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The female community health volunteer programme in Nepal: decision makers' perceptions of volunteerism, payment and other incentives.

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The female community health volunteer programme in Nepal: decision makers' perceptions of volunteerism, payment and other incentives.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Glenton, Claire Scheel, Inger B. Pradhan, Sabina Lewin, Simon Hodgins, Stephen Shrestha, Vijaya
Spatial Coverage	Nepal
Description	Country affiliation: Norway Author Affiliation: Glenton C ( Department of Global Health and Welfare, SINTEF Society and Technology, P.O. Box 124 Blindern, Oslo 0314, Norway. claire.glenton@sintef.no)
Abstract	The Female Community Health Volunteer (FCHV) Programme in Nepal has existed since the late 1980s and includes almost 50,000 volunteers. Although volunteer programmes are widely thought to be characterised by high attrition levels, the FCHV Programme loses fewer than 5% of its volunteers annually. The degree to which decision makers understand community health worker motivations and match these with appropriate incentives is likely to influence programme sustainability. The purpose of this study was to explore the views of stakeholders who have participated in the design and implementation of the Female Community Health Volunteer regarding Volunteer motivation and appropriate incentives, and to compare these views with the views and expectations of Volunteers. Semi-structured interviews were carried out in 2009 with 19 purposively selected non-Volunteer stakeholders, including policy makers and programme managers. Results were compared with data from previous studies of Female Community Health Volunteers and from interviews with four Volunteers and two Volunteer activists. Stakeholders saw Volunteers as motivated primarily by social respect, religious and moral duty. The freedom to deliver services at their leisure was seen as central to the volunteer concept. While stakeholders also saw the need for extrinsic incentives such as micro-credit, regular wages were regarded not only as financially unfeasible, but as a potential threat to the Volunteers' social respect, and thereby to their motivation. These views were reflected in interviews with and previous studies of Female Community Health Volunteers, and appear to be influenced by a tradition of volunteering as moral behaviour, a lack of respect for paid government workers, and the Programme's community embeddedness. Our study suggests that it may not be useful to promote a generic range of incentives, such as wages, to improve community health worker programme sustainability. Instead, programmes should ensure that the context-specific expectations of community health workers, programme managers, and policy makers are in alignment if low attrition and high performance are to be achieved.
File Format	HTM / HTML
ISSN	02779536
e-ISSN	18735347
Journal	Social Science & Medicine
Issue Number	12
Volume Number	70
Language	English
Publisher	Elsevier
Publisher Date	2010-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Medicine Community Health Workers Organization & Administration Decision Making, Organizational Volunteers Interviews As Topic Motivation Program Evaluation Qualitative Research Salaries And Fringe Benefits Psychology Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science) History and Philosophy of Science

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
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