Role of Monetary Incentives on Motivation and Retention of Community Health Workers: An Experience in a Kenyan Community
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Date
2018
Authors
Mbugua, Gathoni Ruth
Oyore, J. P
Mwitari, James
Journal Title
Journal ISSN
Volume Title
Publisher
Scientific & Academic Publishing.
Abstract
Objective: The aim of the study was to assess the role of monetary incentives on motivation and retention of
Community Health Workers in Kibwezi Sub-county. Methods: It was a cross-sectional comparative study in which
retention of community health workers receiving monetary incentives and those not receiving monetary incentives was
compared. Data was collected using a structured questionnaire, key informant interview guide and focus group discussion
guide. Relationships between variables were determined using logistics regression Results: Monetary incentives were cited
as the main motivator with majority of the CHWs reporting a salary as the factor that would motivate them the most. There
was higher attrition rates (13%) among those not receiving any form of monetary incentives compared to those receiving
monetary incentives (4%). There was a statistical significant difference in attrition rate between CHW’s receiving monetary
incentives and those not receiving monetary incentives. 80% of CHWs not receiving monetary incentives had ever
contemplated dropping out of their CHW roles compared to 66% among CHWs receiving monetary incentives. The main
reasons cited for attrition of CHWs included financial constraints and inadequate compensation for work done. Conclusion:
The study findings show that provision of monetary incentives has an influence on the attrition of CHWs. The attrition rates
were higher for CHWs not receiving monetary incentives compared to CHWs receiving monetary incentives. Financial
incentives are the most reported incentives to enhance the retention of CHWs. Provision of monetary incentives to CHWs
should be explored to enhance their retention.
Description
A Research Article in the Public Health Research
Keywords
Community Health Worker, Retention, Monetary incentives
Citation
Ruth, M. G., Oyore, J., & James, M. (2018). Role of monetary incentives on motivation and retention of community health workers: an experience in a Kenyan community. Publ Health Res, 8, 1-5.