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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 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

Bersahabat dengan Gunung Berapi

Ministry of Health Republic of Indonesia, WHO (2016) C_WHO

Be-Friended to the Volcano : a guidance or manual book for school children in Indonesia of health crisis prevention during the natural disaster

Qui Sommes Nous – CNERS-Guinée

CNERS Guinée (2021) CC

Last accessed on 16.10.21 A propos du comité guinéen d’éthique pour la recherche en santé L’esprit fondateur de l’éthique de la recherche dans le monde contemporain souligne la dimension morale inhérente ... more

Politique Nationale de Protection et d’Integration des Personnes Handicapees

MFASSNHPTADRIPH (2018) C2

Les personnes handicapées sont confrontées à des besoins spécifiques auxquels la communauté n’accorde pas toute l’attention requise. Un nombre important de cette couche vulnérable vit dans des conditions déplorables, ... more

WHO's Health Emergency Appeal 2023

World Health Organisation (WHO) (2023) C_WHO

WHO needs US$2.54 billion to provide life-saving assistance to millions of people around the world facing health emergencies. WHO’s Health Emergency Appeal is a consolidation of WHO’s priorities and financial requirements for 2023 to carry out h ... more

Noncommunicable Diseases

PAHO - Pan American Health Organization (2023) CC

The term NCDs refers to a group of conditions that are not mainly caused by an acute infection, result in long-term health consequences and often create a need for long-term treatment and care. Thes ... more

Tropical Cyclones Idai and Kenneth Mozambique National Situation Report 3, 24 May

World Health Organization WHO, Regional Office for Africa (2019) C_WHO

The risk of communicable diseases remains a humanitarian concern with major health risks including cholera, acute watery diarrhea, bloody diarrhea, malaria and other vector borne diseases and conditions such as severe acute malnutrition. Access t ... more

7 Ways Dentists Can Act Against Antibiotic Resistance

Centers for Disease Control and Prevention CDC (2019) C_CDC

Dentists are uniquely positioned to play a role in pre enting the spread of antibiotic resistance. Here are se en simple “how-tos” for safe, appropriate antibiotic prescribing and use when treating dental infections

2 million African community health workers - Harnessing the demographic dividend, ending AIDS and ensuring sustainable health for all in Africa

UNAIDS (2017) CC

This report makes the case for a major new initiative—to rapidly recruit, train and deploy 2 million community health workers in Africa. Drawing on a vast body of evidence and substantial regional ... more

Global Health Security (GHS) Index

Nuclear Threat Initiative (NTI) and the Johns Hopkins Center for Health Security (JHU) The Economist Intelligence Unit (EIU) (2019) CC

The GHS Index is intended to be a key resource in the face of increasing risks of high-consequence and globally catastrophic biological events and in light of major gaps in international financing for preparedness. These risks are magnified by ... more

An agroecological Europe by 2050: What impact on land use, trade and global food security?

Schiavo M., Le Mouël C., Poux X., et. al. (2021) C2

This Study presents the key results of a research that analyses the implications of an ambitious agroecological transition across Europe, following the TYFA scenario. Published in 2018, what it proposes by 2050 is fully aligned with the objectives t ... more

Kangaroo mother care - Implementation strategy for scale-up adaptable to different country contexts

World Health Organisation (WHO) (2023) C_WHO

The KMC implementation strategy targets a broad audience. These include policy-makers and programme managers at national, regional and local levels, government and nongovernmental organizations working in the area of maternal and newborn care, globa ... more

WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention

Green Ink World Health Organization (2013)

Cervical intraepithelial neoplasia (CIN) is a premalignant lesion that may exist at any one of three stages: CIN1, CIN2, or CIN3. If left untreated, CIN2 or CIN3 (collectively referred to as CIN2+) can progress to cervical cancer. Instead of screeni ... more

Family Emergency Plan

Federal Emergency Management Agency (FEMA) (2018) C1

Make sure your family has a plan in case of an emergency. Before an emergency happens, sit down together and decide how you will get in contact with each other, where you will go and what you will do in an emergency. Keep ... more

Overview of Mtoto Mwerevu Stunting Reduction Toolkit, Swahili Version

IMA World Health (2021) CC

The Mtoto Mwerevu Stunting Reduction Toolkit is a resource for government and organisations involved in addressing stunting and broader nutrition issues in Tanzania. The toolkit was developed in conjunction with the Government of Tanzania (GoT) with ... more

Remote Psychological First Aid during COVID-19 – May 2020

IFRC Reference Centre for Psychosocial Support IFRC Reference Centre for Psychosocial Support (2020) CC

Psychological first aid (PFA) is a method of helping people in distress so they feel calm and supported to cope better with their challenges. It is a way of assisting someone to manage their situati ... more

Nota informativa sobre la Tuberculosis

El Fondo Mundial (2019) CC

La presente Nota Informativa sirve como orientación a los solicitantes que están preparando una solicitud de financiamiento del Fondo Mundial para la tuberculosis. Ofrece recomendaciones sobre cómo establecer prioridades y metas para que las inte ... more

Philippines: Risk Factors Assessment and Screening Procedures (Module 2/6)

WHO and DOH Philippines (2009) C_WHO

This revised trainer's guide contains a prototype training schedule for four days. Teaching and learning strategies are highly interactive, using participatory and experiential approach. Training outcomes include developing skills in assessment of c ... more

Guide des Formalités de Dédouanement de Biens en République Centrafricaine (RCA)

Minyem, F.; Bayiha Ba Comité Coordination ONG (2015) C1

La crise humanitaire récente qui a sévit en Centrafrique a entrainé l’arrivée d’un nombre important d’acteurs humanitaires dans le pays, afin de pouvoir répondre aux besoins considérable ... more

Plan opérationnel Covid-19 - Addendum au Plan Opérationnel 2020 - Haut-Katanga, Haut-Lomami, Lualaba et Tanganyika (avril - juillet 2020)

UN Office for the Coordination of Humanitarian Affairs (2020) CC

Un Plan humanitaire multisectoriel spécifique à la réponse COVID-19 a été développé en avril 2020 et constitue un Addendum au Plan de réponse humanitaire 2020 (PRH) afin d’intégrer l’im ... more