Table 4 |
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CHW survey in Sylhet District, Bangladesh: job satisfaction and challenges related to work among current and former CHWs |
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Current N = 46 |
Former N = 23 |
Total N = 69 |
p from Chi-square |
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Fulfilment of pre-hire expectations |
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Self-development |
I have enhanced my communication skills. |
38 (83%) |
18 (78%) |
56 (81%) |
N.S. |
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I have enjoyed working in the community. |
27 (59%) |
12 (52%) |
39 (57%) |
N.S. |
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I have a new sense of self-pride and accomplishment from my job. |
35 (76%) |
18 (78%) |
53 (77%) |
N.S. |
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I feel that I have adequate field experience to qualify for other public health jobs. |
32 (70%) |
15 (65%) |
47 (68%) |
N.S. |
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Dissatisfaction with pay |
I think I should be paid more. |
39 (85%) |
20 (87%) |
59 (86%) |
N.S. |
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I do not have enough money to cover my work-related expenses. |
22 (48%) |
13 (57%) |
35 (51%) |
N.S. |
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Recognition and contribution to community health |
Newborn family valued my night attendance to delivery or newborn illness. |
29 (91%)a |
7(88%)a |
36 (90%)a |
N.S. |
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Newborn family valued my care even in the event of a neonatal death |
27 (90%)b |
7 (88%)b |
34 (89%)b |
N.S. |
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I am proud to be a CHW and feel that my work is valued. |
32 (70%) |
14 (61%) |
46 (67%) |
N.S. |
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Use of time |
The job has required the amount of time than I expected it would. |
27 (59%) |
14 (61%) |
41 (59%) |
N.S. |
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Challenges in serving as CHW |
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Difficult aspects of work |
Conducted night visits for delivery or illness |
32 (70%) |
8 (35%) |
40 (58%) |
0.0058 |
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Experienced death of newborn under her care |
30 (65%) |
8 (35%) |
38 (55%) |
0.017 |
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Working outside home community or area |
11 (24%) |
7 (30%) |
18 (26%) |
N.S. |
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Familial reaction to night work or work outside home area |
My family discouraged and/or questioned necessity of my conducting night visits. |
13 (41%)a |
5 (63%)a |
18 (45%)a |
N.S. |
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Moving outside home area a problem since I am not living with other family members. |
6 (55%)c |
3 (43%)c |
9 (50%)c |
N.S. |
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I do not feel a part of the community. |
4 (36%)c |
3 (43%)c |
7 (39%)c |
N.S. |
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Supervision, support and workload |
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Supervision & supportd |
I receive immediate help when I need it. |
29 (63%) |
17 (74%) |
46 (67%) |
N.S. |
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I receive regular feedback from my supervisors on my performance and quality of work. |
39 (85%) |
22 (96%) |
61 (88%) |
N.S. |
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I feel that if I have a concern, I can share it with my supervisor/manager. |
38 (83%) |
20 (87%) |
58 (84%) |
N.S. |
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I feel that my supervisor understands my job and the challenges I face. |
35 (76%) |
16 (70%) |
51 (74%) |
N.S. |
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Workload |
I have enough time to complete my daily tasks. |
28 (61%) |
15 (65%) |
43 (62%) |
N.S. |
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I have enough time for my personal duties. |
3 (7%) |
2 (9%) |
5 (7%) |
N.S. |
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My schedule is flexible, can tailor it to my preferences & those of families I work with. |
22 (48%) |
13 (57%) |
35 (51%) |
N.S. |
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Sample: 69 of the 73 current and former CHWs in the project at time of the survey [a] Among CHWs who had conducted nights visits [Total = 40 (32 Current, 8 Former); [b] Among CHW who had experienced a neonatal death [Total = 38 (30 Current, 8 Former); [c] Among CHWs who worked outside of residential area [Total = 18, 11 Current, 7 Former] [d] Missing significant amount of data |
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Rahman et al. Human Resources for Health 2010 8:12 doi:10.1186/1478-4491-8-12 |
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