Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan
| Autor: | Taweesak Siripornpibul, Mary Cruickshank, David Briggs, Dolley Tshering, Phudit Tejativaddhana |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male media_common.quotation_subject Altruism 03 medical and health sciences Health services 0302 clinical medicine Surveys and Questionnaires Health care Humans 030212 general & internal medicine Bhutan Socioeconomics Social factor media_common Community Health Workers Motivation Primary Health Care business.industry 030503 health policy & services Public Health Environmental and Occupational Health Middle Aged Confirmatory factor analysis Cross-Sectional Studies Incentive Community health Personnel Loyalty Female Cluster sampling Rural Health Services 0305 other medical science business Psychology |
| Zdroj: | Asia Pacific Journal of Public Health. 31:433-442 |
| ISSN: | 1941-2479 1010-5395 |
| DOI: | 10.1177/1010539519853445 |
| Popis: | Village health workers (VHWs) are the first contact extending vital health services to unreached and underserved communities in Bhutan. VHWs truly embody the principles of primary health care and are effective catalysts in promoting community health. This study identifies and confirms factors motivating VHWs to remain in the health care system. This is a quantitative study with a cross-sectional survey design. Two-stage cluster sampling was used with VHWs from 12 districts representing 3 regions of Bhutan. Data were collected using pretested semistructured questionnaires. Confirmatory factor analysis was used for data analysis. Findings reveal a 4-factor model of motivations among VHWs that includes social, personal, job related, and organizational factors. Among these, the social factor most significantly motivates VHWs to remain in the health care system. VHW motivation can be further fostered by providing a holistic combination of financial and nonfinancial incentives that recognize intrinsic needs and empower innate altruism. |
| Databáze: | OpenAIRE |
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