
• Phone: +201220225678
• Email: Doneez.Amir[@]aun.edu.eg
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

1. Determine the role of CHWs in health system. 2. Identify the barriers & obstacles they face in their work. 3. Determine factors related to motivation and satisfaction of CHWs job. 4. Identify the role of CHWs in family planning services.

Description:

WHO consider "Community health workers should be members of the communities where they work, should be selected by the communities, should be answerable to the communities' needs and priorities, should be supported by the health system but not necessarily a part of the government and have shorter training than professional health workforce". CHWs aims to provide appropriate, accessible care and bring care closer to mothers and babies, bridging the service delivery gap in underserved communities. CHWs can effectively provide key primary, maternal, and newborn health care services including immunizations, tuberculosis treatment and contraceptive counseling. CHWs face several challenges in reaching their full potential. Many of the obstacle's stem from a lack of understanding about their role within primary health system. CHWs are faced by community and familial expectations of selflessness, equitably applied care, maintaining domestic responsibilities at home and implied understanding that extra work did not amount to extra pay. In addition, motivation and satisfaction are key not only for retention but also for performance. Better workforce performance is positively associated with higher job satisfaction, and low levels of job satisfaction adversely affect employee commitment and sequentially affect achievement of organizational objectives and performance. Factors strongly associated with CHW satisfaction include relationships with health workers and communities, the availability of job aides and the capacity to provide services and with the training. On the other hand, CHWs were highly dissatisfied with the unavailability of transportation for carrying out their tasks and the lack of allowances or financial incentives. Also, Non-financial incentives include community recognition and respect, acquisition of valued skills, personal growth and development, accomplishment, peer support and community factors like relations with communities and leaders. Other supportive CHW programmed factors. include frequent supervision and continuous training. therefore, CHW interventions must be implemented with an understanding of the complex challenges faced by CHWs and community members. This would in turn empower CHWs in navigating complex relationships within the community and the health system.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 250
• Est. completion date: December 1, 2025
• Est. primary completion date: October 1, 2025
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Community health workers working in Assiut governorate.

Exclusion Criteria:

• Other healthcare providers.
• People with mental illness.

Related Conditions & MeSH terms

• Reproductive Issues

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (2)

Laurenzi CA, Skeen S, Rabie S, Coetzee BJ, Notholi V, Bishop J, Chademana E, Tomlinson M. Balancing roles and blurring boundaries: Community health workers' experiences of navigating the crossroads between personal and professional life in rural South Africa. Health Soc Care Community. 2021 Sep;29(5):1249-1259. doi: 10.1111/hsc.13153. Epub 2020 Sep 4. — View Citation

Njororai F, Ganu D, Nyaranga KC, Wilberforce C. Role of Socio-Demographic and Environmental Determinants on Performance of Community Health Workers in Western Kenya. Int J Environ Res Public Health. 2021 Nov 8;18(21):11707. doi: 10.3390/ijerph182111707. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	CHWs' challenges	challenges facing community health workers in provision of health services in Assiut governorate using self-administrated questionnaire.	baseline
Primary	CHWs' satisfaction	Determine factors related to motivation and satisfaction of CHWs' job to achieve better performance using self-administrated questionnaire.	baseline
Secondary	role of community health workers in reproductive health services in Assiut governorate.	Identify the role of CHWs in family planning services to to facilitate access to the service for its beneficiaries.	baseline