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Table 3 Emphases from the theoretical review and formative research that support the key components of the community intervention

From: Using theory and formative research to design interventions to improve community health worker motivation, retention and performance in Mozambique and Uganda

Community intervention
Intervention Way in which intervention will improve CHW motivation
Theory Formative research—Uganda
Participatory village health club (VHC) facilitated by a CHW that is open to all, fun and focused on local health improvement via local community assets with emphasis on the CHW • Reinforcement and validation of CHW role value to CHWs through facilitation of the VHC and receiving community feedback • CHWs want a greater sense of connectedness to their community. Community groups established to monitor and provide feedback to CHWs may improve motivation and performance by bringing CHWs closer to their community
• By directly seeing and receiving feedback on impact of their work, CHWs will more readily recognise the value of their work to the community and CHW collective • Promoting the positive work that CHWs do in their community is reportedly motivating for CHWs and may engender greater community trust and standing/status of the CHWs
• Working directly with community members as they identify, prioritise and find solutions to local health challenges will reinforce a sense of connectedness between CHWs and their community • CHWs value community feedback
• By operating in an interactive local forum, community expectations around what it is within the CHWs’ power to deliver can be explained and managed • Locally meaningful activities are more likely to be sustained by the community with community groups highlighting the positive role played by CHWs, improving community esteem for CHWs