School of Psychology, University of Kwazulunatal, Durban, South Africa.
Health Policy Plan. 2011 Jan;26(1):53-62. doi: 10.1093/heapol/czq019. Epub 2010 May 28.
Volunteers are increasingly being relied upon to provide home-based care for people living with AIDS in South Africa and this presents several unique challenges specific to the HIV/AIDS context in Africa. Yet it is not clear what motivates people to volunteer as home-based caregivers. Drawing on the functional theory on volunteer motivations, this study uses data from qualitative interviews with 57 volunteer caregivers of people living with HIV/AIDS in six semi-rural South African communities to explore volunteer motivations. Findings revealed complex motivations underlying volunteering in AIDS care. Consistent with functional theorizing, most of the volunteers reported having more than one motive for enrolling as volunteers. Of the 11 categories of motivations identified, those relating to altruistic concerns for others and community, employment or career benefits and a desire by the unemployed to avoid idleness were the most frequently mentioned. Volunteers also saw volunteering as an opportunity to learn caring skills or to put their own skills to good use, for personal growth and to attract good things to themselves. A few of the volunteers were heeding a religious call, hoping to gain community recognition, dealing with a devastating experience of AIDS in the family or motivated for social reasons. Care organizations' poor understanding of volunteer motives, a mismatch between organizational goals and volunteer motivations, and inadequate funding meant that volunteers' most pressing motives were not satisfied. This led to discontentment, resentment and attrition among volunteers. The findings have implications for home-based care policies and programmes, suggesting the need to rethink current models using non-stipended volunteers in informal AIDS care. Information about volunteer motivations could help organizations plan recruitment messages, recruit volunteers whose motives match organizational goals and plan how to assist volunteers to satisfy these motives. This could reduce resentment and attrition among volunteers and improve programme sustainability.
志愿者越来越多地被依赖,为南非的艾滋病感染者提供家庭护理,这给非洲的艾滋病毒/艾滋病环境带来了一些独特的挑战。然而,人们为什么要自愿成为家庭护理员还不清楚。本研究借鉴志愿者动机的功能理论,利用对来自六个南非半农村社区的 57 名艾滋病毒/艾滋病感染者的家庭护理志愿者的定性访谈数据,探讨了志愿者的动机。研究结果揭示了艾滋病护理志愿服务背后复杂的动机。与功能理论一致,大多数志愿者报告说,他们报名成为志愿者的动机不止一个。在所确定的 11 类动机中,出于对他人和社区的利他主义关注、就业或职业利益以及失业者避免无所事事的愿望、以及将志愿服务视为学习护理技能或发挥自身技能、个人成长和吸引美好事物的机会的动机被提及最多。一些志愿者也在听从宗教的召唤,希望获得社区的认可,应对家庭中艾滋病的毁灭性经历,或出于社会原因而被激励。由于组织对志愿者动机的理解不足,组织目标与志愿者动机不匹配,以及资金不足,志愿者最迫切的动机得不到满足。这导致志愿者不满、怨恨和流失。研究结果对家庭护理政策和方案有影响,表明需要重新思考当前使用非领薪志愿者在非正式艾滋病护理中的模式。志愿者动机的信息可以帮助组织计划招募信息,招募与组织目标相匹配的志愿者,并计划如何帮助志愿者满足这些动机。这可以减少志愿者的怨恨和流失,提高方案的可持续性。