Table 2.
Level of performance motivation among the community health workers (CHWs) (N=386)
| Variable | Mean | 95% CI | Motivated* |
|---|---|---|---|
| n (%) | |||
| Health system level | |||
| Nature of responsibilities: level of interest in the responsibilities and confidence to execute them | 4.18 | 4.09 to 4.27 | 256 (66.3) |
| Workload: time to complete daily tasks, able to spend time with f amily and flexibility in work schedule | 2.96 | 2.90 to 3.02 | 34 (8.8) |
| Incentive: adequacy of financial and non-financial incentives and their pattern of payment | 3.07 | 2.97 to 3.17 | 64 (16.6) |
| Healthcare infrastructure: satisfaction on the quality of existing infrastructure, communication options and commodities | 2.83 | 2.78 to 2.89 | 26 (6.7) |
| Work modality: satisfaction on hierarchy, participatory approach, recording and reporting | 3.18 | 3.13 to 3.24 | 68(17.6) |
| Training: level of knowledge and skills imparted through trainings, and timing and organisation of training | 3.78 | 3.72 to 3.85 | 281 (72.8) |
| Supportive supervision: help, monitoring, and supervision to execute r esponsibilities and solve issues | 3.28 | 3.23 to 3.32 | 47 (12.2) |
| Peer support: moral support, advice and learning from peers | 4.04 | 3.95 to 4.14 | 298 (77.2) |
| Community level | |||
| Community participation: level of community's interest, acceptance and participation in activities | 4.05 | 3.96 to 4.16 | 244 (63.2) |
| Community opinion on public healthcare system: on quality of care, availability of healthcare and community programmes | 2.70 | 2.65 to 2.75 | 4 (1.0) |
| Individual level | |||
| Social responsibility and altruism: interest in social work when existing social norms adversely impact community health, and sense of social responsibility | 4.12 | 4.04 to 4.20 | 255 (66.1) |
| Intrinsic job satisfaction: chance for better use of abilities and time, feeling of accomplishment, awards, career enhancement, advancement in employability, knowledge, communication skills, managerial skills and overall happiness being on job | 4.30 | 4.24 to 4.36 | 264 (68.4) |
| Self-efficacy: able to handle tough situations, solve problems, feel emotionally and physically perfect on work | 4.27 | 4.20 to 4.33 | 269 (69.7) |
| Self-motivation: working with a sense that the job is important and is not for avoiding blame from others and gaining money alone | 4.07 | 4.05 to 4.10 | 327(84.7) |
| Individual+community+health system level | |||
| Recognition: acceptance of CHWs’ performance, its value, and talents by family, community and system | 3.96 | 3.90 to 4.02 | 214 (55.4) |
| Autonomy: freedom to move in the community, express opinion and execute responsibilities | 3.96 | 3.90 to 4.02 | 233 (60.4) |
*Motivated if mean score >3.