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Assessment of community health workers incentives on maternal and newborn health services performance

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par Denys NDANGURURA
Bugeman University Uganda - Masters of public health 2015
  

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ACKNOWLEDGEMENTS

I must convey my deepest appreciation to my chief supervisor Dr Sylvia Callender -Carter and my supervisors Dr. Beth Sigue and Dr. Paul Katamba, who gave me valuable guidance, support. Also the encouragement from Dr. Rhoda Kayongo and Dr. Moses Kayongo the good will from the initial to the final stage of helping me to develop an understanding of this paper. Your advice has played by Stephan S. Kizza. is an outstanding role in shaping this paper. Your comments and observations were vital inputs which enabled me to improve this paper.

It is a pleasure to express my gratitude to my colleagues for helping me and sharing experiences and discussing courses.

My special thanks to my wife, sons, parents, brothers and sisters for their priceless support.

May God bless all of you!

TABLE OF CONTENTS

PAGE

LIST OF TABLES x

LIST OF FIGURES xi

LIST OF APPENDICES xii

LIST OF ABREVIATION xiii

ABSTRACT xiv

CHAPTER ONE 1

INTRODUCTION 1

Background of the Study 1

Statement of the Problem 3

Research Questions 5

General Objective 6

Specific Objectives 6

Hypothesis 6

Significance of the Study 6

Scope of the Study 7

Limitation of Study 8

Theoretical Framework 9

Conceptual Framework 10

Operational Definitions of Terms 10

CHAPTER TWO 13

LITERATURE REVIEW 13

The Context of Community Health Workers 13

Community Health Workers' Incentives in Rwanda 15

Provision of Equipment 18

Compensating CHWs and Perdiem as an Incentive 20

Membership in CHW's Cooperatives 22

Maternal and New Born Health Services 23

PAGE

Relationship between CHWs Incentive and Improve Maternal and Newborn Health 24

Summary of Identified Gaps 25

CHAPTER THREE 28

METHODOLOGY 28

Population of Study 28

Sample Size 28

Sampling Procedure 29

Research Instruments 30

Validity 30

Reliability 31

Data Collection Procedure 31

Data Analysis 32

CHAPTER FOUR 33

RESULTS AND DISCUSSIONS 33

Demographic Characteristics of Research Participants 33

Level of Community Health Workers incentives 36

Relationship between CHW's Incentives and Performance of Maternal and Newborn Health Services 40

CHWs Financial Incentives on Performance of MNH 41

Membership in CHWs Cooperatives on Performance of MNH 42

CHAPTER FIVE 44

SUMMARY, CONCLUSION AND RECOMMENDATION 44

Summary 44

Conclusion 46

Recommendation 47

REFERENCES 48

APPEND ICES 52

LIST OF TABLES

TABLE PAGE

Table 1: Showing Incentives and Desincentives CHWs 23

Table 2: The Number of Population Sample 29

Table 3: Social-Demographic Characteristics of Respondents 34

Table 4: Level of Community Health Workers incentives 37

Table 5: Level of Maternal and Newborn Health Service 39

Table 6: Logistic Regression of Community Health Workers Related incentives and Performance Maternal - Newborn Health Services in the Study Area 41

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