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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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Effectiveness of community health worker training programmes for cardiovascular disease management in low-income and middle-income countries: a systematic review

Abdel-All, M; Putica, B.; Praveen, D. et al. BMJ Open (2017) CC

Introduction Community health workers (CHWs) are increasingly being tasked to prevent and manage cardiovascular disease (CVD) and its risk factors in underserved populations in low-income and middle-income countries (LMICs); however, little is known about the required training necessary for them to ... more

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Guidance on infection prevention and control of COVID-19 in migrant and refugee reception and detention centres in the EU/EEA and the UK

European Centers for Disease Control and Prevention ECDC (2020) C_CDC

The main objective of this guidance is to provide scientific advice on public health principles and considerations for infection and prevention control of COVID-19 in migrant and refugee reception and detention centres in the European Union and European Economic Area (EU/EEA) and the United Kingdom ... more

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Guidance for the prevention of COVID-19 infections among high-risk individuals in camps and camp-like settings

Caroline Favas London School of Hygiene and Tropical Medicine (2020) C2

This document provides guidance on the implementation of the shielding approach in camps and camp-like settings for refugees and internally displaced persons. It is intended for the displaced community itself, humanitarian actors and camp coordination / management authorit... more

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Guidance for the prevention of COVID-19 infections among high-risk individuals in urban settings

Caroline Favas London School of Hygiene and Tropical Medicine (2020) C2

This document provides guidance on the implementation of the shielding approach in urban areas in LICs and crisis-affected regions. It is intended for the community itself, national and local governance institutions, and humanitarian and development actors operating in the country.

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Guidelines for the Prevention and Containment of Antimicrobial Resistance in South African Hospitals

National Department of Health South Africa (2019) C2

These guidelines form part of efforts to institutionalise the prevention and containment of antimicrobial resistance (AMR) in health care facilities in South Africa, as outlined in the Antimicrobial Resistance Strategic Framework and Implementation Plan. The focus of these guidelines is on two inte... more

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Guidelines for the vaccination of HIV-infected adolescents and adults in South Africa

S. K. Dlamini; S. A. Madhi; R. Muloiwa; et al. Southern African Journal of HIV Medicine; AOSIS (2018) CC

Southern African Journal of HIV Medicine ISSN: (Online) 2078-6751, (Print) 1608-9693 http://www.sajhivmed.org.za Published: 23 May 2018

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Guidelines for the Prevention and Contaiment of of Antimicrobial Resistance in South African Hospitals
recommended

NdOH South Africa National Department of Health South Africa (2018) C1

These guidelines form part of efforts to institutionalize the prevention and containment of antimicrobial resistance (AMR) in healthcare facilities in South Africa, as outlined in the Antimicrobial Resistance Strategic Framework and Implementation Plan. The focus of these guidelines is on two interr... more

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Challenges of DHS and MIS to capture the entire pattern of malaria parasite risk and intervention effects in countries with different ecological zones: the case of Cameroon

Massoda Tonye, S.G. ; C. Kouambeng, R. Wounang et. al. Malaria Journal (2018) C1

Massoda Tonye et al. Malar J (2018) 17:156 https://doi.org/10.1186/s12936-018-2284-7 Background: In 2011, the demographic and health survey (DHS) in Cameroon was combined with the multiple indicator cluster survey. Malaria parasitological data were collected, but the survey period did not overl... more

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Provision and continuation of antiretroviral therapy during acute conflict: the experience of MSF in Central African Republic and Yemen

Ferreyra C., D. O’Brien, B. Alonso Conflict and Health (2018) C2

Unstable settings present challenges for the effective provision of antiretroviral treatment (ART). In this paper, we summarize the experience and results of providing ART and implementing contingency plans during acute instability in the Central African Republic (CAR) and Yemen.

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Promoting partner and couples HIV testing using self-test kits in Kenya

H. Thirumurthy, E. Omanga, B. Obonyo et al. (2017) C1

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THE NATIONAL PROTOCOL FOR TREATMENT OF SUBSTANCE USE DISORDERS IN KENYA

Ministry of Health, Republic of Kenya (2017) C2

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Thirty-five years later: Evaluating the impacts of a child health and family planning programme in Bangladesh.

Tania Barham, Randall Kuhn, Jane Menken et al. 3ie Impact (2016) C1

3ie Impact Evaluation Report 39

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Responses of the Catholic Church to HIV and AIDS in Africa: Lessons learned

Fleischer, K., et al. German Bishops' Conference Research Group on International Church Affairs (2015) CC

An international field study by African and German theologicans and health workers.

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Prevention and Control of Noncommunicable Diseases: Guidelines for Primary Health Care in Low-Resource Settings
recommended

S. Bahendeka, S.Colagiuri, S. Mendis, et al. WHO (2012) C_WHO

Cancer, diabetes, heart disease and stroke, chronic respiratory disease

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Indicators and Reference Data: A Practical Tool for Project Managers in Humanitarian Aid

Marie Theres Benner and K. Peter Schmitz Malteser International (2011)

Operational Guideline

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Hoja de ruta para incorporar el Xpert MTB/RIF como método de diagnóstico rápido de la tuberculosis y la tuberculosis multirresistente

World Health Organization, Stop TB Department (2010) C_WHO

6 de diciembre del 2010

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National Guidelines for Accreditation, Supervision and Regulation of ART Clinics in India

Ministry of Health and Family Welfare Government of India; Indian Council of Medical Research; National Academy of Medical Sciences (2005) C1

Combination file of all the documents related to the national guidelines for accreditation, supervision and regulation of ART clinics in India. Documents included: National Guidelines for Accreditation, Supervision & Regulation of ART Clinics in India | Preliminary Pages | Corrigendum | Chapter 1 ... more

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Ending the neglect to attain the sustainable development goals: a rationale for continued investment in tackling neglected tropical diseases 2021–2030

World Health Organization WHO (2022) C_WHO

This document sets out, therefore, to explain the socioeconomic value of investing in the fight against NTDs and highlights priorities for global investment attention. Our work was guided by the need not only for additional funding and funders but also for the need to understand the current funding... more

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Bearing the brunt: The impact of COVID-19 on older people in low- and middle-income countries – insights from 2020

HelpAge (2021) C1

The report shows that older people are not getting the healthcare treatments they desperately need. The COVID-19 response has disrupted services for non-communicable diseases such as cancer and diabetes, communicable diseases such as malaria, and much-needed services for mental health. Combined with... more

Guidelines for the Prevention and Contaiment of of Antimicrobial Resistance in South African Hospitals recommended

Prevention and Control of Noncommunicable Diseases: Guidelines for Primary Health Care in Low-Resource Settings recommended

Guidelines for the Prevention and Contaiment of of Antimicrobial Resistance in South African Hospitals
recommended

Prevention and Control of Noncommunicable Diseases: Guidelines for Primary Health Care in Low-Resource Settings
recommended