Balancing workload, motivation and job satisfaction in Rwanda: Assessing the effect of adding family planning service provision to community health worker duties

Human resource shortages, particularly in rural areas, have prompted developing country governments to turn to community health workers (CHWs), a group that normally provides a range of health care services. This paper describes the findings of a pilot project that found no adverse effects on workloads by adding family planning services to CHW duties. The findings will pave the way to scale up community-based family planning services to all health districts in Rwanda.