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15
Assessing the Impact of Community Engagement Interventions on Health Worker Motivation and Experiences with Clients in Primary Health Facilities in Ghana: A Randomized Cluster Trial

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Poster title

  • Assessing the Impact of Community Engagement Interventions on Health Worker
    Motivation and Experiences with Clients in Primary Health Facilities in Ghana: A
    Randomized Cluster Trial

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  • Poster Authors

  • Alhassan RK, Nketiah-Amponsah E, Spieker N, Arhinful DK, and Rinke de Wit TF

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  • Background

  • Health worker density per 1000 population in Ghana is one of the lowest in the world estimated to be 2.3, below the global average of 9.3.

  • Low health worker motivation induced by poor working conditions partly explain this challenge.

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  • Objective

  • To evaluate the effect of SCE interventions on health worker motivation and experiences with clients

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  • Methods

  • Study design: a cluster randomized trial

  • Sampling: Health workers (n=234) in private (n = 38) and public (n = 26) primary healthcare facilities in two regions in Ghana.

  • Statistical analysis: Propensity score matching and difference-in-difference estimations

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  • Results

  • Intrinsic (non-financial) work incentives appeared to be prime sources of motivation for health staff interviewed in intervention health facilities while financial incentives were ranked lowest.

  • Health facilities that were assessed by female community groups (Coef. = 0.2720, p = 0.0118) and informal community groups (Coef. = 0.2268, p = 0.0368) associated positively with higher intrinsic motivation levels of health staff.

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  • Conclusion

  • Community-based approach to health worker motivation is a potential complementary strategy that needs policy deliberation to explore its prospects.

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