Table 2.
Trust in CHWs Scale item frequencies, summary scores, and factor loadings, by country
| Bangladesh (n = 1017) |
Haiti (n = 616) |
Kenya (n = 306) |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
All of the time, % |
Most of the time, % |
Some of the time % |
Never, % |
CFA* factor loading |
All of the time, % |
Most of the time, % |
Some of the time, % |
Never, % |
CFA* factor loading |
All of the time, % |
Most of the time, % |
Some of the time % |
Never, % |
CFA* factor loading |
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|
Trust in CHWs Scale mean (SD) |
3.49 (0.45) |
3.79 (0.43) |
3.39 (0.65) |
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|
Health care competence: | ||||||||||||||||||||||||
| 1. How often have you felt the CHW was telling you everything you needed to know about your health-related problems? |
64.41 |
25.07 |
8.16 |
2.36 |
0.60 |
92.05 |
1.95 |
4.06 |
1.95 |
0.65 |
50.98 |
27.12 |
16.99 |
4.90 |
0.80 |
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| 2. How often have you felt the CHW knew as much as s/he should about a health topic? |
70.21 |
26.06 |
3.64 |
0.10 |
0.66 |
89.45 |
4.38 |
4.38 |
1.79 |
0.86 |
50.33 |
30.07 |
14.38 |
5.23 |
0.78 |
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| 3. How often has the CHW taken enough time with you during visits? |
54.08 |
38.94 |
6.10 |
0.88 |
0.77 |
91.23 |
3.90 |
3.57 |
1.30 |
0.78 |
51.96 |
29.41 |
14.71 |
3.92 |
0.68 |
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| 4. How often has the CHW kept what you discussed confidential/private from others in your community? |
54.57 |
26.94 |
15.24 |
3.24 |
0.37 |
85.67 |
2.61 |
3.91 |
7.82 |
0.35 |
67.32 |
15.03 |
8.17 |
9.48 |
0.46 |
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| 5. In your opinion, how often has the CHW been committed to providing the best care possible? |
52.02 |
41.89 |
5.11 |
0.98 |
0.74 |
75.81 |
8.93 |
11.69 |
3.57 |
0.32 |
58.17 |
27.78 |
9.80 |
4.25 |
0.75 |
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| Sub-scale mean (SD) and higher order CFA loading |
3.48 (0.48) |
0.98 |
3.75 (0.50) |
0.90 |
3.32 (0.70) |
n/a |
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|
Respectful communication: | ||||||||||||||||||||||||
| 6. How often has the CHW been an excellent listener? |
55.85 |
38.94 |
4.52 |
0.69 |
0.69 |
92.37 |
2.92 |
2.92 |
1.79 |
0.45 |
66.67 |
24.18 |
7.52 |
1.63 |
0.73 |
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| 7. How often have you felt better (emotionally) after seeing/talking to the CHW? |
50.44 |
40.61 |
8.46 |
0.49 |
0.61 |
86.53 |
4.71 |
6.33 |
2.44 |
0.45 |
44.44 |
31.05 |
14.05 |
10.46 |
0.55 |
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| 8. How often has the CHW treated you with respect? |
73.75 |
22.81 |
2.46 |
0.98 |
0.61 |
96.43 |
2.11 |
0.81 |
0.65 |
0.65 |
79.08 |
15.36 |
3.92 |
1.63 |
0.80 |
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| 9. How often has the CHW had your best interest at heart? |
54.77 |
37.27 |
7.18 |
0.79 |
0.90 |
95.45 |
2.44 |
1.14 |
0.97 |
0.84 |
68.95 |
20.92 |
7.19 |
2.94 |
0.89 |
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| 10. How often has the CHW made you feel that you were worthy of his/her time and effort? |
52.61 |
40.90 |
6.00 |
0.49 |
0.81 |
94.64 |
1.79 |
2.27 |
1.30 |
0.84 |
67.97 |
21.24 |
7.84 |
2.94 |
0.85 |
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| Sub-scale mean (SD) and higher order CFA loading | 3.50 (0.49) |
0.88 | 3.86 (0.41) |
0.59 |
3.46 (0.64) |
n/a | ||||||||||||||||||
CFA – confirmatory factor analysis, CHW – community health worker
*All factor loadings were significant at the P < 0.001 level. Abbreviations include standard deviation (SD) and confirmatory factor analysis (CFA). CFA sample sizes were 508, 308, 153 in Bangladesh, Haiti, and Kenya respectively.