Assessment of Community Health Workers Performance in Tracking Back HIV Patients to treatment in Katavi Region, Tanzania.

Ndabagenga,, Katale Iddi (2024) Assessment of Community Health Workers Performance in Tracking Back HIV Patients to treatment in Katavi Region, Tanzania. Masters thesis, The Open University of Tanzania.

PDF - Submitted Version Available under License Creative Commons Attribution No Derivatives. Download (668kB)

Abstract

Community Health Workers are well known for their contribution in tracking back HIV patients to treatment. Despite their effort, the extent to which they contribute in tracking back HIV patients to treatment in a low to medium HIV prevalence region such as Katavi (3.8%) is unknown. The aim of this study was to analyze the performance of CHWs in tracking back HIV patient to treatment and examining whether individual and institutional factors associated with their performance are applicable in Katavi region. Methods: Cross-sectional design was used where by questionnaires were administered to both 138 sampled CHWs and 5 key informants (CHW coordinators) to gather required information. The dependent variable was CHWs performance while independent variables were individuals and institutional factors associated with CHWs performance. Logistic regression was used to examine the applicability of factors associated with CHWs performance. Results: The performance level of CHWs was good (77.7%). Individual factors found to be significant applicable were age and education level. education level was more significant (OR 6.25, 95% CI 1.17 - 33.37, p=0.032 for certificate; OR 0.26, 95% CI 0.09 - 0.72, p=0.010 for secondary level) as compared to age (OR 5.09, 95% CI 1.32 - 19.50, p=0.006 for age 26-35 years; OR 0.07, 95% CI 0.00 - 0.68, p=0.036 for above 45 years). Organizational factors found to be significant applicable were working gears (OR 0.33, 95% CI 0.13 - 0.78, p=0.013) and allowance (OR 3.86, 95% CI 1.02 - 14.52, p=0.045 for 80,000 and OR 4.70, 95% CI 1.66 - 13.31, p=0.003 for 100,000). Conclusion: CHWs performance was good (77.7%) but for the sake of eradicating new HIV infection, factors affecting their performance should not be left unchecked. Keywords: Community Health Workers, Tracking back HIV patients, HIV prevalence

Actions (login required)

View Item