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Paid staff or volunteers – does it make a difference? The impact of staffing on child outcomes for children attending community based programmes in South Africa and Malawi

dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorSherr, Lorraineen_ZA
dc.contributor.authorMacedo, Anaen_ZA
dc.contributor.authorHunt, Xantheen_ZA
dc.contributor.authorSkeen, Sarahen_ZA
dc.date.accessioned2018-08-29T08:50:19Z
dc.date.available2018-08-29T08:50:19Z
dc.date.issued2017
dc.identifier.citationTomlinson, M., et al. 2017. Paid staff or volunteers – does it make a difference? The impact of staffing on child outcomes for children attending communitybased programmes in South Africa and Malawi. Global Health Action, 10(1):1381462, doi:10.1080/16549716.2017.1381462
dc.identifier.issn1654-9880 (online)
dc.identifier.issn1654-9716 (print)
dc.identifier.otherdoi:10.1080/16549716.2017.1381462
dc.identifier.urihttp://hdl.handle.net/10019.1/104362
dc.descriptionCITATION: Tomlinson, M., et al. 2017. Paid staff or volunteers – does it make a difference? The impact of staffing on child outcomes for children attending communitybased programmes in South Africa and Malawi. Global Health Action, 10(1):1381462, doi:10.1080/16549716.2017.1381462.
dc.descriptionThe original publication is available at https://www.tandfonline.com
dc.description.abstractBackground: Globally, and in low and middle income countries (LMIC) specifically, there is a critical shortage of workers. The use of volunteers to support such care delivery systems has been examined, there is scant literature on the impact of volunteers on child outcome in high human immunodeficiency virus (HIV)-affected communities. Objectives: To examine the differential impact of paid versus volunteer workforce in Community Based Organisations (CBOs) providing care to children and families affected by the HIV epidemic in South Africa and Malawi on child outcomes over time. Methods: This study compared child outcomes for 989 consecutive children attending CBOs (0.7% refusal) at baseline and 854 at follow-up (86.3% response rate). Results: Children attending CBOs with paid staff had higher self-esteem, fewer emotional/ behavioural problems and less perceived stigma. Likewise, children attending CBOs with paid staff had fewer educational risks, and 20 heightened cognitive performance, and the digitspan memory test. After controlling for outcome at baseline, gender, age, HIV status, and disability, attending a CBO with paid staff remained a significant independent predictor of higher self-esteem scores, less perceived stigma, as well as fewer educational risks and better performance on the drawing test. We found no associations between CBO attendance – paid or volunteer – and children’s depressive and trauma symptoms. Conclusions: Our findings show that in order to most optimally impact on child outcome 30 community-based workers (CBWs) should ideally be paid with trained staff. Specialised input for more severe child difficulties is needed.en_ZA
dc.description.urihttps://www.tandfonline.com/doi/full/10.1080/16549716.2017.1381462
dc.format.extent13 pages : illustrationsen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francis Open
dc.subjectCommunity-based social servicesen_ZA
dc.subjectVolunteer workers in social serviceen_ZA
dc.subjectCBOs (Community organization) -- Employeesen_ZA
dc.subjectChild welfareen_ZA
dc.titlePaid staff or volunteers – does it make a difference? The impact of staffing on child outcomes for children attending community based programmes in South Africa and Malawien_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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