Supervision of community health workers in Mozambique: a qualitative study of factors influencing motivation and programme implementation

Human Resources for Health
Sozinho NdimaMiriam Taegtmeyer

Abstract

Community health workers (CHWs) in Mozambique (known as Agentes Polivalentes Elementares (APEs)) are key actors in providing health services in rural communities. Supervision of CHWs has been shown to improve their work, although details of how it is implemented are scarce. In Mozambique, APE supervision structures and scope of work are clearly outlined in policy and rely on supervisors at the health facility of reference. The aim of this study was to understand how and which aspects of supervision impact on APE motivation and programme implementation. Qualitative research methodologies were used. Twenty-nine in-depth interviews were conducted to capture experiences and perceptions of purposefully selected participants. These included APEs, health facility supervisors, district APE supervisors and community leaders. Interviews were recorded, translated and transcribed, prior to the development of a thematic framework. Supervision was structured as dictated by policy but in practice was irregular and infrequent, which participants identified as affecting APE's motivation. When it did occur, supervision was felt to focus more on fault-finding than being supportive in nature and did not address all areas of APE's work - factors th...Continue Reading

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Citations

Oct 18, 2019·Maternal & Child Nutrition·Alison TumilowiczLynnette M Neufeld
Mar 2, 2019·Human Resources for Health·Salésio MacuácuaUNKNOWN CLIP Working Group
Feb 19, 2021·Archives of public health = Archives belges de santé publique·Stevens BechangeEmma Jolley
Mar 18, 2021·Global Health, Science and Practice·Felizarda AmosseUNKNOWN Community Level Interventions for Pre-eclampsia (CLIP) Working Group
Dec 4, 2021·Annals of the New York Academy of Sciences·Joshua JeongAisha K Yousafzai

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NVivo
inSCALE

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