Using a human resource management approach to support community health workers: experiences from five African countries

Human Resources for Health
Joanna RavenTim Martineau

Abstract

Like any other health worker, community health workers (CHWs) need to be supported to ensure that they are able to contribute effectively to health programmes. Management challenges, similar to those of managing any other health worker, relate to improving attraction, retention and performance. Exploratory case studies of CHW programmes in the Democratic Republic of Congo, Ghana, Senegal, Uganda and Zimbabwe were conducted to provide an understanding of the practices for supporting and managing CHWs from a multi-actor perspective. Document reviews (n = 43), in-depth interviews with programme managers, supervisors and community members involved in managing CHWs (n = 31) and focus group discussions with CHWs (n = 13) were conducted across the five countries. Data were transcribed, translated and analysed using the framework approach. CHWs had many expectations of their role in healthcare, including serving the community, enhancing skills, receiving financial benefits and their role as a CHW fitting in with their other responsibilities. Many human resource management (HRM) practices are employed, but how well they are implemented, the degree to which they meet the expectations of the CHWs and their effects on human resource (HR) o...Continue Reading

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Citations

Oct 19, 2019·Food and Nutrition Bulletin·Stella NordhagenDavid Doledec
Jul 8, 2018·Health Research Policy and Systems·Rosemary MorganLinda Waldman
Apr 21, 2017·Frontiers in Public Health·Yusufu KuuleEwan Wilkinson
Nov 21, 2020·Journal of Primary Care & Community Health·Cheryl Nelson, Sphiwe Madiba

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