dc.contributor.author | Bosek, Everline C | |
dc.date.accessioned | 2023-01-31T12:20:53Z | |
dc.date.available | 2023-01-31T12:20:53Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/162166 | |
dc.description.abstract | Introduction: Community Health Volunteers (CHVs) provide healthcare services such as basic
curative, promoting and preventive healthcare services at the community level. While CHVs role
is outlined at policy level, their engagement at the county level is still sub-optimal influencing their
motivation. Other than remuneration, CHVs can be motivated by other intrinsic factors such as
recognition. Unlike other cancers, cervical cancer is treatable when identified early by screening
and early diagnosis. However, the uptake of screening services in Kenya is still low among eligible
women. Therefore, to encourage uptake of screening by eligible women, CHVs need to be utilized
to create awareness at the community level.
Objective: Study aimed at exploring the intrinsic motivation factors that influence CHVs in
promoting cervical cancer screening.
Methodology: This was a qualitative study conducted in Isiolo Sub-County. Sixteen CHV leads
were purposively selected to participate in individual interviews conducted between January and
February 2021. The interviews were audio-taped, transcribed and analyzed using thematic content
analysis.
Results: Fourteen out of 16 participants were competent having demonstrated knowledge on
cervical cancer and screening. However, 13 out of 16 did not know the type of screening services
offered. All the participants had a good relationship with their supervisors. The average time spent
each day doing CHV work was 3.6 hours. Participants rated their job satisfaction in relation to
promoting cervical cancer screening very lowly at 2.8 on a scale of 10 due to lack of capacity
building and facilitation to work diligently at the community level. All the CHVs (N=16)
attributed their motivation to service to community and to God. Eleven out of 16 attributed their
satisfaction to gaining and utilizing new knowledge.
Conclusion: The CHVs were not satisfied with their role in creating awareness to promote cervical
cancer screening. Factors such as average level of knowledge on cervical cancer and inconsistent
support supervision were the main factors that contributed to dissatisfaction of CHVs and
influenced their performance on creating awareness for cervical cancer screening
Recommendation: Subject specific training is needed to improve CHVs knowledge on cervical
cancer screening and consistent close supervision provided to ensure optimal performance by
CHVs. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Community Health Volunteers | en_US |
dc.title | Exploring Intrinsic Factors Motivating Community Health Volunteers to Promote Cervical Cancer Screening, Isiolo Subcounty | en_US |
dc.type | Thesis | en_US |