000			03880nam a22003257a 4500
001			CUHAS/MPH/6000214/T/19
003			CUHAS/MPH/6000214/T/19
005			20240423155022.0
008			230328b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
035			_aCUHAS/MPH/6000214/T/19
040			_cddc _bEnglish
041			_aEnglish
100			_aGirles E. Shaban _948509 _d[Male] _eCUHAS/MPH/6000214/T/19
222			_aKeywords: _bCommunity Health workers, Performance, Job Satisfaction.
245			_aPerformance, Job Satisfaction and Associated Factors Among Community Health Workers in Delivering Community-Based Health Care for Maternal, Newborn and Child Health. A Case of Misungwi and Kwimba District, Mwanza Region.
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] : _c2022
300			_axiii; 182 Pages
300			_aIncludes References and Appendinces
520			_aAbstract: Background: Among other reasons for decreasing maternal mortality ratio is the utilization of community health workers. This study gives insights on how the program can utilize community health workers by understanding their performance, satisfaction and their associated factors toward providing community-based health care. This study was designed to explore the factors influencing the community health workers’ job satisfaction and their performance to the provision of community-based health care. Methods: It was a community-based cross-sectional study conducted in Misungwi and Kwimba, involving 240 respondents. The study deployed qualitative and quantitative approaches. Results: Quantitatively, there was a relatively equal satisfaction level; 50.4% and 49.6% of CHWs reported a low and high level of satisfaction respectively. CHWs of ≥35 years were more likely to report high satisfaction (OR=2.05, p<0.006). The relationship between the satisfaction and number of children (≥3 children) (OR=1.985, p<0.022) and the number of households served in the community (≥134 households) (OR=0.495, p<0.021 were statistically significant of the performance (AOR=2.728, 95%CI: 1.166-6.382; p<0.021). Performance and satisfaction expressed a positive association (AOR= 4.069, 95%CI: 1.530-10.822; p<0.005) Qualitatively: Selection process, community acceptance, acknowledgement, training and orientations, and the relationship with health care workers were highlighted as key factors to the performance. Satisfaction to provide CBMNCH services was due to the feelings, readiness to serve their community and community recognition. Conclusion: The performance and job satisfaction among the community health workers was high and comparable between both districts. Age, Number of children, and the number of households had a direct impact on their performance and satisfaction or performance. Therefore, the CBMNCH program should put into consideration the selection process, relationship with the health facilities and acknowledgment. Ethical Considerations: Ethical approval was obtained from CHUHAS/BMC Joint Review Committee. Permission to conduct the study was granted as this was part of the ongoing project implementation in the study districts Plan for Dissemination: The findings of this study are useful to various stakeholders such as the Region and Districts Health Management teams for CHWs initiative strengthening in the provision of health promotion at the community.
600			_xPublic Health _930696
700			_aPatrory Mondea _948513
700			_aDismas Matovelo _922780
942			_2ddc _cMP
999			_c18742 _d18742