Journal of Social Sciences and Humanities
Articles Information
Journal of Social Sciences and Humanities, Vol.1, No.4, Sep. 2015, Pub. Date: Jun. 17, 2015
The Application of a Community College Model in Recruiting Community Health Workforce in Western Kenya
Pages: 297-307 Views: 3054 Downloads: 1259
[01] M. Kaseje, Great Lakes University of Kisumu, Faculty of Arts and Sciences, Kisumu, Kenya.
Background: Community Health Volunteers (CHVs), also known as Community Health Workers (CHWs) though not considered as part of the mainstream health workforce play a major role in reaching households with health information and linking them to health facilities. Training provided to this health workforce equips them with relevant skills and knowledge. However the training varies in content, mode of delivery and duration and lacks accreditation and career development. This study assessed the initial results of a two-year Community College training Model consisting of short modular, in-service, work-based training developed by Great Lakes University of Kisumu (GLUK). The training aimed at strengthening the capacities of CHVs for effective community level service delivery and providing a career path and increased numbers of skilled personnel for household level health uptake. Methods: A qualitative approach was used to assess outcomes of the Community College Model initiated in January 2013 and offered to CHVs working in 5 sites in Western Kenya. Focus group discussions with trainee groups were analyzed for thematic content, while trend analysis was carried out on class attendance and continuous assessment tests offered to trainees. Results: From the initial enrollment of 173 trainees, a total of 169 (98%) continued with the program and were consistent in their attendance and completion of practical work during the first semester of instruction (January to March 2013). Trainees’ performance indicated success with over 60% scoring 40% (pass mark) and above in the taught units. Trainees voiced appreciation for the Community College Model as having brought academic and practical learning in their vicinity while enabling them to improve on their household visits for health promotion and referrals of those needing health facility care. Conclusions and recommendations: Indications are that the modular, work-based Community College Model strengthens the capacity of the community level health workforce through hands-on, real-life experiences and illustrates a practical example of health systems strengthening. The Model may also contribute to motivation and retention of the community level health workforce. Further documentation and analysis should be carried out to determine the effectiveness and impact of the Community College Model in enhancing CHV skills, career progression and household health outcomes.
Community Health Workers, Community College, Competence Training, Curriculum, Community Volunteers, Health Workforce, Health Systems
[01] Accorsi S, Bilal NK, Farese P, Racalbuto V. (2010). Countdown to 2015: comparing progress towards the achievement of the health Millennium Development Goals in Ethiopia and other sub Saharan African countries. Trans R Soc Trop Med Hyg 2010; 104: 336–42.
[02] Anand, S., Barnighausen, T. (2004) Human resources and health outcomes: cross-country econometric study. Lancet 2004; 364:1603-09.
[03] Bakeera S, Wamala S, Galea S, State A. Peterson S, Pariyo G. (2009). Community perceptions and factors influencing utilization of health services in Uganda. Int J Equity Health 2009; 8: 25.
[04] Bhutta ZA, Soofi S, Memon Z. (2008). Training for Lady Health Workers clarifi ed. Bull World Health Organ 2008; 86: B.
[05] Bhutta, Z., Lassi, Z., Pariyo, G., Huicho, L. (2010). Global experience of community health for delivery of health related Millennium Development Goals: a systematic review, country case studies, and recommendations for integration into national health systems. Geneva: Global Health Workforce Alliance, 2010. Accessed March 6, 2015.
[06] Crisp, N. (2010). Turning the world upside down: the search for global health in the 21st Century. WHO, Geneva.
[07] Dussault, G., Franceschini, M.C. (2006). "Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce", Human Resources for Health. 4:12.2006.
[08] Frenk, J., Chen, L., Bhutta, Z., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Yang, K., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world (2010). The Lancet Commissions.
[09] Global Health Workforce Alliance (2010). Community health workers: key messages. Global consultation on community health workers. Montreux, Switzerland, 2010. (accessed January 20, 2015).
[10] Haines A, Sanders D, Lehmann U, Rowe AK, Lawn JE, Jan S, Walker DG, Bhutta Z. (2007). Achieving child survival goals: potential contribution of community health workers. Lancet 2007; 369: 2121–31.
[11] Kaseje, M., Kaseje, D., and Spencer, H. (1987). The Training Process in Community Based Health Care in Saradidi, Kenya. Annals of Tropical Medicine and Parasitology, Vol. 81, Supplement No 1, 67-76, 1987.
[12] Ministry of Medical Services and Ministry of Public Health and Sanitation, Kenya (2013). Health Sector Strategic and Investment Plan (KHSSP), July 2013 – June 2017.
[13] Ministry of Health, Kenya (2006). Reversing the trends. The Second National Health Sector Strategic Plan of Kenya. Taking the Kenya Essential Package for Health to the Community. Ministry of Health, June 2006.
[14] McCarey, M., Barr, T., and Rattray, J. (2007). Predictors of academic performance in a cohort of pre-registration nursing students. In: Nurse Education Today, Vol. 27, No. 4, 05.2007, p. 357-364.
[15] Ministry of Health, Kenya (2014). Transforming Health: Accelerating Attainment of Health Goals: Analysis of Performance, 2013/14.
[16] Ofori R, Charlton JP. (2002). A path model of factors influencing the academic performance of nursing students. J Adv Nurs 2002; 38: 505-17.
[17] Rabinowitz, H., Diamond J., Hojat, M., Hazelwood, C. (1999). Rural Health Research: Demographic, Educational and Economic Factors Related to Recruitment and Retention of Physicians in Rural Pennsylvania. The Journal of Rural Health, Volume 15, Issue 2, pages 212–218, March 1999.
[18] Sherman, R. and Pross, E. (2010) Growing Future Nurse Leaders to Build and Sustain Healthy Work Environments at the Unit Level. Online Journal of ssues in Nursing, Vol 15-2010, No. 1, 2010.
[19] Wangalwa, G., Cudjoe, B., Wamalwa, D., Machira, Y., Ofware, P., Ndirangu, M., and Ilako, F. (2012). Effectiveness of Kenya’s Community Health Strategy in delivering community-based maternal and newborn health care in Busia County, Kenya: non-randomized pre-test post test study. Pan Afr Med J. 2012;13(Supp 1):12.
[20] WHO, (2007). Everybody’s Business: Strengthening Health Systems to Improve health Outcomes. 2007. Accesses March 9, 2015.
[21] WHO (2010). Increasing access to health workers in remote and rural areas through improved retention. Geneva: World Health Organization, 2010. Accessed April 6, 2015.
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