Effect of socio-demographic characteristics on performance of Community Health Workers: A cross sectional study in Makueni County, Kenya

Abstract

Introduction: The aim of the study was to determine the socio demographic characteristics ofCommunity Health Workers in Kibwezi Sub-county and their effect on performance. Methods: It was a crosssectional comparative study in which socio demographic characteristics of Community Health Workers receiving monetary incentives was compared to those not receiving monetary incentives and each characteristic was assessed for its influence on performance of CHWs. Data was collected using a structured questionnaire, key informant interview guide and focus group discussion guide. Relationship between variables was determined using chi square and odds ratios. Results: Sex was not associated with performance in this study. [OR= 1.2406 P-value=0.535]. Age was significantly associated with performance of CHWs, performance of those who were in the age bracket of 40-49 years was three times better than those aged 20-29 Years [OR= 3.6327 P= 0.022).Marital status was significantly associated with performance of CHWs. The odds of performance was three times higher for those CHWs who were single compared to those who were married. [OR 3.306 P-value= 0.018]. Education level was significantly associated with performance, CHWs who had an education level up to primary school were better performers than those with secondary school education level.[OR 2.901786 P value= 0.002 ).Conclusion: Socio demographic characteristics of CHWS have an influence on their performance. Married, middle aged and CHWs who had primary school level of education were found to have better performance. The Selection criteria of CHWs should consider the age, level of education and marital status for optimal performance and results.