Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries
This article was published in Human Resources for Health by BMC [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License,] and the definite version is available at: https://doi.org/10.1186/s12960-020-00495-7 The Journal's websit...
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10361-165942022-05-11T21:01:43Z Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam Brac James P. Grant School of Public Health Close-to-community health workers Community health workers Motivation LMICs This article was published in Human Resources for Health by BMC [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License,] and the definite version is available at: https://doi.org/10.1186/s12960-020-00495-7 The Journal's website is at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-020-00495-7 Background: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recent literature has identified the lack of rigorous approaches towards measuring and monitoring motivation among CTC providers as an important gap. Building on scales used in previous studies, we set out to develop a short, simple-to-administer scale to monitor and measure indicators of CTC provider motivation across CTC programmes implemented in six countries: Ethiopia, Kenya, Malawi, Mozambique, Indonesia, and Bangladesh. Methods: We used focus group discussions (n = 18) and interviews (n = 106) conducted with CTC providers across all six countries, applying thematic analysis techniques to identify key determinants of motivation across these contexts. These themes were then used to carry out a systematic search of the literature, to identify existing scales or questionnaires developed for the measurement of these themes. A composite 24-item scale was then administered to CTC providers (n = 695) across the six countries. Survey responses were subsequently randomly assigned to one of two datasets: the first for scale refinement, using exploratory techniques, and the second for factorial validation. Confirmatory factor analysis was applied to both datasets. Results: Results suggest a 12-item, four-factor structure, measuring community commitment, organisational commitment, job satisfaction, and work conscientiousness as common indicators of motivation among CTC providers across the six countries. Conclusions: Consistent with previous studies, findings support the inclusion of job satisfaction, organisational commitment, and work conscientiousness within the CTC Provider Motivation Indicator Scale. In addition, findings further supported the addition of a fourth, community commitment, sub-scale. Practical applications of the revised scale, including how it can be applied to monitor motivation levels within CTC provider programming, are discussed. Published 2022-05-11T07:27:01Z 2022-05-11T07:27:01Z 2020 2020-08-01 Journal Article Vallières, F., Kok, M., Mahmud, I., Sarker, M., Jeacocke, P., Karuga, R., . . . Taegtmeyer, M. (2020). Measuring motivation among close-to-community health workers: Developing the CTC provider motivational indicator scale across six countries. Human Resources for Health, 18(1) doi:10.1186/s12960-020-00495-7 http://hdl.handle.net/10361/16594 https://doi.org/10.1186/s12960-020-00495-7 en_US https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-020-00495-7 Human Resources for Health application/pdf BMC |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Close-to-community health workers Community health workers Motivation LMICs |
| spellingShingle |
Close-to-community health workers Community health workers Motivation LMICs Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| description |
This article was published in Human Resources for Health by BMC [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License,] and the definite version is available at: https://doi.org/10.1186/s12960-020-00495-7 The Journal's website is at: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-020-00495-7 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam |
| format |
Journal Article |
| author |
Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam |
| author_sort |
Vallières, Frédérique |
| title |
Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| title_short |
Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| title_full |
Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| title_fullStr |
Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| title_full_unstemmed |
Measuring motivation among close-to community health workers: Developing the CTC Provider Motivational Indicator Scale across six countries |
| title_sort |
measuring motivation among close-to community health workers: developing the ctc provider motivational indicator scale across six countries |
| publisher |
BMC |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16594 https://doi.org/10.1186/s12960-020-00495-7 |
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