factors influencing volunteers in participating in health programs … · 2014. 3. 6. · context...
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![Page 1: Factors influencing volunteers in participating in health programs … · 2014. 3. 6. · Context Community paticipation rooted in primary health care (WHO, 1978 ) Critical link](https://reader033.vdocuments.us/reader033/viewer/2022052009/601e8d035519d45962024014/html5/thumbnails/1.jpg)
Factors influencing community health
volunteers in participating in health
programs in Africa
Fadima YAYA BOCOUM
Researcher , Institut de Recherche en
Science de la Santé (IRSS)
Burkina Faso Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Context Community paticipation rooted in primary health
care (WHO, 1978 )
Critical link in improving access to health services
for community
Volunteering key element of community participation
“Volunteering involves committing time and energy to
provide a service that benefits someone, society or the
community without expecting financial or material
rewards.” (Akintola , 2011)
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Context
Contributions: in child and maternal
health, TB, malaria etc.
One of the key challenges: sustainability
threatened by high rate of attrition.
What factors affect community
health volunteers motivation ?
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Factors influencing participation
Individual
Community
Health system organization
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Individual
Altruistic concerns for others and community
Fulfilling one’s dreams
Gaining skills
Hope for future financial gain or employment
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Community
Recognition
Respect
Family support
Monetary, material and work related support
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Health system organization
Tools and supplies
Training
Supervision
Job description
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Deterrents
Inadequate financial remuneration
Workload
Inadequate services for community
Inadequate supervision
Lack of transport/supplies
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Further research questions
What combination of incentives could maintain « volunteers » motivation ?
What is the ideal number or highest limit of tasks that the « volunteers » could undertake ?
How « volunteers » could be involved in decision to identify community health program ?
Which supervisory system could improve « volunteers » performance and productivity ?
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Conclusion
More researches on community
volunteers using implementation research
More training putting together health
program implementers and researchers
Mobilization of local funds to conduct
implementation research
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Sources Greenspan et al.: Sources of community healthworker motivation: a
qualitative study in Morogoro Region, Tanzania. Human Resources for Health 2013 11:52.
Jaskiewicz and Tulenko: Increasing community health worker productivity and effectiveness: a review of the influence of the work environment. Human Resources for Health 2012 10:38.
Akintola O: What motivates people to volunteer? The case of volunteer AIDS caregivers in faith-based organizations in KwaZulu-Natal, South Africa. Health Policy Plan 2011, 26:53–62.
Nkonki et al. Lay health worker attrition: important but often ignored . Bull World Health Organ 2011;89:919–923
Kironde S, Bajunirwe F: Lay workers in directly observed treatment (DOT) programmes for tuberculosis in high burden settings: should they be paid? A review of behavioural perspectives. Afr Health Sci 2002, 2:73–78
Bhattacharyya K, et al: Community health worker incentives and disincentives: how they affect motivation, retention and sustainability. VA, BASICS/USAID: Arlington; 2001.
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
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Acknowledgement
Fadima YAYA BOCOUM,
GVIRF, 4 to 6 march 2014, Hyatt Regency
Bethesda, USA
Special Programme for Research and Training in Tropical
Diseases (TDR)