Non-financial Incentives on Motivation of Community Health Promoters for Provision of Community Health Services in Taita Taveta County, Kenya

Aim: The aim of the study was to develop a non-financial incentives model which is culturally acceptable, feasible and sustainable on motivation of community health promoters for the provision of community health services in Taita Taveta County. Methods: The study adopted a cross-sectional design conducted in Voi sub-county, Taita Taveta County. The primary target population were community health promoters, while secondary target population were county and sub-county health management team members. Data collection tools used were researcher-administered questionnaires and key informant interviews. Qualitative and quantitative data was collected for this study. Quantitative data was analyzed using SPSS version 26, results then summarized, and presented in frequency tables, figures and charts. Qualitative data was first analyzed thematically using content analysis by categorizing it into various themes, and the responses coded and classified into the various categories. Results: The study found significant improvements in provision of work identification materials such as protective gear, medications, monitoring health tools, health educational materials, and growth monitoring tools (z-score =5.567, p ≤ 0.000). Significant improvements were also observed in community appreciation, advocacy, safety guarantees, gratitude expressions, family support, and recognition (z-score=3.526, p ≤ 0.000). Significant improvements were also observed in self-help group membership, reduced cost of trading licenses, access to government procurement opportunities, participation in expos/trade fairs, and access to markets (z-score= -4.669, p ≤ 0.001). Conclusion: The study concludes that CHPs’ have got high expectations of gaining career experience and belief in career growth opportunities with high satisfaction levels in key areas such as training, mentorship, supervision, peer engagement and opportunities for additional responsibilities.  Recommendations: The study recommends that the department of health to enhance non-financial incentives that support professional growth and have clear and transparent pathways to permanent employment.