the aid library

Filter

4195

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 accompan ... iment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to maintain 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

Programmatic Management of Drug Resistant Tuberculosis (PMDT)- Kenya
recommended

National Tuberculosis, Leprosy and Lung Disease Unit, Ministry of Health, Kenya (2014) C1

3rd edition

National Operational Guideline for Community-Based Health Services, 2021

Ministry of Health The United Republic of Tanzania (2021) CC2

Towards Sustainable Community Health and Social Welfare Services Leaving No One Behind. This Operational Guideline for Community-Based Health Services (CBHS) in line with the CBHS Policy Guideline ... more

Inclusive Community-Based Disaster Risk Reduction: Guidance on Good Practice in the Ayeyarwaddy Delta, Myanmar

ActionAid Myanmar (2015) C1

This publication presents guidance on good practice from the Ayeyarwaddy Delta in Myanmar, outlining the key factors which contributed to the successful implementation and outcome of a range of community-b ... more

Community based rehabilitation (CBR)

World Health Organization (2012) C_WHO

Q4: Should community based rehabilitation be offered to children with intellectual disabilities?

Cambodia: Disaster Management Reference Handbook

Center for Excellence in Disaster Management and Humanitarian Assistance (2017) C1

Cambodia drafted and adopted the National Action Plan for Disaster Risk Reduction 2014-2018 in 2014. This plan finalized the required policies and legal processes to strengthen DRM in Cambodia. It also focused on capacity building at national and sub-national levels and provided dedicated resources ... more

Community-Based Mental Health: A Training Guide for Community Providers

International Federation of Red Cross and Red Crescent Societies IFRC (2023) CC

Mental health problems are common and cause great suffering to individuals and communities around the world. They have a significant impact not only on the physical and mental health of those affected but also on their families and the communities they live in. At the same time, all communities have ... more

Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

Austin-Evelyn K, Rabkin M, Macheka T, Mutiti A, Mwansa-Kambafwile J, Dlamini T, et al. PLoS ONE (2017) CC

Economic Evaluation of Community Based Practitioners In Low-And Middle-Income Countries - A literature review, country case studies and a generalized cost-effectiveness model

global health workforce alliance World Health Organization (2015) C_WHO

Community-based strategies play a significant role in many health systems in low- and middle-income countries, especially in light of critical shortages in the health workforce. The term community h ... more

Community health workers in Lesotho: Experiences of health promotion activities

T. Seutloali; L. Napoles; N. Bam African Journal of Primary Health Care & Family Medicine; AOSIS (2018) C2

African Journal of Primary Health Care & Family Medicine ISSN: (Online) 2071-2936, (Print) 2071-2928

Guidelines for case management malaria in Ghana

Ministry of Health, Ghana CDC; USAID; et al. (2014) CC

3rd edition

A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health: a stepped-wedge cluster randomised controlled trial in Neno Distr

Wroe, E.B.; Nhlema, B.; Dunbar, E.L. et al. BMJ Global Health (2021) CC

Background: Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements in disease-specific outcomes relative to the absence of a CHW programme. In this study, we evaluated expan ... more

Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa

UNAIDS (2025) C1

The objectives of the research presented in this report were to identify case studies of community-led HIV-related health and social inclusion service delivery organizations in eastern and southern Africa; describe the typologies of the services provided; and identify evidence of their service deliv ... more

Can Community Health Workers Report Accurately on Births and Deaths? Results of Field Assessments in Ethiopia, Malawi and Mali

Silva, R.; A. Amouzou; M. Muno, et al. (2016) CC

PLoS ONE 11(1): e0144662. doi:10.1371/journal.pone.0144662

Manual on Community-Based Disaster Risk Reduction (Burmese Version)

Myanmar Red Cross Society (2013) C1

Overview:
- Part A is an introductory part which will give you background information about CBDRR in Myanmar. It has a small section about the importance of CBDRR in Myanmar, the stakeholders of CBDRR in Myanmar, as well as an overview about the challenges that are faced when implementing CBDRR ... more

Female community health volunteer fund operational guideline

Ministry of Health and Population, Family Health Division (2008) C1

Operational Guidelines & Reference Manual Prevention of Postpartum Haemorrhage through Community Based Distribution of Misoprostol

Maternal Health Division Ministry of Health and Family Welfare Government of India Maternal Health Division Ministry of Health and Family Welfare Government of India (2013) C1

From the Frontline of Community Action: A Compendium of Six Successful Community Based HIV Interventions That Have Worked for MSM- TG-Hijras in India

Shobhna S. Kumar,Pallav Patankar, Dr. Maninder Singh Setia UNDP India (2011) C1

Context Analysis: Close-to-Community Health Care Service Providers in Bangladesh

M. SHOWKAT GANI et al. Reach Out; European Union (2014) C1