Reproductive IssuesNCT05748418
CHWs' Challenges and Job Satisfaction
An observational study of Reproductive Issues, run by Assiut University.
Trial summary
1. Determine the role of CHWs in health system. 2. Identify the barriers \& obstacles they face in their work. 3. Determine factors related to motivation and satisfaction of CHWs job. 4. Identify the role of CHWs in family planning services. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Reproductive Issues
- How many people
- 250 participants
- Where
- No sites listed yet
- Study dates
- 1 Oct 2023to 1 Dec 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Adult, Older adult
Study population: Community health workers working in Assiut governorate.
Who may be able to join
- Community health workers working in Assiut governorate.
Who cannot join
- Other healthcare providers.
- People with mental illness.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Challenges Facing Community Health Workers (CHWs) in Provision of Health Services in Assiut Governorate
- Determine the role of CHWs in health system.
- Identify the barriers \& obstacles they face in their work.
- Determine factors related to motivation and satisfaction of CHWs job.
- Identify the role of CHWs in family planning services.
Read the detailed description
WHO consider "Community health workers should be members of the communities where they work, should be selected by the communities, should be answerable to the communities' needs and priorities, should be supported by the health system but not necessarily a part of the government and have shorter training than professional health workforce".
CHWs aims to provide appropriate, accessible care and bring care closer to mothers and babies, bridging the service delivery gap in underserved communities.
CHWs can effectively provide key primary, maternal, and newborn health care services including immunizations, tuberculosis treatment and contraceptive counseling.
CHWs face several challenges in reaching their full potential. Many of the obstacle's stem from a lack of understanding about their role within primary health system.
CHWs are faced by community and familial expectations of selflessness, equitably applied care, maintaining domestic responsibilities at home and implied understanding that extra work did not amount to extra pay.
In addition, motivation and satisfaction are key not only for retention but also for performance. Better workforce performance is positively associated with higher job satisfaction, and low levels of job satisfaction adversely affect employee commitment and sequentially affect achievement of organizational objectives and performance. Factors strongly associated with CHW satisfaction include relationships with health workers and communities, the availability of job aides and the capacity to provide services and with the training. On the other hand, CHWs were highly dissatisfied with the unavailability of transportation for carrying out their tasks and the lack of allowances or financial incentives. Also, Non-financial incentives include community recognition and respect, acquisition of valued skills, personal growth and development, accomplishment, peer support and community factors like relations with communities and leaders. Other supportive CHW programmed factors.
include frequent supervision and continuous training. therefore, CHW interventions must be implemented with an understanding of the complex challenges faced by CHWs and community members. This would in turn empower CHWs in navigating complex relationships within the community and the health system.
- Conditions
- Reproductive Issues
What is being measured
The primary outcome is the main question the study is designed to answer.
CHWs' challenges
challenges facing community health workers in provision of health services in Assiut governorate using self-administrated questionnaire.
Measured: baseline
CHWs' satisfaction
Determine factors related to motivation and satisfaction of CHWs' job to achieve better performance using self-administrated questionnaire.
Measured: baseline
Secondary outcomes (1)
role of community health workers in reproductive health services in Assiut governorate.
Identify the role of CHWs in family planning services to to facilitate access to the service for its beneficiaries.
Measured: baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Feb 2023
- Study start1 Oct 2023 (estimated)
- Primary completion1 Oct 2025 (estimated)
- Study completion1 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Reproductive IssuesStudies of the same condition, open and under way.
- More trials run by Assiut UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 250 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assiut University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Doneez Amir Adly Eskander, Assiut University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05748418
- Sponsor's protocol ID
- CHWs in Assiut Governorate
- Status last verified
- Feb 2023
- First submitted
- 1 Feb 2023
- Last updated
- 28 Feb 2023
- Results posted
- No
Publications
Laurenzi CA, Skeen S, Rabie S, Coetzee BJ, Notholi V, Bishop J, Chademana E, Tomlinson M. Balancing roles and blurring boundaries: Community health workers' experiences of navigating the crossroads between personal and professional life in rural South Africa. Health Soc Care Community. 2021 Sep;29(5):1249-1259. doi: 10.1111/hsc.13153. Epub 2020 Sep 4.
