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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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CHAPTER THREE

METHODOLOGY

This Chapter gives the procedure that was used in this research so as to achieve the set of the study objectives. The researcher adopted cross-sectional survey design. The researcher adopters both qualitative and quantitative approach. The researcher also adopted correlational research design to find the relationship between the two variables.

Population of Study

The study was conducted in eight health centers of Rwinkwavu District hospital in Kayonza District of Rwanda those are Rwinkwavu, Ndego, Cyarubare, Nyamirama, Karama, Rutare, Kabarondo and Ruramira health centers. The total target population of this study was 236 CHWs in charge of MNH working in HCs catchment areas presented as follow: 38 CHWs from Rwinkwavu, 45 CHWs from Cyarubare, 27 CHWs from Ndego, 26 CHWs from Nyamirama, 38 CHWs from Kabarondo, 7 CHWs from Rutare, 28 CHWs from Karama and 27 CHWs from Ruramira.

Sample Size

The sample consisted of eight health centers and the selection was based on the number of CHWs in charge of MNH in health center catchment area. Considering the number of CHWs in charge of MNH the sample was drawn to be 236 target population and the sample size calculation is based on the simple random sampling method because all population was subject of the study; this was used because it is applicable for academic research and it is more helpful when data collected for the whole population is available. The sample size in each health center has been calculated based on proportionate allocation sampling technique by Kothari (2004). Ni = n .NJ/N.

Where n = sample size of entire target population, NJ = number of population of each health center and N = total number of target population, ni = sample size of every health center.

Sampling Procedure

The target population of the study was 236 respondents. Morgan and Krejcie (1970), recommend that if a researcher has a target population of 236, the sample size for the study is 236. Therefore the study sample size was 236 respondents, the probability methods gave us simple random sampling to be applied because the whole population is available and easily participated in responding to the questionnaire given by the researcher.

Table 2: The Number of Population Sample

NO

Health Centre

Total Population

Sample size

 
 
 
 

1

Rwinkwavu

38

n1= 263.38/236 = 38

2

Cyarubare

45

n2= 236.45/236 = 45

3

Ndego

27

n3 = 236.27/236 = 27

4

Nyamirama

26

N4 = 236.26/236 = 26

5

Ruramira

27

N5 = 236.27/236 = 27

6

Kabarondo

38

n6 = 236.38/236 = 38

7

Ruatare

7

N7 = 236.7/236 = 7

8

Karama

28

N8 = 236.28/236 = 28

TOTAL

 

236

Source: Rwanda community HMIS, 2015

Research Instruments

Data collection was carried out by using a questionnaire; that questionnaire was designed in English and the researcher translated directly into Kinyarwanda. The questionnaire is divided into three sections: Section A which includes Socio- demographic characteristics of respondents, section B is based on the closed ended question which is in accordance with the second objective by materials or equipment received and section C is questions related to the third objective evaluating the rate of accomplishment of target. The objectives one was measured using descriptive statistics and was interpreted using percentages. Objectives two and free was measured and interpreted using mean and standard deviation while objective four was interpreted using simple linear regression.

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