ACKNOWLEDGEMENTS
I must convey my deepest appreciation to my chief
supervisor Dr Sylvia Callender -Carter and my supervisors Dr. Beth Sigue and
Dr. Paul Katamba, who gave me valuable guidance, support. Also the
encouragement from Dr. Rhoda Kayongo and Dr. Moses Kayongo the good will from
the initial to the final stage of helping me to develop an understanding of
this paper. Your advice has played by Stephan S. Kizza. is an outstanding role
in shaping this paper. Your comments and observations were vital inputs which
enabled me to improve this paper.
It is a pleasure to express my gratitude to my colleagues for
helping me and sharing experiences and discussing courses.
My special thanks to my wife, sons, parents, brothers and
sisters for their priceless support.
May God bless all of you!
TABLE
OF CONTENTS
PAGE
LIST OF TABLES
x
LIST OF FIGURES
xi
LIST OF APPENDICES
xii
LIST OF ABREVIATION
xiii
ABSTRACT
xiv
CHAPTER ONE
1
INTRODUCTION
1
Background of the Study
1
Statement of the Problem
3
Research Questions
5
General Objective
6
Specific Objectives
6
Hypothesis
6
Significance of the Study
6
Scope of the Study
7
Limitation of Study
8
Theoretical Framework
9
Conceptual Framework
10
Operational Definitions of Terms
10
CHAPTER TWO
13
LITERATURE REVIEW
13
The Context of Community Health Workers
13
Community Health Workers' Incentives in Rwanda
15
Provision of Equipment
18
Compensating CHWs and Perdiem as an Incentive
20
Membership in CHW's Cooperatives
22
Maternal and New Born Health Services
23
PAGE
Relationship between CHWs Incentive and Improve
Maternal and Newborn Health
24
Summary of Identified Gaps
25
CHAPTER THREE
28
METHODOLOGY
28
Population of Study
28
Sample Size
28
Sampling Procedure
29
Research Instruments
30
Validity
30
Reliability
31
Data Collection Procedure
31
Data Analysis
32
CHAPTER FOUR
33
RESULTS AND DISCUSSIONS
33
Demographic Characteristics of Research
Participants
33
Level of Community Health Workers incentives
36
Relationship between CHW's Incentives and
Performance of Maternal and Newborn Health Services
40
CHWs Financial Incentives on Performance of MNH
41
Membership in CHWs Cooperatives on Performance of
MNH
42
CHAPTER FIVE
44
SUMMARY, CONCLUSION AND RECOMMENDATION
44
Summary
44
Conclusion
46
Recommendation
47
REFERENCES
48
APPEND ICES
52
LIST OF TABLES
TABLE
PAGE
Table 1: Showing Incentives and Desincentives
CHWs
23
Table 2: The Number of Population Sample
29
Table 3: Social-Demographic Characteristics of
Respondents
34
Table 4: Level of Community Health Workers
incentives
37
Table 5: Level of Maternal and Newborn Health
Service
39
Table 6: Logistic Regression of Community Health
Workers Related incentives and Performance Maternal - Newborn Health Services
in the Study Area
41
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