Table 1 Factors influencing CHV capability, opportunity, and motivation
Capability | Opportunity | Motivation |
|---|---|---|
CHV training - Perceived knowledge gaps - Training was not standard - Ongoing training was limited Supervision and support - Limited support provided by the MOH extension worker - Insufficient support provided during key activities by other partners | Time and workload - Limited time with households - CHVs were not able to complete a round of 100 households in a month - Catchment area for each CHVs was beyond what the CHV could handle Compensation - No compensation from MOH, required CHVs to find other sources of income Supplies and resources - Infrequent supplies and materials to facilitate CHVs work | Compensation - No compensation from MOH, required CHVs to find other sources of income Supplies and resources - Lack of identifiers Social environment - Resistance to change - Lack of acceptance - Households expecting tangible support - High poverty level |