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Understanding the importance of non-material factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia.

Nikita AroraKara HansonNeil SpicerAbiy Seifu EstifanosDorka Woldesenbet KeragaAlemtsehay Tewele WelearegayFreweini Gebrearegay TelaYemisrach Ahmed HussenYordanos Semu MandefroMatthew Quaife
Published in: BMJ open (2020)
Our study contributes new empirical evidence to the global debate on factors influencing the motivation and retention of CHWs, by being the first to include job leavers in the analysis. Our findings suggest that policy interventions that appeal to the social needs of CHWs can prove to be more acceptable and potentially cost-effective in improving their retention in the long run. This is important for government policymakers in resource constrained settings like Ethiopia that rely heavily on lay workers for primary healthcare delivery.
Keyphrases
  • healthcare
  • mental health
  • public health
  • social support
  • depressive symptoms