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Table 1 Process of development of CHW questions for the evaluation questionnaire

From: Mixed method evaluation of a learning from excellence programme for community health workers in Neno, Malawi

 

Question

Construct

Adapted

Reason for adaptation

1 [33]

In general, I am very satisfied with my job

Motivation (general motivation)

NA

 

2 [34]

I am actively seeking other employment

Motivation (job satisfaction)

If I could, I would do a different job

CHWs have limited education and there are few opportunities for them so we changed it to find out if they would potentially change roles if they could

3 [33]

This health facility really inspires me to do my very best on the job

Motivation (organisational commitment)

I feel my work is appreciated and valued by the SCHW and Site Supervisor

More specific, which was thought to make it easier for CHWs to answer the question

4 [33]

I am proud to be working for this facility

Motivation (organisational commitment)

I am proud to be a CHW

CHWs don’t work in a facility, so we focused on their role as CHW

5 [33]

I am not satisfied with my colleagues at work

Motivation (job satisfaction)

I feel part of a Community Health Team

PIH preferred the question to be phrased positively as they expected a more honest response, additionally, we made it more specific

6 [35]

My supervisor meets with me regularly to discuss problems and solutions

Perceived supervision

I feel able to discuss work-related problem with other CHWs and SCHWs

More specific, which was thought to make it easier for CHWs to answer the question

7 [33]

Feel motivated to work hard

Motivation (general motivation)

I feel motivated to work as hard as I can

More specific, which was thought to make it easier for CHWs to answer the question

8 [33]

Only do this job to get paid

Motivation (general motivation)

In only do this job to get paid at the end of the month

More specific, which was thought to make it easier for CHWs to answer the question

9 [35]

My supervisor meets with me regularly

Perceived supervision

The SCHW meets with me regularly

More specific was thought to make it easier for CHWs to answer the question

10 [35]

My supervisor helps me to update my knowledge

Perceived supervision

The SCHW helps me to update my knowledge and skills

More specific was thought to make it easier for CHWs to answer the question. Additionally, not just knowledge but also skills included

  1. CHW = Community Health Worker
  2. NA = Not Applicable
  3. PIH = Partners in Health
  4. SCHW = Senior Community Health Worker