Influence of Local Governance Stability and Recruitment On Retention of Barangay Health Workers Continuity of Care

Abstract

This study examined how local governance stability and recruitment practices affect the retention and continuity of care among Barangay Health Workers (BHWs). Keeping BHWs engaged is important to ensure continuous and quality primary health services in the community. The study focused on governance factors such as training, supervision, and resource continuity, as well as recruitment factors like political turnover and program focus. A quantitative descriptive-correlational design was used. Ethical approval and permissions were secured before data collection. Data were gathered using a questionnaire with informed consent and were completed within one week. The data were analyzed using descriptive statistics, correlation, and regression. The results showed that local governance stability was high in terms of training, supervision, and resource continuity. Recruitment was moderately affected by political turnover but showed high alignment with program needs. Retention of BHWs was also high, showing strong motivation and commitment. The study found a significant relationship between governance stability and retention, while recruitment had no significant relationship. Resource continuity and program focus were identified as key factors that influence retention. In conclusion, stable governance, consistent resources, and clear program direction help improve BHW retention and continuity of care. Strengthening these areas is recommended to support long-term community health services.