Table 1 Summary of literature on community health worker a motivation
From: Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania
Country, year, study design | Bangladesh 1998b | Bangladesh 2010c | Bangladesh 2012c | Ghana 2012b | Ghana 2012b | Guatemala 2012b | Indonesia 1993b | Iran 2011b | Kenya 2010b | Kenya 2012b | Mexico 2001b | US-Mexico border 2012c | Malawi 2005b | Nepal 2007b | Sri Lanka 1989c | South Africa 2002c | South Africa 2011b | Uganda 2012b | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Citation | 14 | 16 | 28 | 4 | 12 | 36 | 33 | 31 | 15 | 37 | 35 | 29 | 34 | 38 | 39 | 32 | 27 | 30 | |
Intrinsic motivators | |||||||||||||||||||
  Altruism/moral calling | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 11 | |||||||
  Fill free time | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 6 | ||||||||||||
Extrinsic: Non-material, non-monetary motivators | |||||||||||||||||||
  Improve own health | ✓ | ✓ | ✓ | 3 | |||||||||||||||
  Improve family health | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 8 | ||||||||||
  Help family financially | ✓ | ✓ | 2 | ||||||||||||||||
  Moral support from family | ✓ | ✓ | ✓ | ✓ | ✓ | 5 | |||||||||||||
  Family helps with work (CHW/household tasks) | ✓ | ✓ | ✓ | ✓ | 4 | ||||||||||||||
  Help community | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 14 | ||||
  Gain respect/recognition | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 13 | |||||
  Gain experience/skills | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 14 | ||||
  Supervision/official recognition | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 9 | |||||||||
Extrinsic: Material motivators | |||||||||||||||||||
  Non-monetary material rewards | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 7 | |||||||||||
  Access to drugs/supplies/services | ✓ | ✓ | ✓ | ✓ | 4 | ||||||||||||||
Extrinsic: Financial motivators | |||||||||||||||||||
  Family supports financially | ✓ | 1 | |||||||||||||||||
  Hope for future employment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 9 | |||||||||
  Monetary earnings | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 12 | ||||||
  Type of earnings | Profit from sale of health commodities | Monthly remuneration | Stipends & payment per client interaction | Stipends for events & meetings | None | None | None | Paid as employee | Stipends for transport & training | None | Stipends for transport | Cash for work expenses | None | None | None | None | None | None | |
CHW deterrents | |||||||||||||||||||
  Workload/time constraints | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 9 | |||||||||
  Lack of/insufficient monetary earnings | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 11 | |||||||
  Family unsupportive | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 6 | ||||||||||||
  Work unacceptable for women | ✓ | ✓ | ✓ | ✓ | 4 | ||||||||||||||
  Lack of transport/supplies | ✓ | ✓ | ✓ | ✓ | ✓ | 5 |