Development and Validation of a Performance Competency Assessment Tool for Village Health Volunteers (VHVs)

Abstract

This study aimed to develop and validate a performance competency assessment tool for
Village Health Volunteers (VHVs) using a Mixed Method Research. The study was conducted in two
phases. 1) employed a qualitative approach using a three-round Delphi technique with a panel of
12 experts to establish consensus on performance indicators. 2) applied a quantitative survey
design among 104 VHVs to examine the psychometric properties of the developed instrument.
Delphi data were analyzed using the median and interquartile range, while survey data were
analyzed using the content validity index, mean, standard deviation, Cronbach’s alpha coefficient,
and corrected item-total correlation.
The results indicated that the VHVs performance competency assessment tool comprised
seven domains: 1) promoting the participation of children and youth in health and community
development, 2) health promotion, 3) disease prevention, 4) basic medical care, 5) policy
implementation, 6) fostering health awareness, and 7) health surveillance. A total of 48 indicators
were identified. The instrument demonstrated high content validity (0.98), excellent psychometric
properties, including very high overall reliability (0.97), strong domain-specific reliability (0.90–0.96),
and satisfactory internal consistency, as evidenced by corrected item-total correlation coefficients
ranging from 0.48 to 0.83.
In conclusion, the developed assessment tool meets established criteria for high-quality
measurement instruments and is valid and reliable for evaluating the performance competencies
of VHVs.

Keywords: Village Health Volunteers; Performance Competency; Competency Assessment