Institutional Factors Influencing Motivation of Community Health Volunteers in Project Implementation in Kaloleni Sub-county, Kilifi County, Kenya

Abstract

Institutional factors influence motivation of Community Health Volunteers (CHVs) to implement health care projects at a community level. CHVs undertake functions like promotion, prevention, and primary curative healthcare services. The specific study objective is to determine the influence of remuneration, establish the influence of training and capacity building, determine the influence of institutional working culture and establish the influence of technological empowerment of CHVs on the projects implementation. The research adopts a descriptive research design targeting a population of five hundred and fifty (550) trained CHVs from KaloleniSub-county, Kilifi County. The studyimplements the Slovin’s formula in obtaining a sample size of 227 responders. The researcher utilized a stratified random sampling technique applied in the selected sample. The study used a questionnaire as the primary method to collect data and SPSS software for generating inferential and descriptive statistics. The researcher conducted a factor analysis to assess the validity convergence of thetheoretical constructs. The assumption on remuneration, training, institutional working culture and technological empowerment had the values greater than 0.5 thus, were adopted. The conclusion results demonstrated that remuneration, training, institutional working culture and technological empowerment were significantly and positively related. The results from regression analysis also indicated that remuneration, training, institutional working culture and technological empowerment were significantly and positively related.The results from regression analysis indicate that unitary improvement in remuneration of the CHVs results in an improved motivation in project implementation by a standard beta coefficient value of 0.88 when other factors are held constant. The unitary improvement in the training of the CHVs results in an improved motivation in project implementation by a standard beta coefficient of 0.622 when other factors are held constant. The unitary improvement in the institutional working culture of the CHVs results in an improved motivation in project implementation by standard beta coefficient of 0.499 when other factors are held constant. The finding also indicated training of community health workers and motivation in project implementation in KaloleniSub-county were significantly and positively related (β= 0.101, p=0.016) and a standardize beta coefficient of 0.87. the researcher. The research concludes that community health volunteers in KaloleniSub-county receive consistent remuneration in project implementation enabling them to implement health projects effectively regardless of the community social background. The community health volunteers must undergo objective training targeting the development project implementation curriculum. The community health volunteers participate in benchmarking and tours to acquire ideas from other project implementation areas. The research recommends harmonization of incentive remuneration to increase income commitment for community health volunteer families. Conducting benchmarking and training to effectively provide community health volunteers with exposure to implementing projects.