Table 5.
Levels of influence | Motivating factors | Hygiene factors | ||
---|---|---|---|---|
Motivators/satisfiers | Demotivators | Non-dissatisfiers (factors preventing dissatisfaction) | Dissatisfiers (factors promoting dissatisfaction) | |
Community level | • Nature of community work • Making a difference and community appreciation |
• Non-adherence to health advice among community members | • Working in crime-prevalent communities | |
Organizational/programme level | • Promotion to supervisory position • Acquisition of management skills and experience • Participation in capacity building • And the development of programmes • Educational advancement opportunities |
Alienation from decision-making | Salaries (supervisory position), retirement benefits, salary advances, financial support, educational loans and medical services | • Remuneration for CHWs • Problems with material and logistical resources • Confronting job insecurity • Dealing with work-related stressors • Navigating the interface between CHWs and management |
Policy level (government and donor agencies) | • Shortage of resources and funding for stipends and salaries • Challenges of partnering with government agency |