Analysis of the determinants of community health worker performance in Côte d'Ivoire: The case of Madinani Health District
Keywords:
community health workers, performance, determinantsAbstract
This work focusses analyzing the determinants of community health worker (CHW) performance in Madinani health district (northwestern Côte d'Ivoire) with the aim of improving population access to primary healthcare services. Individual CHW and program contextual data were collected and entered individually with the support of the health district. With support from the NGO Muso, the 134 CHWs were classified into two groups: high-performing (coverage rate ≥ 80%) and low-performing (coverage rate < 80%). Thus, the econometric analysis using a Logit model reveals that male gender, larger household size, and dedicated supervision increase the likelihood of a CHW being more efficient. Dedicated supervision thus plays a key role in creating a structured work environment where community health workers feel supported and guided. This type of supervision is strongly encouraged in CHW programs to ensure good performance.
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