Table 5.
Association between health system factors and performance of CHWs
| Variable | Performance | Crude analysis | ||
|---|---|---|---|---|
| Good [n, %] | Poor [n, %] | OR (95% CI) | P value | |
| Received iCCM training | ||||
| Yes | 73 (100) | 262 (99.6) | ||
| No | 0 | 1 (0.4) | - | 0.598 |
| Refresher training in iCCM | ||||
| Yes | 64 (87.7) | 236 (89.7) | 1.00 | |
| No | 9(12.3) | 27 (10.3) | 1.23 (0.55-2.75) | 0.614 |
| Received appointment letter | ||||
| No | 39 (53.4) | 211 (80.2) | 1.00 | |
| Yes | 34 (46.6) | 52 (19.8) | 3.57 (2.00-6.25) | <0.001 |
| Received job aids | ||||
| Yes | 73 (100) | 255 (96.6) | ||
| No | 0 | 8 (3.4) | - | 0.132 |
| Workload | ||||
| Okay | 57 (78.1) | 162 (61.6) | 1.00 | |
| Too much | 16 (21.9) | 101 (38.4) | 0.45 (0.24-0.83) | 0.009 |
| Facilitation given | ||||
| Inadequate | 53 (72.6) | 194 (73.8) | 1.00 | |
| Adequate | 20 (27.4) | 69 (26.2) | 1.06 (0.59-1.9) | 0.843 |
| Support from health facilities | ||||
| Yes | 68 (91.2) | 222 (84.4) | 1.00 | |
| No | 5 (8.8) | 41 (15.6) | 0.40 (0.15-1.05) | 0.055 |
| Feedback from supervisors | ||||
| More than a month | 15 (21.5) | 138 (52.9) | 1.00 | |
| Within a month | 58 (79.5) | 123 (47.1) | 4.34 (2.28-8.24) | <0.001 |
| Attendance of review meetings | ||||
| Every month | 11 (15.1) | 37 (14.1) | 1.00 | |
| Every 3 months | 57 (78.1) | 219 (83.4) | 0.88 (0.42-1.83) | 0.723 |
| Once a year | 5 (6.8) | 7(2.5) | 2.4 (0.62-9.37) | 0.193 |
| Drug stock outs in last 3 months | ||||
| Yes | 37 (50.7) | 192 (73.0) | 1.00 | |
| No | 36 (49.3) | 71 (27.0) | 2.63 (1.53-4.54) | <0.001 |