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Comprendre la performance des volontaires de santé communautaire : une évaluation réaliste en lien avec la Fédération internationale des Sociétés de la Croix Rouge et du Croissant Rouge.

Abstract : Context The recruitment of community health volunteers, such as the volunteers of the International Federation of Red Cross and Red Crescent Society, is an established approach to improve the health of underserved communities. However, there is a dearth of evidence about what works to improve volunteers’ performance. Objectives To understand why, how, for which volunteers and under which circumstances intervention approaches to improve volunteers’ performance is more likely to be successful. Methods Given the complexity of the intervention under study, a realist evaluation as methodological approach and a case study as study design was adopted. Firstly, a realist review together with interviews with the main stakeholders and a review of the theories underlying community health volunteers programme have been conducted to develop the theoretical basis for the evaluation. Secondly for the case study, two contrasted cases have been then selected at district level in the capital of Uganda, where the Red Cross Society is implementing a community-based programme. A case is as a Red Cross unit run by a programme manager that operate around one governmental district structures. Data collection included document review, participant observation and interviews. The constant comparative method was used for the analysis. Results Intervention approaches that include supervision supportive of autonomy, skills and knowledge enhancement and that is adapted to the different sub-groups of volunteers, leads to satisfaction of the three key drivers of volunteer motivation: feelings of autonomy, of competence and of connectedness. This contributes to volunteers’ better performance. Enabling contextual conditions include the responsiveness of the organisation to community needs and recognition from the organisation and the community of the work of the volunteers. Discussion The findings will inform the management of community health volunteers and have implication for the International Federation of Red Cross and Red Crescent Societies regrading organisational learning. It also contributed to building the field of programme evaluation in Health and led to methodological developments for doing realist evaluation.
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https://tel.archives-ouvertes.fr/tel-01527504
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Submitted on : Wednesday, May 24, 2017 - 2:58:08 PM
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  • HAL Id : tel-01527504, version 1

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Gaëlle Perrier-Cornet Vareilles. Comprendre la performance des volontaires de santé communautaire : une évaluation réaliste en lien avec la Fédération internationale des Sociétés de la Croix Rouge et du Croissant Rouge.. Science politique. Université Rennes 1, 2016. Français. ⟨NNT : 2016REN1G036⟩. ⟨tel-01527504⟩

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