Relationship between task shifting and service delivery in informal settlements: a case of community health volunteers in Kibra
Date
2023
Authors
Kiranka, K. N.
Journal Title
Journal ISSN
Volume Title
Publisher
Strathmore University
Abstract
Human Resource for Health is an essential pillar in provision of quality and responsive health care services for the population. However due to the shortage of health care workers in sub-Sahara Africa and worse in Kenya, the WHO has recommended the need for other strategies like task shifting as a way of managing these challenges. This study therefore sought to evaluate the strategy of task shifting and its implications on service delivery of non-Communicable diseases by the community health volunteers in the informal sector of Kibera in Nairobi County. The objectives of the study were to establish service delivery of community health volunteers on noncommunicable diseases, assess the effect of community health volunteers' skills on service delivery, evaluate the effect of training of community health volunteers on service delivery and determine the effect of motivation of community health volunteers on service delivery. The ability, motivation and opportunity theory and expectation theory were used to guide this study. The current study adopted a positivist approach. A descriptive cross-sectional design was used. The study targeted community health volunteers in Kibra. Slovin’s formula was used to calculate the sample size of 144 respondents. A semi-structured questionnaire was used to collect data from the respondents. Descriptive and regression analysis were used to analyse data using SPSS. Results were presented in form of tables and graphs. This study's findings exhibit that skill, motivation, training attributes, gender, age, and education level explained 58.2% of the total variation in service delivery (R2 = .582, F (17, 108) = 8.85, p < .001). This model had the greatest R square (R2) showing that skill has a significant positive effect on service delivery (β = .413, p < .01). On average, every unit increase in skill rating is associated with a .413 unit increase in service delivery rating, all else fixed. The study recommended that skilling of CHVs with regard to NCDs be given more weight as the other soft skills are, harmonize training calendar and creatively always find more sustainable ways of incentivizing the CHVs.
Description
Full - text thesis
Keywords
Citation
Kiranka, K. N. (2023). Relationship between task shifting and service delivery in informal settlements: A case of community health volunteers in Kibra [Strathmore University]. http://hdl.handle.net/11071/13507