- Title
- Motivational factors influencing retention of village health workers in rural communities of Bhutan
- Creator
- Tshering, Dolley; Tejativaddhana, Phudit; Siripornpibul, Taweesak; Cruickshank, Mary; Briggs, David
- Date
- 2019
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/170399
- Identifier
- vital:14186
- Identifier
-
https://doi.org/10.1177/1010539519853445
- Identifier
- ISBN:1010-5395
- Abstract
- Village health workers (VHWs) are the first contact extending vital health services to unreached and underserved communities in Bhutan. VHWs truly embody the principles of primary health care and are effective catalysts in promoting community health. This study identifies and confirms factors motivating VHWs to remain in the health care system. This is a quantitative study with a cross-sectional survey design. Two-stage cluster sampling was used with VHWs from 12 districts representing 3 regions of Bhutan. Data were collected using pretested semistructured questionnaires. Confirmatory factor analysis was used for data analysis. Findings reveal a 4-factor model of motivations among VHWs that includes social, personal, job related, and organizational factors. Among these, the social factor most significantly motivates VHWs to remain in the health care system. VHW motivation can be further fostered by providing a holistic combination of financial and nonfinancial incentives that recognize intrinsic needs and empower innate altruism. What We Already Knowwe already know that there are varied of motivating factors for village health workers to remain in the health care systems in different countries. What This Article Adds This article adds a new body of knowledge. The current study found that social factor is the main motivating factor for village health workers in Bhutan, which requires due consideration by health managers and policymakers during the decision-making process.
- Publisher
- Sage Publications Inc.
- Relation
- Asia-Pacific Journal of Public Health Vol. 31, no. 5 (2019), p. 433-442
- Rights
- Copyright © 2019 APJPH.
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1117 Public Health and Health Services; Motivating factors; Retention; Village health workers; Rural; Communities; Bhutan
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