FACTORS INFLUENCING VILLAGE HEALTH VOLUNTEERS’ ACCEPTANCE OF UPGRADING COMMUNITY PRIMARY HEALTH CARE CENTERS TO VILLAGE-LEVEL NON-COMMUNICABLE DISEASE OPERATION CENTERS

Abstract

This quantitative study aimed to investigate factors influencing the acceptance of change of Village Health volunteers (VHV) to the upgrade of Community Primary Health Care Canters to a Non-Communicable Disease Operation Centers at the Village Level. Within 2,047 VHV from 74 targeted Primary Health Care Communities, 360 VHV participants were recruited. Data was collected using online questionnaire created by the researcher with the overall Cronbach’s alpha of 0.979. Data describing participants’ demographics was analyzed using descriptive statistics. Factors which influencing the acceptance of change of VHV were analyzed using multiple regression analysis with 95% confidence interval. Results showed that, level of the acceptance of VHV participants to the transformation of Community Primary Health Care Centers to Non-Communicable Disease Operation Centers at the Village Level was significantly high ( = 4.28, SD = 0.40). There was also a high level of each factor influenced the acceptance of change of the VHV to the upgrade of Community Primary Health Care Centers. Within these factors, Perceived usefulness influenced the acceptance of change of the VHV to the upgrade of Community Primary Health Care Centers in the highest level ( = 4.37, SD = 0.51), followed by Communication and policy supported ( = 4.32, SD = 0.48); Positive attitude ( = 4.22, SD = 0.46) and Perceived ease of use ( = 4.21, SD = 0.45). All four aspects of factor are able to predict the change acceptance of VHV to the transformation of Community Primary Health Care Centers at 50.30 %. Implication of the Study, It would be recommended that to promote the upgrade of Community Primary Health Care Centers to NCDs Operation Center at the Village Level and expand this operation successfully, Community Primary Health Care Centers transformation strategies are needed. Supporting the increasing service capabilities of VHV regarding community health care, sufficient health service facilities, effective communication both in practice and policy, and effective monitoring and evaluation systems could be considered as Community Primary Health Care Centers transformation strategies of success.