FACTORS AFFECTING THE PERFORMANCE OF COMMUNITY HEALTH WORKERS IN THE REMOTE AREAS A CASE STUDY OF HABASWEIN SUB COUNTY WAJIR COUNTY

Abstract

This study addressed the performance of Community Health Workers (CHWs) in remote areas, focusing on Habas Wein Sub County, Kenya. The problem underscored challenges related to training, social support, resource availability, and cultural sensitivity. Objectives included assessing the impact of these factors on CHW performance. The target population comprised 230 CHWs, and the study employed a census sampling technique. Data collection involved a 5-point Likert scale questionnaire. Following a pilot study, validity and reliability were assured. Data were analyzed descriptively using Excel, with graphical representation. Ethical considerations, including informed consent, voluntary participation, confidentiality, privacy, and anonymity, were prioritized. This study offered insights into enhancing CHW effectiveness in remote settings. Focused on Community Health Workers (CHWs) in Habas Wein Sub County, Wair County, the study identified key findings that elucidated factors influencing CHW performance in remote areas. The research revealed a significant impact of well-designed training programs on CHW effectiveness, emphasizing the relevance of tailored training content and sustained evaluations. Social support emerged as a crucial determinant, with positive relationships and teamwork enhancing job satisfaction and overall performance. Adequate resource availability, encompassing financial, logistical, and human resources, proved instrumental in optimizing CHW capabilities and healthcare service delivery. Furthermore, the study underscored the importance of cultural sensitivity, emphasizing that CHWs with enhanced cultural competence demonstrated improved community engagement and health outcomes. In conclusion, the study highlighted the multifaceted nature of factors influencing CHW performance in remote areas, emphasizing the interconnectedness of training, social support, resource availability, and cultural competence. The findings contributed valuable insights for policymakers, healthcare organizations, and training institutions to enhance CHW programs and community health initiatives. The major recommendations from this study advocated for the development and implementation of context-specific training programs, fostering supportive environments for CHWs, and ensuring adequate resource provision. Culturally tailored interventions and ongoing evaluations were crucial to sustaining CHW effectiveness. Policymakers were urged to prioritize resource allocation for CHW programs, fostering collaborative efforts with communities to address unique challenges. Future research should delve deeper into specific cultural competencies and their impact on CHW performance, contributing to a more nuanced understanding of community health dynamics. These recommendations collectively aimed to strengthen CHW programs and improve healthcare outcomes in remote areas.