Factors of CHW satisfaction were measured using a five-point Likert scale with items pertaining to training and supervision, availability of equipment and supplies, interpersonal relationships at work and remuneration.
Policy-makers, programme managers, and other stakeholders need to carefully consider how the productivity elements of workload (number and organization of tasks, and number and distribution of households), supportive supervision, availability of supplies and equipment, and respect are defined and incorporated in the overall CHW strategy.
Ready for Recess (August 2009-September 2010) was a controlled trial with twelve schools randomly assigned to one of four conditions: control group, staff supervision, equipment availability, and the combination of staff supervision and equipment availability.
For the VCT provider survey, data were obtained on professional cadre category (nurse, health surveillance, lay person), gender, opening times and days (to assess temporal accessibility), whether the counselor had been trained in counseling, had supervision and availability of supplies at the center.
"The financial crisis calls into question the fundamental assumptions regarding financial supervision, credit availability and market discipline that have informed our regulatory efforts for decades," Ms. Bair told the 10-member bipartisan panel, the Financial Crisis Inquiry Commission.
Improvements in supervision and availability of drug supply were documented.
This lack of coordination negatively affects program components, including training capacity, supervision, and availability of commodities.
Health systems characteristics such as work culture, supervision and availability of resources have also influenced CHAs' motivation to work.
However, supervision and availability of HSAs in the village clinics due to other competing priorities and lack of accommodation were seen be inadequate.
Besides training, other situational factors, such as supervision and availability of materials and drugs, may play critical roles in supporting the quality of performance.
The scale of the task of deploying CHWs and ensuring adequate training, sustained supervision, and availability of essential commodities can be daunting, but this challenge is well-recognized.
