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Adolescent HIV Care and Treatment: A Training Curriculum for Health Workers (Zambia) Participant Manual

ICAP, et al. (2011) C1

The curriculum, which complements the national pediatric ART training, was finalized in 2011 and was subsequently implemented nationally. The training curriculum includes a 15-module Trainer Manual, a Participant Manual, and accompanying PowerPoint slides.

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Evaluating the impact of community health worker integration into prevention of mother-to-child transmission of HIV services in Tanzania

Nance, N.; S. Mc Coy, D. Ngilanwa, et al. (2017) C1

Impact Evalution Report 61

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Improving Health Outcomes in Zambia. eLMIS: Automated Data for Integrated Health Logistics Management

USAID Delivery Project; et al. (2014) C1

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Zambia National Human Resources for Health Strategic Plan 2011 – 2015

Ministry of Health, Zambia (2011) C1

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The Status of the Wheelchair in Uganda

Mary Florence Mukisa Uganda National Action on Physical Disability (UNAPD); Uganda Ministry of Health; et al. (2010) C1

A Report of A survey study conducted to determine the demand, availability, quality of production, usage, and affordability of wheelchairs in Uganda. Accessed Febr. 12,2015

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National Community Health Worker Strategy in Zambia

Ministry of Health, Zambia (2010) C1

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Human resources for health: a snapshot of Zambia’s Strategic Plan

Ministry of Health, Zambia (2012) C1

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Situation analysis of programs to meet the HIV prevention, care, and treatment needs of persons with disabilities in Ghana, Uganda, and Zambia

TUN, Waimar, et al. USAID; PEPFAR; et al. (2013) C1

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Improving access to child health services at the community level in Zambia: a country case study on progress in child survival, 2000–2013

Aaron M Kipp, Margaret Maimbolwa, Marie A Brault et al. (2017) CC

Health Policy Plan (2017) 32 (5): 603-612; 10 pp. 318 kB

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Lessons from case studies of integrating mentalhealth into primary health care in South Africa and Uganda

Petersen, I.; et al. (2011) CC

Petersenet al.International Journal of Mental Health Systems2011,5:8http://www.ijmhs.com/content/5/1/8

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Disability and Education. Summary of Results

Jacob R.S. Malungo, D. Nabuzoka, R. Paul, et al. UNICEF; Ministry of Community Development and Social Services Zambia, et al. (2018)

Qualitative study from Zambia on barriers to and facilitators of life-long learning

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Cost and Outcomes of ART Scale-up in Zambia: Modelled estimates for test and treat & community based service delivery models. Policy brief

USAID, et al. (2016) C1

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Zambia National Health Strategic Plan 2017-2021
recommended

Ministry of Health, Zambia (2017) C1

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Improving Financial Access to Health Services for the Poor in Nigeria - Brief: Community-based Health Insurance

Federal Ministry of Health, Nigeria; National Health Insurance Scheme; National Primary Health Care et al. (2012) C_WHO

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Sierra Leone: Human Resources for Health Summit

Government of Sierra Leone, Ministry of Health and Sanitation; World Health Organization (WHO); European Union (EU); et al. (2016) C_WHO

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Prevention and Control of Non-Communicable Diseases in Zambia: The Case for Investment

Ministry of Health, Zambia (2020) CC

The Government of the Republic of Zambia has placed priority on ensuring that Zambians are healthy and productive as a catalyst to the attainment of socioeconomic development . The Vision 2030 aims to transform Zambia into a prosperous middle-income country as articulated also in the 7th National De... more

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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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Addition of HIV self-test kits to partner notification services to increase HIV testing of male partners of pregnant women in Zambia

Mutale W.; K. Freeborn; L. A Graybill; et al. Lancet (2021) CC

Testing men for HIV during their partner’s pregnancy can guide couples-based HIV prevention and treatment, but testing rates remain low. We investigated a combination approach, using evidence-based strategies, to increase HIV testing in male partners of HIV-positive and HIV-negative ... more

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Coaching Community Health Volunteers in Integrated Community Case Management Improves the Care of Sick Children Under-5: Experience from Bondo, Kenya

Wandabwa, M.S. ; Kabue M., Kasungami D., et al. , (2018) C1

Shortages of healthcare workers is detrimental to the health of communities, especially children. This paper describes the process of capacity building Community Health Volunteers (CHVs) to deliver integrated preventive and curative package of care of services to manage common childhood illness in h... more

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Qualitative assessment of community health workers’ perspective on their motivation in community-based primary health care in rural Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M.B. et al. BMC Health Services Research (2022) CC

Background: Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to mainta...in CHW motivation for high-quality care delivery. Few studies have described the CHW perspective on intrinsic and extrinsic motivation to enhance their programmatic activities. Methods: We utilized an exploratory qualitative study design with CHWs employed in the household model in Neno District, Malawi, to explore their perspectives on intrinsic and extrinsic motivators and dissatisfiers in their work. Data was collected in 8 focus group discussions with 90 CHWs in October 2018 and March–April 2019 in seven purposively selected catchment areas. All interviews were audiotaped, transcribed verbatim, coded, and analyzed using Dedoose. Results: Themes of complex intrinsic and extrinsic factors were generated from the perspectives of the CHWs in the focus group discussions. Study results indicate that enabling factors are primarily intrinsic factors such as positive patient outcomes, community respect, and recognition by the formal health care system but can lead to the chal- lenge of increased scope and workload. Extrinsic factors can provide challenges, including an increased scope and workload from original expectations, lack of resources to utilize in their work, and rugged geography. However, a posi- tive work environment through supportive relationships between CHWs and supervisors enables the CHWs. Conclusion: This study demonstrated enabling factors and challenges for CHW performance from their perspec- tive within the dual-factor theory. We can mitigate challenges through focused efforts to limit geographical distance, manage workload, and strengthen CHW support to reinforce their recognition and trust. Such programmatic empha- sis can focus on enhancing motivational factors found in this study to improve the CHWs’ experience in their role. The engagement of CHWs, the communities, and the formal health care system is critical to improving the care provided to the patients and communities, along with building supportive systems to recognize the work done by CHWs for the primary health care systems. more

Zambia National Health Strategic Plan 2017-2021 recommended

Zambia National Health Strategic Plan 2017-2021
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