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METHODOLOGY
Open Access

Qualitative Assessment of the Application of a Discrete Choice Experiment With Community Health Workers in Uganda: Aligning Incentives With Preferences

Aurélie Brunie, Mario Chen and Angela Akol
Global Health: Science and Practice December 2016, 4(4):684-693; https://doi.org/10.9745/GHSP-D-16-00070
Aurélie Brunie
aFHI 360, Washington, DC, USA.
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  • For correspondence: abrunie@fhi360.org
Mario Chen
aFHI 360, Washington, DC, USA.
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Angela Akol
aFHI 360, Washington, DC, USA.
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Figures & Tables

Tables

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    TABLE 1.

    Discrete Choice Experiment Attributes and Levels, Uganda, 2011

    AttributesDefinitionLevel
    SupervisionFrequency and location of supervisory meetings
    1. Monthly CHW meetings at health center

    2. Same as (1) + quarterly visit by health center staff in the community

    TrainingFrequency and duration of initial and refresher training
    1. 5-day initial training and 3-day supervised practicum at health center

    2. Same as (1) + 3-day refresher training once a year

    Transportation refundTransportation refund received for each supervisory meeting attended
    1. 5,000 UGX per meeting

    2. 10,000 UGX per meeting

    Start-up packageItems received upon joining the CHW program (one-time)
    1. CHW kit with gumboots, raincoat, job aids, and stationery

    2. CHW kit + T-shirt + badge

    3. CHW kit + T-shirt + badge + bicycle

    CommunicationOne-time provision of a mobile phone to communicate with program staff
    1. No mobile phone

    2. Mobile phone without airtime

    • Abbreviations: CHW, community health worker; UGX, Ugandan shilling.

    • View popup
    TABLE 2.

    Illustrative Pair of Job Profiles Presented to CHWs During the Discrete Choice Experiment

    AttributesJob AJob B
    SupervisionMonthly CHW meetings at health centerMonthly CHW meetings at health center + quarterly visit by health center staff in the community
    Training5-day initial training and 3-day supervised practicum at health center + 3-day refresher training once a year5-day initial training and 3-day supervised practicum at health center
    Transport refund5,000 UGX per meeting10,000 UGX per meeting
    Start-up packageCHW kit with gumboots, raincoat, job aids, and stationery + T-shirt + badge + bicycleCHW kit with gumboots, raincoat, job aids, and stationery + T-shirt + badge
    CommunicationMobile phone without airtimeNo mobile phone
    • Abbreviations: CHW, community health worker; UGX, Ugandan shilling.

    • View popup
    TABLE 3.

    Number and Characteristics of CHWs Participating in a Discrete Choice Experiment via In-Depth Interview, by Type of Family Planning Program

    Public (n = 13)NGO (n = 16)Former NGO (n = 14)Total (N = 43)
    Age, mean, years43434143
    Number of living children, mean6566
    Marital status, %
        Single0072
        Married or cohabitating100697981
        Divorced, widowed, or separated0311416
    Gender, %
        Male31384337
        Female69625763
    Educational level, %
        Primary23502133
        Secondary or higher77507967
    Number of years of service, mean75107
    Contraceptive methods provided, %
        Condoms only0602
        Condoms and pills02509
        Condoms, pills, and injectables1006910088a
    • Abbreviation: CHW, community health worker.

    • ↵a One CHW indicated providing pills and injectables but not condoms. The sum of CHWs reporting which contraceptive methods they provided does not total to 100% due to rounding errors.

    • View popup
    TABLE 4.

    Percentage Distribution of Survey and IDI Participant Responses to the Discrete Choice Experiment, by Block of Jobs Presented

    Pairs of Jobs/Attribute-Level CombinationsBlock 1Block 2Block 3Block 4
    Survey (n = 47)IDI (n = 12)Survey (n = 41)IDI (n = 10)Survey (n = 50)IDI (n = 10)Survey (n = 45)IDI (n = 11)
    Pair 1
        Job A9027301210110
        Job B911007370889089100
    Pair 2
        Job A816715208170279
        Job B1933858019307391
    Pair 3
        Job A354214073706273
        Job B65588610027303818
        No response9a
    • Abbreviation: IDI, in-depth interview.

    • Percentages of respondents selecting each job in the choices presented to them are reported for each sample (survey or IDI). Weighted percentages are reported for survey participants.

    • ↵a One IDI participant did not select an option for the third pair in this set.

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Global Health: Science and Practice: 4 (4)
Global Health: Science and Practice
Vol. 4, No. 4
December 23, 2016
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Qualitative Assessment of the Application of a Discrete Choice Experiment With Community Health Workers in Uganda: Aligning Incentives With Preferences
Aurélie Brunie, Mario Chen, Angela Akol
Global Health: Science and Practice Dec 2016, 4 (4) 684-693; DOI: 10.9745/GHSP-D-16-00070

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Qualitative Assessment of the Application of a Discrete Choice Experiment With Community Health Workers in Uganda: Aligning Incentives With Preferences
Aurélie Brunie, Mario Chen, Angela Akol
Global Health: Science and Practice Dec 2016, 4 (4) 684-693; DOI: 10.9745/GHSP-D-16-00070
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