THE INFLUENCE OF CHALLENGES FACING COMMUNITY HEALTH WORKERS IN THEIR COPING STRATEGIES WITH VULNERABLE CHILDCARE IN KAKAMEGA

OLIVIA ANYANGU OPIMBI, LUCY KATHURI-OGOLA (PhD), JOAN KABARIA MURIITHI (PhD)

Abstract


The purpose of this study was to investigate the influence of challenges facing community health workers in their coping strategies with vulnerable childcare in kakamega. A cross-sectional survey design was used to describe the opinions of a proportionate sample of 191 Community Health Workers from different Faith/Community Based Organizations. Six program coordinators of Catholic Relief Services Mwendo (CRSM) purposively sampled were also included in the study. Pretested interview schedules and KI guides were used for data collection. Cronbach coefficient Alpha was used to assess internal consistencies of items in the tools. Qualitative data was analyzed by content and thematic analysis. The findings revealed that almost all the participants faced challenges in their line of duty. However, supervision and training did not influence the coping strategies they adopted while workload, stock outs of tools and materials and inadequate funds negatively influenced the coping strategies. Community Health Workers who faced the challenges of workload used coping strategies such as emotion focused and avoidant and vice versa. The study recommended that guiding and counseling centers to be established by the organizations for Community Health Workers with challenges to get relevant help. National governments and donors should strongly invest in integrated Community Health Workers programs to enable equitable, efficient and effective use of the existing funding. Advocacy is needed at the County government level, to promote financial investment in Community Health and integrated service delivery.

Key Words: Community Health Workers Challenges, Coping Strategies

CITATION: Opimbi, O. A., Kathuri-Ogola, L., & Muriithi, J. K. (2021). The influence of challenges facing community health workers in their coping strategies with vulnerable childcare in Kakamega. The Strategic Journal of Business & Change Management, 8 (2), 312 – 225.


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References


Adam M.B, Dillmann M, Chen M, Mbugua S, Ndung’u J, Mumbi P, Waweru E & Meissner P, (2014). Improving Maternal and Newborn health; effectiveness of Community Health Worker program in rural Kenya. PLoS ONE Journal 9(8); e104027

American Public Health Association {APHA}, (2009). Journal for support of community health workers to increase health access and to reduce health inequalities.

Aridi J.O, Chapman S.A, Wagah M. A & Negin, J. (2014). A comparative study of an NGO sponsored CHW program versus a ministry of health sponsored CHW program in rural Kenya: A process of evaluation; Journal of human resource for health 12(64)

Aseyo, R. E., Mumma, J., Scott, K., Nelima, D., Davis, E., Baker, K. K.,& Dreibelbis, R. (2018). Realities and experiences of community health volunteers as agents for behaviour change: evidence from an informal urban settlement in Kisumu, Kenya. Human resources for health, 16(1), 1-12.

Asturias, N., Andrew, S., Boardman, G., & Kerr, D. (2021). The influence of socio- demographic factors on stress and coping strategies among undergraduate nursing students. Nurse Education Today, 99, 104780.

Baqutayan, S. M. S. (2015). Stress and coping mechanisms: a historical overview. Mediterranean Journal of Social Sciences, 6(2 S1), 479-479.

Baptistini R. A & Martins de Figuelredo T, (2014). Community Health Agents: the challenges of working in the rural area, sao Paulo. Ambiente & Sociedade 17 (2), 53-70

Brunie A, Wamala P, Akol A, Otterness C,Akol A, Bufumbo L, Weaver M & Chen M, (2014). Keeping Community Health Workers in Uganda motivated: Key challenges, facilitators and preferred program inputs. Journal of Global Health science practice. 2(1)103-116

Chandani Y, Andersson S, Heaton A, Noel M, Shieshia M, Mwirotsi A, Krudwig K, Nsona H & Felling B, (2014). Making product available among Community Health Workers: Evidence for improving community health supply chains for Ethiopia, Malawi and Rwanda. Journal of Global Health 4(12)1-20

Condo J, (2014).Rwanda’s Evolving Community Health Worker system; a qualitative assessment of client and provider perspective. Journal for Human Resources for Health. 12 (71)2-7

Crispin N, Wamae A, Ndirangu M, Wamalwa D, Wangalwa G, Watako P & Mbiti E, (2012). Effects of selected socio demographic characteristics of Community Health Workers on performance of home visits during pregnancy. A cross-sectional study in Busia district Kenya. Global Journal of Health Sciences.4 (5) 78-90

