Community Health Worker Incentive Models in Côte d'Ivoire: Six-Month Retention Rates and Patient Satisfaction Analysis

This study examines community health worker incentive models in Côte d'Ivoire to assess retention rates and patient satisfaction after a six-month period. A mixed-methods approach was employed, including surveys and interviews with CHWs and patients. Retention rates were calculated using a binomial proportion confidence interval model. Retention rates averaged at 75% among CHWs in the incentivized districts, indicating moderate success. Patient satisfaction scores ranged from 82 to 90 out of 100. Incentive models significantly improved retention but varied in effectiveness across different districts. Higher patient satisfaction was observed with increased incentives. Districts should tailor incentive schemes to local contexts and monitor CHW performance metrics for ongoing improvement. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.