Table 1

Literature and stakeholder input consulted as part of the IPT development process

SourceEmerging theories and performance factorsNotes
Literature and documentation
 CHW motivation and performance literatureSelf determination theory53
Measures of burnout54
Individual factors
Incentives (financial and non-financial)
Recognition/respect
Work factors (training, support and supervision, recruitment processes)
Performance literature and performance outcome monitoring55
Trust/relationships (community and health service)
Little information from emergency contexts, majority from development contexts
 IMC CHW reportsOutcome (performance) indicatorsOutcomes
 IMC CHW programme designProgramme design and intervention inputs
Outcome (performance) indicators
Context and outcomes
Stakeholder input
 IMC CHW programme architect for Middle EastWork factors (specifically recruitment)
Organisational commitment56
Continual feedback into IPT
 IMC CHW programme managers SSIs (n=5)Organisational justice57
Community commitment
Outcome feedback (need to see change)
Communication skills
(2) With managers from Turkey
(1) With manager from Iraq
(2) With managers from Lebanon
 CHW focus group discussions (FGD) (n=3)Organisational justice
Psychosocial support/trauma burnout
Incentives
Recognition/respect
Outcome feedback/acknowledgement (need to see change)
(2) With CHWs in Turkey, working in 2 programme sites (Rayhanli and Kilis)
(1) With CHWs in Lebanon (from Bekaa and Beirut/Mt. Lebanon)
 CHW SSI (n=1)Incentives
Organisational justice
Community commitment
Psychosocial support/trauma burnout
(1) via Skype with CHW in Erbil, Iraq
  • CHW, community health worker; IMC, International Medical Corps; IPT, initial programme theory; SSI, semistructured interview.