Musoke David, Ssemugabo Charles, Ndejjo Rawlance, Atusingwize Edwinah, Mukama Trasias, Gibson Linda
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
School of Social Sciences, Nottingham Trent University, Nottingham, UK.
BMC Res Notes. 2019 Dec 18;12(1):812. doi: 10.1186/s13104-019-4851-6.
The objective of the project was to strengthen the community health worker (CHW) programme in Ssisa sub-county, Wakiso district, Uganda by providing a coherent, structured and standardized training, supervision and motivation package so as to enhance their performance.
The project trained all 301 CHWs who received non-financial incentives of t-shirts, gumboots and umbrellas, and 75 of them received solar equipment to support lighting their houses and charging phones. Twenty-four of the CHWs who had coordination roles received additional training. Three motorcycles were also provided to enhance transportation of CHW coordinators during their work including supervision. By end of the project, the CHWs had conducted 40,213 household visits, carried out health education sessions with 127,011 community members, and treated 19,387 children under 5 years of age. From the project evaluation, which used both quantitative and qualitative methods, 98% of the CHWs reported having improved competence in performance of their roles. In addition, the CHWs were highly motivated to do their work. The motorcycles were instrumental in supporting the work of CHW coordinators including monthly collection of reports and distribution of medicines. The project demonstrated that by improving training, supervision and motivation, performance of CHW programmes can be enhanced.
该项目的目标是通过提供一套连贯、结构化和标准化的培训、监督及激励方案，加强乌干达瓦基索区西斯萨县的社区卫生工作者（CHW）项目，以提高他们的工作表现。
该项目对所有301名社区卫生工作者进行了培训，他们获得了T恤、胶靴和雨伞等非财务激励，其中75人获得了太阳能设备，以支持他们照亮房屋和充电。24名担任协调角色的社区卫生工作者接受了额外培训。还提供了三辆摩托车，以加强社区卫生工作者协调员工作期间的交通，包括监督工作。到项目结束时，社区卫生工作者已进行了40,213次家访，与127,011名社区成员开展了健康教育课程，并治疗了19,387名5岁以下儿童。从采用定量和定性方法的项目评估来看，98%的社区卫生工作者报告称其履行职责的能力有所提高。此外，社区卫生工作者工作积极性很高。摩托车有助于支持社区卫生工作者协调员的工作，包括每月收集报告和分发药品。该项目表明，通过改善培训、监督和激励，可以提高社区卫生工作者项目的表现。
