Factors Affecting Community Health Volunteers’ Motivation to Participate in Health Programs in Comprehensive Health Service Centers

Document Type : Original Article

Authors

1 Assistant Professor, Social Determinants of Health Research Center, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Assistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 3. MSc in Health Services Management, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Introduction:  Community health volunteers link people and health workers and they voluntarily contribute to community health. Given the importance of the engagement of volunteers in promoting health programs and improving the quality of care provided, this study aimed to explore the experience and perceptions of community health volunteers of comprehensive health service centers in the western regions of Ahvaz to identify the most critical factors motivating their participation in health programs.
Methods: This qualitative study was conducted in 2017 on community health volunteers in comprehensive health service centers in western Ahvaz. The data were collected through semi-structured in-depth interviews conducted face-to-face with 35 community health volunteers. The conventional qualitative content analysis approach was used to analyze the collected data.
Results: Data analysis revealed 302 primary codes, 27 subthemes, and ten main themes. The ten main themes extracted in this study, including the physical context, organizational context, social context, climatic context, cultural context, increasing health knowledge, material factors, psychological factors, social factors, and spiritual factors, constituted the factors affecting the community health volunteers’ motivation to participate in health programs.
Conclusion: Community health volunteers’ motivation to participate in health programs is influenced by factors such as physical context, organizational context, social context, climatic context, cultural context, increasing health knowledge, material factors, psychological factors, social factors, and spiritual factors. Thus, failure to pay attention to these factors will reduce the community health volunteers’ incentives to promote health programs, decrease volunteers’ cooperation with centers, reduce the quality of care provided, and ultimately waste the funds spent on volunteers’ training and preparation.

Keywords


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    1. Abolhasani F. Health management program. Tehran: Publications for tomorrow; 2004.
    2. Nan bakhsh H. Voluntary participation of women community health volunteers experience. Women in Development and Politics. 2003; 1(6):165-82. [In Persian].
    3. Miri M, Ramazani A, Hanafi H. The influence of performing "The Health Communication Plan" in suburban villages on the health knowledge and attitude of rural women. J Birjand Univ Med Sci. 2005;12(1-2):31-7. [In Persian].
    4. Bayati A, Ghanbari F, Rahzani K. The process of communication cut of health communicators from health communication head Nurs Midwifery J. 2012; 10(4):507-15. [In Persian].
    5. Chaulagai CN. Urban community health World Health Forum. 1993; 14(1):16-9.
    6. Sing D, Negin J, Otim ME, Orach CG, Cumming RG. The effect of payment and incentives on motivation and focus of community health workers: Five case studies from low- and middle-income countries. Human Resources for Health. 2015; 13(58):1-12. doi: 1186/s12960-015-0051-1.
    7. Bayati A, Ghanbari F, Shamsi M, Rajabi R. Healthcare communicators and instructors' administrative-recreational experiences in breaking off with the headquarter: A qualitative study. Payavard Salamat. 2013; 6(6):444-34. [In Persian].
    8. Ramazani A, Miri M. Performance evaluation and reasons for cut cooperation community
      health volunteers with health centers of Brigand University of Medical Sciences. J Birjand Univ Med Sci. 2003; 10(1):9-15. [In Persian].
    9. World Health Organization. Global strategy on human resources for health: Workforce 2030. World Health Organization; 2016. https://apps.
      int/iris/handle/10665/250368.
    10. Haghani A. Applied psychology 1. Tehran: Publication of Imam Khomeini Education and Research Institute; 2011. [In Persian].
    11. Greenspan JA, McMahon SA, Chebet JJ, Mpunga M, Urassa DP, Winch PJ. Sources of community health worker motivation: A qualitative study in Morogoro region, Tanzania. Human Resources for Health. 2013; 11(52):1-14. doi: 1186/1478-4491-11-52.
    12. Sundararaman T, Ved R, Gupta G, Samatha M. Determinants of functionality and effectiveness of community health workers: Results from the evaluation of ASHA program in eight Indian states. BMC Proceedings. 2012; 6(5):30. doi: 10.1186/1753-6561-6-S5-O30.
    13. Ndima S, Sidat M, Give C, Ormel H, Kok M, and Taegtmeyer M. Supervision of community health workers in Mozambique: A qualitative study of factors influencing motivation and programme implementation. Hum Resour Health. 2015; 13(63):1-10. doi: 10.1186/s1296
      0-015-0063-x.
    14. Raeissi P, Khosravi A. Surveying the effect of women volunteers in families' health promotion. Iranian Journal of Psychiatry and Clinical Psychology. 1999; 4(3):48-62. [In Persian].
    15. Karimi S, Nasr A. The methods of analyzing interview data. Pajhohesh 2014; 4(17):71-94. [In Persian].
    16. Kalaki H. Fundamental theory in the way theorizing. Cultural Research. 2009; 10(6):119-40. [In Persian].
    17. Pouladi S, Anoosheh M, Kazemnejad A, Zareiyan A. Factors limiting families in elderly care: A thematic analysis. Journal of Qualitative Research In Health Sciences. 2013; 2(2):146-57. [In Persian].
    18. Heydari H, Aziz K, Mohammady R, Hosseinabadi R. The experiences of nursing students of the mentorship program: A qualitative study. Journal of Health-System Research. 2012; 8(3):438-48. [In Persian].
    19. Viswanathan M, Kraschnewski J, Nishikawa B, Morgan LC, Thieda P, Honeycutt A. Outcomes of community health worker interventions. Evid Rep Technol Assess (Full Rep). 2009; (181):1-144. PMID: 20804230.
    20. Haile F, Yemane D, Gebreslassie A. Assessment of non-financial incentives for volunteer community health workers-the case of Wukro district, Tigray, Ethiopia. Hum Resour Health. 2014; 12:54. doi: 10.1186/1478-4491-12-54. 
    21. Mpembeni RN, Bhatnagar A, LeFevre A, Chitama D, Urassa DP, Kilewo C, et al. Motivation and satisfaction among community health workers in Morogoro region, Tanzania: nuanced needs and varied ambitions. Hum Resour Health. 2015; 13:44. doi: 10.1186/
      s12960-015-0035-1.
    22. Topp SM, Price JE, Nanyangwe-Moyo T, Mulenga DM, Dennis ML, Ngunga MM. Motivations for entering and remaining in volunteer service: Findings from a mixed-method survey among HIV caregivers in Zambia. Hum Resour Health. 2015; 13:72. doi: 10.1186/s12960-015-0062-y.
    23. Sing D, Cumming R, Mohajer N, Negin J. Motivation of community health volunteers in rural Uganda: The interconnectedness of knowledge, relationship, and action. Public Health. 2016; 136(10):166-71. doi: 10.1016/
      puhe.2016.01.010. Epub 2016 Feb 11.
    24. Liang Chung MH, Hazmi H, Lian Cheah W. Role performance of community community health volunteers and its associated factors in

