Narratives of challenge and motivation : the stories of East London Community Health Care volunteers

The research study was aimed at exploring the narratives of motivations and challenges that home-based health care workers experience in their voluntary service provision. It was conducted in East London in Buffalo City Metropolitan Municipality. A total of seven participants who volunteer in home based care programmes were interviewed and their mean age was 30 years; all were females, two married, one a widow, one divorced and two single females. The narrative framework was used to explore the volunteers' interpretation of volunteering experiences, highlighting themes that emerged on what encourages them to volunteer as home based health care workers, and how they deal with challenges that arise during the provision of services. The research was also aimed at exploring the social factors supporting the volunteers' decision to continue volunteering. Narratives from the interviewed community health workers [CHWs] indicate that the motives for participating in CHW programmes are mainly altruistic although people are sometimes motivated by self-interest. Self-interest seems to be particularly relevant in the case of the younger volunteers as they expressed their hope that providing voluntary service may help to enhance their skills so as to facilitate future learning and employment prospects. The recurring themes within the CHWs' narrative indicate that they identify with the helping role and feel it empowers them as they participate in meaningful ways in their communities, and they gain strength to cope with challenges that come with community health work. This study highlighted the complex nature of home based care roles, which inevitably reflect the intervention approach, the mode of working, professional roles and relationships with communities