Commonly cited incentives in the community implementation of the emergency maternal and newborn care study in western Kenya.
BACKGROUND
Mortality of mothers and newborns is an important public health problem in low-income countries. In the rural setting, implementation of community based education and mobilization are strategies that have sought to reduce these mortalities. Frequently such approaches rely on volunteers within each community.


OBJECTIVE
To assess the perceptions of the community volunteers in rural Kenya as they implemented the EmONC program and to identify the incentives that could result in their sustained engagement in the project.


METHODS
A community-based cross sectional survey was administered to all volunteers involved in the study. Data were collected using a self-administered supervision tool from all the 881 volunteers.


RESULTS
881 surveys were completed. 769 respondents requested some form of incentive; 200 (26%) were for monetary allowance, 149 (19.4%) were for a bicycle to be used for transportation, 119 (15.5%) were for uniforms for identification, 88 (11.4%) were for provision of training materials, 81(10.5%) were for training in Home based Life Saving Skills (HBLSS), 57(7.4%) were for provision of first AID kits, and 39(5%) were for provision of training more facilitators, 36(4.7%) were for provision of free medication.


CONCLUSIONS
Monetary allowances, improved transportation and some sort of identification are the main incentives cited by the respondents in this context.
School of Medicine, Moi University, Kenya ; Moi Teaching and Referral Hospital, Eldoret, Kenya.
P
P
Gisore
B
B
Rono
I
I
Marete
J
J
Nekesa-Mangeni
C
C
Tenge
E
E
Shipala
H
H
Mabeya
D
D
Odhiambo
K
K
Otieno
S
S
Bucher
C
C
Makokha
E
E
Liechty
F
F
Esamai
D000328:Adult; D003150:Community Health Workers / Q000523:psychology; D004632:Emergency Medical Services; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D007630:Kenya; D008297:Male; D008427:Maternal Health Services; D008875:Middle Aged; D009042:Motivation; D016730:Program Development; D019035:Rural Health Services; D055815:Young Adult
Emergency Obstetric and Neonatal Care; Incentives; community health workers; community implementation; community participation; motivation