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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

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Giving life, risking death - Maternal mortality in Burkina Faso

Amnesty International Publications (2020) C2

Accessed on 20.10.2020 In its fight against maternal mortality, the government of Burkina Faso is supported by the donor community which contributes to the health budget and also supports specific projects aimed at improving access to health care. This report acknowledges the efforts to address ... more

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Interconnected Disaster Risks

United Nations University – Institute for Environment and Human Security (2021) C2

Interconnected Disaster Risks is a new science-based report for the general public from United Nations University – Institute for Environment and Human Security. It was first published in 2021, and is set to become an annual report.

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“We Can Die Too”: Recruitment and Use of Child Soldiers in South Sudan

Human Rights Watch (2015) C1

The 65-page report names more than 15 commanders and officials from both the government Sudan People’s Liberation Army (SPLA) and the rebel SPLA-in Opposition and their allies who have used child soldiers. The report is based on interviews with 101 child soldiers who were either forcibly recruited... more

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Mozambique Malaria Operational Plan FY 2018

President’s Malaria Initiative CDC; USAID, et al. (2018) C1

The Malaria Operational Plans below are detailed 1-year implementation plans for PMI focus countries. Each plan reviews the current status of malaria control and prevention policies and interventions, identifies challenges and unmet needs to achieve PMI goals, and provides a description of planned P... more

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Humanitarian Supply Management System SUMA

Pan American Health Organization (2000)

Manual Logistical Management of Humanitarian Supply The flood of relief supplies that arrive in the aftermath of large-scale disasters often poses serious logistic and management problems for national authorities. SUMA is a tool for the management of humanitarian relief supplies, from the time pled... more

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Philippines: National Demographic and Health Survey 2003

National Statistics Office Manila, Philippines; ORC Macro International USAID (2004) C1

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Pedoman Tatalaksana Gagal Jantung

Siswanto, B.B., N. Hersunarti, Erwinanto, et al., Indonesian Heart Association (2015) C1

Guidelines for Treatment and Management of Heart Failure in Indonesia

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Healthy environments for healthy children: key messages for action

World Health Organization WHO (2021) C_WHO

This booklet presents key messages for action, summarized from a set of chapters on different environmental health issues.

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Nigeria: National Family Planning Communication Plan (2017-2020)

Family Planning Services - Federal Ministry of Health (2017) C2

Strategy for Increasing the use of Modern Contraceptives in Nigeria

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Legal environment Assessment for HIV in Ukraine

USAID (U.S. President’s Emergency Plan for AIDS Relief) (2017) C2

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Standard operating procedures for controlling Ebola and Marburg virus epidemics

World Health Organization (2014)

Provisional recommendations May 2014

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Social Contact Event Toolkit

Time To Change Department of Health, Comic Relief and the Big Lottery Fund (2007) C2

This toolkit will help you to plan and run an event that helps to change the way that people in your community think about, and behave towards, people with mental health problems

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Mpox Strategic Preparedness, Readiness, and Response Plan: Global Monitoring and Evaluation Framework

World Health Organization WHO Reliefweb OCHA Services (2022) C_WHO

This Mpox SPRP Global Monitoring & Evaluation (M&E) Framework, also referred to as the Framework, aims to monitor and report on global progress towards these objectives, including information about country-level response efforts and WHO support to Member States. Regular collection and analysis of da... more

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Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030: United Against Rabies Collaboration: first annual progress report

World Health Organization WHO (2019) C_WHO

Rabies is entirely preventable, and vaccines, medicines, tools and technologies have long been available to prevent people from dying of dog-mediated rabies. Nevertheless, rabies still kills about 60 000 people a year, of whom over 40% are children under 15, mainly in rural areas of economically ... more

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National guidelines for food and nutritional support and care for people living with HIV/AIDS

Ministry of Health, Rwanda (2014)

Accessed on March 2014

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Acute Radiation Syndrome: A Brochure for Physicians

Centers for Disease Control and Prevention (2018) C_CDC

Acute Radiation Syndrome (ARS) (sometimes known as radiation toxicity or radiation sickness) is an acute illness caused by irradiation of the entire body (or most of the body) by a high dose of penetrating radiation in a very short period of time (usually ... more

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Estimating mortality from COVID-19 - Scientific brief (4 August 2020)

World Health Organization WHO (2020) C_WHO

For COVID-19, as for many infectious diseases, the true level of transmission is frequently underestimated because a substantial proportion of people with the infection are undetected either because they are asymptomatic or have only mild symptoms and thus typically fail to present at healthcare fac... more

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The FAO Action Plan on Antimicrobial Resistance 2016-2020

FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS FAO (2016) C2

Supporting the food and agriculture sectors in implementing the Global Action Plan on Antimicrobial Resistance to minimize the impact of antimicrobial resistance

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Short Guide to Hepatitis C

Stefan Mauss, Thomas Berg, Jürgen Rockstroh et al. Flying Publisher (2014)

Exciting new treatment approaches make the management of hepatitic C one of the most rapidly developing areas of medicine. The Flying Publisher short Guide to Hepatitis C is an up-to-date source of information for physicians, residents and advanced medical students.