PubMed 32885519Njororai F, Ganu D, Nyaranga KC, Wilberforce C. Role of Socio-Demographic and Environmental Determinants on Performance of Community Health Workers in Western Kenya. Int J Environ Res Public Health. 2021 Nov 8;18(21):11707. doi: 10.3390/ijerph182111707.
PubMed 34770222
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Challenges Facing Community Health Workers (CHWs) in Provision of Health Services in Assiut Governorate
- ClinicalTrials.gov ID
- NCT05748418
- Acronym / sponsor ID
- CHWs in Assiut Governorate
- Conditions
- Reproductive Issues
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 250 participants (estimated)
- Lead sponsor
- Assiut UniversityUniversity, hospital or other
- Study start
- 1 Oct 2023 (estimated)
- Primary completion
- 1 Oct 2025 (estimated)
- Study completion
- 1 Dec 2025 (estimated)
- First posted
- 28 Feb 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- Determine the role of CHWs in health system.
- Identify the barriers \& obstacles they face in their work.
- Determine factors related to motivation and satisfaction of CHWs job.
- Identify the role of CHWs in family planning services.
Detailed description
WHO consider "Community health workers should be members of the communities where they work, should be selected by the communities, should be answerable to the communities' needs and priorities, should be supported by the health system but not necessarily a part of the government and have shorter training than professional health workforce".
CHWs aims to provide appropriate, accessible care and bring care closer to mothers and babies, bridging the service delivery gap in underserved communities.
CHWs can effectively provide key primary, maternal, and newborn health care services including immunizations, tuberculosis treatment and contraceptive counseling.
CHWs face several challenges in reaching their full potential. Many of the obstacle's stem from a lack of understanding about their role within primary health system.
CHWs are faced by community and familial expectations of selflessness, equitably applied care, maintaining domestic responsibilities at home and implied understanding that extra work did not amount to extra pay.
In addition, motivation and satisfaction are key not only for retention but also for performance. Better workforce performance is positively associated with higher job satisfaction, and low levels of job satisfaction adversely affect employee commitment and sequentially affect achievement of organizational objectives and performance. Factors strongly associated with CHW satisfaction include relationships with health workers and communities, the availability of job aides and the capacity to provide services and with the training. On the other hand, CHWs were highly dissatisfied with the unavailability of transportation for carrying out their tasks and the lack of allowances or financial incentives. Also, Non-financial incentives include community recognition and respect, acquisition of valued skills, personal growth and development, accomplishment, peer support and community factors like relations with communities and leaders. Other supportive CHW programmed factors.
include frequent supervision and continuous training. therefore, CHW interventions must be implemented with an understanding of the complex challenges faced by CHWs and community members. This would in turn empower CHWs in navigating complex relationships within the community and the health system.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Community health workers working in Assiut governorate.
Key inclusion criteria (1 listed)
- Community health workers working in Assiut governorate.
Key exclusion criteria (2 listed)
- Other healthcare providers.
- People with mental illness.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
CHWs' challenges
Time frame: baseline
challenges facing community health workers in provision of health services in Assiut governorate using self-administrated questionnaire.
CHWs' satisfaction
Time frame: baseline
Determine factors related to motivation and satisfaction of CHWs' job to achieve better performance using self-administrated questionnaire.
1 secondary outcome
role of community health workers in reproductive health services in Assiut governorate.
Time frame: baseline
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2023.
- Background: PubMed 32885519Laurenzi CA, Skeen S, Rabie S, Coetzee BJ, Notholi V, Bishop J, Chademana E, Tomlinson M. Balancing roles and blurring boundaries: Community health workers' experiences of navigating the crossroads between personal and professional life in rural South Africa. Health Soc Care Community. 2021 Sep;29(5):1249-1259. doi: 10.1111/hsc.13153. Epub 2020 Sep 4.
- Background: PubMed 34770222Njororai F, Ganu D, Nyaranga KC, Wilberforce C. Role of Socio-Demographic and Environmental Determinants on Performance of Community Health Workers in Western Kenya. Int J Environ Res Public Health. 2021 Nov 8;18(21):11707. doi: 10.3390/ijerph182111707.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Questions about this trial
What is this clinical trial studying?
An observational study of Reproductive Issues, run by Assiut University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 28 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Doneez Amir (+201220225678, Doneez.Amir@aun.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
CHWs' challenges (time frame: baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05748418, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2023.