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Table 7 Determinants of CHWs performance in the malaria prevention and control interventions at community

From: Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis

Characteristic

% of CHWs and performance score category

p-value: Fishers exact

< 12 (poor)

12+ (good)

n (%)

n (%)

Education

 No formal and primary

8 (88.9)

1 (11.1)

1.0

 Secondary/tertiary

21 (84.0)

4 (16.0)

 

Clinic catchment

 Libuyu

12 (80.0)

3 (20.0)

0.634

 Nakatindi

17 (89.5)

2 (10.5)

 

Age categories

 < 40 years

4 (66.0)

2 (34.0)

0.25

 40+ years

25 (89.3)

3 (10.7)

 

Occupation

 Business

16 (88.9)

2 (11.1)

0.6

 Other

13 (81.2)

3 (18.8)

 

Marital status

 Married

12 (70.9)

5 (29.4)

0.015*

 Other

17 (100.0)

0 (0.0)

 

Income

 < K500

14 (87.5)

2 (12.5)

1.0

 K500-K1500

15 (83.3)

3 (16.7)

 

Sex

 Male

7 (70.0)

3 (30.0)

0.138

 Female

22 (91.7)

2 (8.3)

 

No of household members

 < 6

11 (91.6)

1 (8.4)

0.635

 6+

18 (81.8)

4 (18.2)

 

No of children U-5

 0

15 (88.2)

2 (11.8)

1.0

 1+

14 (82.3)

3 (17.7)

 

Work experience in malaria

 6-12 months

17 (100.0)

0

0.04*

 Above 12 months

12 (70.5)

5 (29.5)

 

Reason for being CHW

 Recommended by NHC

21 (84.0)

4 (16.0)

0.73

 Interest in malaria

8 (88.9)

1 (11.1)

 

Incentive/payment received

 Yes

1 (100.0)

0

1.0

 No

28 (84.8)

5 (15.2)

 

Supervised

 Never

0

1 (100)

0.303

 Every 6 months

2 (100.0)

0

 

 Every 3 months

16 (84.2)

3 (15.8)

 

 Monthly

11 (91.7)

1 (8.3)

 

Supervisor

 Clinic

1 (20.0)

4 (80.0)

0.002*

 NHC Chairman

5 (100.0)

0

 

 NGO

23 (95.8)

1 (4.2)

 

Record for reports

 Register

0

1 (100.0)

0.05*

 Phone

2 (66.7)

1 (33.3)

 

 Paper

3 (75.0)

1 (25.0)

 

 Book

24 (92.3)

2 (7.7)

 
  1. *significant finding