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Instead we have a patchwork of policies, with wide variation in training, supervision, and performance evaluation.
One main area of the analysis explored responses to the interview questions about supervision and performance.
Lay workers need continuing training, supportive supervision, and performance review in order to maintain and improve their performance.
We probed participants on the following topics: work organization, motivation and incentives, supportive supervision and performance of the immunization program.
The finding from our FGDs indicated the concern health workers displayed about lack of training, supervision and performance appraisal.
Nevertheless, we recognize the need for on-going supervision and performance evaluation for this newly established cadre of provider.
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There is a growing body of literature that focuses on technical aspects of CHW programme management such as selection, capacity building, supportive supervision and performance-based incentives [ 3, 6, 13, 16, 21– 21].
It should also focus on additional health promotion benefits and intermediary results in CHW supervision, motivation, and performance.
The study was conducted by a trained and experienced research team through in-depth interviews (IDIs) focusing on aspects related to supervision, motivation and performance.
From these findings, improvement in staff motivation could be achieved by considering non-financial incentives, such as improvement in working conditions and showing appreciation and respect through supervision, training and performance appraisal.
From these findings, the improvement of staff motivation could be achieved through non-financial incentives, such as improvement of working conditions and showing appreciation and respect through supervision, training and performance appraisal.
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