      Kuching district, Sarawak. J Environ Public Health. 2017; 1-9. doi: 10.1155/2017/9610928.
    25. Naimoli J, Perry H, Townsend JW, Frymus DE, McCaffery JA. Strategic partnering to improve community health worker programming and performance: features of a community-health system integrated approach. Hum Resour 2015; 13(46):1-13. doi: 10.1186/s12960-
      015-0041-3
      .
    26. Naimoli JF, Frymus DE, Wuliji T, Franco LM, Newsome MH. A community health worker "logic model": towards a theory of enhanced performance in low-and middle-income countries. Hum Resour Health. 2014; 12:56. doi: 10.1186/1478-4491-12-56.
    27. Akbarian N, Bushehri E, Alizadeh AL, Aghamolaei T. Barriers and facilitators in health education for the people from health care providers' perspective: A qualitative study. Journal of Qualitative Research in Health Sciences. 2020 Aug 24;5(4):387-400.
    28. Rahman SM, Ali NA, Jennings L, Seraji MH, Mannan I, Shah R, et al. Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh. Hum Resour Health. 2010; 8:12. doi: 10.1186/1478-4491-8-12.
    29. Alam K, Oliveras E. Retention of female volunteer community health workers in Daka urban slums: A prospective cohort study. Hum Resour Health. 2014; 12:29. doi: 10.1186/1478-4491-12-29.
    30. Raven J, Akweongo P, Baba A, Baine SO, Sall M, Buzuzi S, et al. Using a human resource management approach to support community health workers: Experiences from five African countries. Hum Resour Health. 2015; 13: doi: 10.1186/s12960-015-0034-2.
    31. Gopalan SS, Mohanty S, Das A. Assessing community health workers’ performance motivation: A mixed-methods approach on India’s Accredited Social Health Activists (ASHA) program. BMJ Open. 2012; 2(5):
      e001557. doi: 10.1136/bmjopen-2012-001557.
Volume 11, Issue 2
June 2022
Pages 61-73
  • Receive Date: 28 January 2019
  • Revise Date: 11 March 2021
  • Accept Date: 31 March 2021
  • First Publish Date: 01 June 2022