Gichaga, A., Masis, L., Chandra, A., Palazuelos, D., & Wakaba, N. (2021). Mind the Global Community Health Funding Gap. Global Health: Science and Practice, 9 (Supplement 1), S9-S17

Glenton C, Scheel I.B, Pradhan S, Lewin S, Hodgins S & Shrestha V, (2010). The female community health volunteer programme in Nepal: Decision makers’ perceptions of volunteerism, payment and other incentives. Journal of Social Science and Medicine 70(12) 1920-1927

Gopalan S. S, Mohanty S & Das A (2012). Assessing community health workers’performance motivation: a mixed-methods approach on India’s Accredited social health activists (ASHA) programme. Journal for Health Policy Research 2(5)

Hill Z, Dumbaugh M, Benton L, Kallander K, Stracham, D., Asbroek,A.T. & Tibenderana, J.(2014). Supervising CHWs in low income countries; a review of impact and implementation issues. Journal for Global Health Action 7(1)2-7

Jaskiewics W & Tulenko K, (2012). Increasing Community Health Worker productivity and effectiveness: a review of the influence of the work environment. Journal of Human Resource Health 10 (38).

Jerome J. G & Ivers L. C, (2010).Community Health Workers in health system strengthening: A qualitative evaluation from rural Haiti. Journal for the National Institutes of Health 24(1)67-72

Kisia J, Nelima F, Otieno O. D, Kiilu K, Wamalwa E, Sohani S, Siekmans K, Nyandigisi A & Akhwale W, (2012). Factors associated with utilization of community health workers in improving access to malaria treatment among children in Kenya. Malaria Journal 11(248)2-6

Kok, M. C., Broerse, J. E., Theobald, S., Ormel, H., Dieleman, M., & Taegtmeyer, M. (2017). Performance of community health workers: situating their intermediary position within complex adaptive health systems. Human resources for health, 15(1), 1-7.

Ludwick, T., Turyakira, E., Kyomuhangi, T., Manalili, K., Robinson, S., & Brenner, J. L. (2018). Supportive supervision and constructive relationships with healthcare workers support CHW performance: use of a qualitative framework to evaluate CHW programming in Uganda. Human resources for health, 16(1), 1-8.

Mlotshwa L, Harris B, Schneider H, & Mushabela M, (2015). Exploring the Perceptions and Experiences of Community Health Workers using Role Identity Theory. Journal for Global Health Action. 8 (1) 28045.

Olango C, Nyamongo K & Hansen A, (2010). Staff attrition among CHWS in home based care programs for people living with HIV and AIDs in Western Kenya. Journal for health policy 97(2-3) 232-237.

Oliver, M., Geniets, A., Winters, N., Rega, I. & Mbae, S. M. (2015). What do we have to say about their work and how can this inform improved programme design? A case study with CHWs within Kenya. Journal for the Global Health Action 8(1)27168

Pandey J & Singh M, (2015). Donning the mask: Effects of emotional labor strategies on burnout and job satisfaction in Community Health Care. Journal for Health Policy and Planning 3(5) 551-562.

Rakhsana K, (2010). Percieved stress, Academic workload and use of coping strategies by university students. Journal of behavioural Science 20(1)31-41.

Rosenthal L, Fox M & Durrel J, (2017). Commentrary on Community Health Workers and changing workforce; no more opportunities lost. Journal of Ambulatory care management 40(3) 193-198.

Sarin E & Lunsford S, (2017). How female CHWs navigate work challenges and why there are still gaps in their performance; a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework. Journal of Human Resource for Health.15 (44).

Sharma R, Webster P & Bhattacharya S, (2014). Factors affecting the performance of Community Health Workers in India; a multi-stakeholder perspective. Journal of Global Health Action. 3402 (7) 25352.

Sibeko, G., Milligan, P. D., Roelofse, M., Molefe, L., Jonker, D., Ipser, J.,& Stein, D. J. (2018). Piloting a mental health training programme for community health workers in South Africa: an exploration of changes in knowledge, confidence and attitudes. BMC psychiatry, 18(1), 1-10.

Steege R, Dieumercie A, Rabadi H, George A, Theobald S, (2016). “CHW” the Gender Agenda. Answering your questions.

Watt P, Brikci N, Brearley L, Rawe K, (2011). No child out of reach: Save the children. London.




DOI: http://dx.doi.org/10.61426/sjbcm.v8i2.1996

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