The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana
Abstract Background The contribution of community medicine distributors (CMD) to prompt health service delivery in areas described as “hard-to-reach” is important but the value of their work time remains unknown and thus makes it difficult to design appropriate regular financial incentives to motiva...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2012
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-11-277 https://doaj.org/article/412914f5db0c405c91ee0ddd327274bc |
id |
ftdoajarticles:oai:doaj.org/article:412914f5db0c405c91ee0ddd327274bc |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:412914f5db0c405c91ee0ddd327274bc 2023-05-15T15:14:20+02:00 The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana Agyei-Baffour Peter Hansen Kristian S Browne Edmund N L Magnussen Pascal 2012-08-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-277 https://doaj.org/article/412914f5db0c405c91ee0ddd327274bc EN eng BMC http://www.malariajournal.com/content/11/1/277 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-277 1475-2875 https://doaj.org/article/412914f5db0c405c91ee0ddd327274bc Malaria Journal, Vol 11, Iss 1, p 277 (2012) Community case management Value of work time Community medicine distributors Malaria in children under five years Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-277 2022-12-31T01:46:20Z Abstract Background The contribution of community medicine distributors (CMD) to prompt health service delivery in areas described as “hard-to-reach” is important but the value of their work time remains unknown and thus makes it difficult to design appropriate regular financial incentives to motivate them. This makes CMDs feel their efforts are not recognized. An attempt to estimate the value of 54 CMDs’ work time involved in community case management of malaria (CCMm) in a rural district in Ghana is presented. Methods Time spent by CMDs on CCMm activities were recorded for a period of 12 months to determine the work-time value. Cost analysis was performed in Microsoft Excel with data from CMD records and at 2007 market price in Ghana. Results A CMD spent 4.8 hours, [95% CI: 3.9; 5.3] on all CCMm-related activities per day. The time value of CMD work ranged from GH¢ 2.04 (US$ 2.24) to GH¢ 4.1 [US$ 4.6] per week and GH¢ 19.2 - 86.4 (US$ 21.10-94.95) per month. The gross wage outside CCMm as reported by CMD was GH¢ 58.4 [US$ 64.69] and value of foregone income of GH¢ 86.40 (US$94.95) per month, about 14-times higher than the monthly incentives of GH¢ 6.0 given by the CCMm programme. Conclusion The value of work time and the foregone income of CMDs in CCMm are high and yet there are no regular and sustainable incentives provided for them. The results are significant to policy in designing incentives to motivate CMDs in large-scale implementation of CCMm. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Community case management Value of work time Community medicine distributors Malaria in children under five years Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Community case management Value of work time Community medicine distributors Malaria in children under five years Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Agyei-Baffour Peter Hansen Kristian S Browne Edmund N L Magnussen Pascal The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
topic_facet |
Community case management Value of work time Community medicine distributors Malaria in children under five years Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The contribution of community medicine distributors (CMD) to prompt health service delivery in areas described as “hard-to-reach” is important but the value of their work time remains unknown and thus makes it difficult to design appropriate regular financial incentives to motivate them. This makes CMDs feel their efforts are not recognized. An attempt to estimate the value of 54 CMDs’ work time involved in community case management of malaria (CCMm) in a rural district in Ghana is presented. Methods Time spent by CMDs on CCMm activities were recorded for a period of 12 months to determine the work-time value. Cost analysis was performed in Microsoft Excel with data from CMD records and at 2007 market price in Ghana. Results A CMD spent 4.8 hours, [95% CI: 3.9; 5.3] on all CCMm-related activities per day. The time value of CMD work ranged from GH¢ 2.04 (US$ 2.24) to GH¢ 4.1 [US$ 4.6] per week and GH¢ 19.2 - 86.4 (US$ 21.10-94.95) per month. The gross wage outside CCMm as reported by CMD was GH¢ 58.4 [US$ 64.69] and value of foregone income of GH¢ 86.40 (US$94.95) per month, about 14-times higher than the monthly incentives of GH¢ 6.0 given by the CCMm programme. Conclusion The value of work time and the foregone income of CMDs in CCMm are high and yet there are no regular and sustainable incentives provided for them. The results are significant to policy in designing incentives to motivate CMDs in large-scale implementation of CCMm. |
format |
Article in Journal/Newspaper |
author |
Agyei-Baffour Peter Hansen Kristian S Browne Edmund N L Magnussen Pascal |
author_facet |
Agyei-Baffour Peter Hansen Kristian S Browne Edmund N L Magnussen Pascal |
author_sort |
Agyei-Baffour Peter |
title |
The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
title_short |
The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
title_full |
The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
title_fullStr |
The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
title_full_unstemmed |
The amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the Ejisu-Juaben District of Ghana |
title_sort |
amount and value of work time of community medicine distributors in community case management of malaria among children under five years in the ejisu-juaben district of ghana |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-277 https://doaj.org/article/412914f5db0c405c91ee0ddd327274bc |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 277 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/277 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-277 1475-2875 https://doaj.org/article/412914f5db0c405c91ee0ddd327274bc |
op_doi |
https://doi.org/10.1186/1475-2875-11-277 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
_version_ |
1766344797805608960 |