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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 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

India National Health Policy 2017

Ministry of Health and Family Welfare, India (2017) C1

Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended

Universtität Innsbruck; AmC; Univ. Zagreb; Danish Red Cross; et al. OPSIC (2016) C2

In the following you can find 51 Planning tools for Mental Health and Psychosocial support in disasters, that have been derived from an anylsis of 282 Psychosocial Mental Health guidelines and 678 T ... more

Newborn Health Interventions and Challenges for Implementation in Nepal.

Khatri RB, Mishra SR, Khanal V, Gelal K and Neupane S Front. Public Health (2016) CC

Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and ... more

Lesotho Demographic and Health Survey 2004

Ministry of Health and Social Welfare (MOHSW), Bureau of Statistics (BOS) and ORC Macro (2005) C2

What child mental health professionals should know about genetics

R. R. Althoff IACAPAP (2016) C2

Introduction Chapter A.13

Classification of digital health interventions v1.0. A shared language to describe the uses of digital technology for health

World Health Organization (2018) C_WHO

The classification of digital health interventions (DHIs) categorizes the different ways in which digital and mobile technologies are being used to support health system needs. Historically, the di ... more

Malawi Demographic and Health Survey 2015-2016
recommended

National Statistical Office Zomba, Malawi ; The DHS Program USAID; UNICEF; UNFPA; et al. (2017) C1

Depression mhGAP Training of Health-care Providers: Training manual and supporting material

World Health Organization WHO (2015) C_WHO

DEP supporting material • Person stories • Role plays – role plays 3 and 4 are extra material for supplementary activities • Multiple choice questions • Video links

Low Birth Weight of Institutional Births in Cambodia: Analysis of the 2010 and 2014 Demographic and Health Surveys

Chhea, Chhorvann, Por Ir, and Heng Sopheab ICF (2017) C2

DHS WORKING PAPERS

Zimbabwe Demographic and Health Survey 2015. Key Indicators Report

The DHS Program (2016) C1

Toolkit on Mapping Legal, Health, and Social Services Responses to Child Maltreatment

World Health Organization; Lucerne University; Children Research Centre (2015)

The toolkit aims to provide researchers with guidance for improving the quality of studies that use administrative data to better ascertain child maltreatment incidence, response and service delivery. However, these are complex studies to conduct, and the toolkit is not meant to be comprehensive. Re ... more

The health and humanitarian case for banning and eliminating nuclear weapons

International Physicians for the Prevention of Nuclear War (IPPNW), World Medical Association, World Federation of Public Health Associations, International Council of Nurses (2016) C1

In this paper, we review the most significant health and environmental facts and explain why — from a medical perspective — a proper understanding of what nuclear weapons will do invalidates all arguments for continued possession of t ... more

Sierra Leone Demographic and Health Survey 2013 - Preliminary Report Without Results of HIV Prevalence

Statistics Sierra Leone, ICF International, et al. (2014) C_WHO

Predictors of IPTp Uptake among Pregnant Women in the 2010-2011 Zimbabwe Demographic and Health Survey

Chikwasha, Vasco, Isaac Phiri, Pugie Chimberengwa, Donewell Bangure, and Simbarashe Rusakaniko ICF International (2014) C2

DHS Working Papers No. 112 | Zimbabwe Working Papers No. 13

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

Communities, universal health coverage and primary health care

Sacks, E.; et al. (2015) C_WHO

Bull World Health Organ 2020;98:773–780 Universal health coverage (UHC) depends on a strong primary health-care system. To be successful, pri ... more

Ethiopia: Mini Demographic and Health Survey 2019 Key Indicators

United Nations Children’s Fund UNICEF United Nations Children’s Fund UNICEF (2019) C1

This Key Indicators report presents selected findings of the 2019 EMDHS. A comprehensive analysis of the data will be publishedin a final report in 2019.T he primary objective of the 2019 EMDHS project is to provide up-to-date estimates of key demographic and ... more

Bangladesh Demographic and Health Survey 2014. Final Report

Ministry of Health Bangladesh; Teh DHS Program; ICF International, et al. (2016) C1

Ghana Demographic and Health Survey 2008

Ghana Statistical Service Ghana Health Service Accra, Ghana; ICF Macro (2009) C1