Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Staff attrition among community health workers in home-based care programmes for people living with HIV and AIDS in western Kenya
Health Policy, Volume 97, No. 2-3, Year 2010
Notification
URL copied to clipboard!
Description
Objectives: This paper examines trends and underlying causes of attrition among volunteer community health workers in home-based care for people living with HIV and AIDS in western Kenya. Methods: Ethnographic data were collected between January and November 2006 through participant observation, focus group discussions and in-depth interviews with 30 CHWs, NGO staff and health care providers and 70 PLWHA. Results: An attrition rate of 33% was observed among the CHWs. The reasons for dropout included: the cultural environment within which CHWs operated; lack of adequate support from area NGOs; poor selection criteria for CHWs; and power differences between NGO officials and CHWs which fostered lack of transparency in the NGOs' operations. Conclusions: In order to achieve well functioning and sustainable HBC services, factors which influence retention/dropout of CHWs should be addressed taking into account the socio-cultural, programmatic and economic contexts within which CHW activities are implemented. © 2010 Elsevier Ireland Ltd.
Authors & Co-Authors
Olang'O, Charles Omondi
Kenya, Nairobi
Institute of Anthropology, Gender and African Studies
Nyamongo, Isaac K.
Kenya, Nairobi
Institute of Anthropology, Gender and African Studies
Aagaard-Hansen, Jens
Denmark, Herlev
Steno Diabetes Center Copenhagen
Statistics
Citations: 79
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1016/j.healthpol.2010.05.004
Research Areas
Infectious Diseases
Study Design
Ethnographic Study
Study Approach
Qualitative
Study Locations
Kenya