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The role of community health workers in influencing social connectedness using the household model: a qualitative case study from Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M. et al. Global Health Action (2022) CC

Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare and social support services. More studies are needed to understand the factors facilitating these interactions among CHWs, clients, an... more

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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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Transmission of Ebola Viruses: What We Know and What We Do Not Know

Michael T. Osterholma, Kristine A. Moorea, Nicholas S. Kelley et al. (2015)

mBio, Vol. 6 Issue 2, March/April 2015 Available evidence demonstrates that direct patient contact and contact with infectious body fluids are the primary modes for Ebola virus transmission, but this is based on a limited number of studies. In this review, the authors address what we know and what ... more

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Praziquantel for the treatment of schistosomiasis during human pregnancy

Friedman, J.F. et al. (2018) CC

In 2014, an estimated 40 million women of reproductive age were infected with Schistosoma haematobium, S. japonicum and/or S. mansoni. In both 2003 and 2006, the World Health Organization (WHO) recommended that all schistosome-infected pregnant and breastfeeding women be offered treatment, with praz... more

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Clinical Illness and Outcomes in Patients with Ebola in Sierra Leone
recommended

Schieffelin, JS.; J.G. Shaffer; A. Goba, et al. (2014)

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Community-based care of Ebola virus disease in west Africa

Sharon Salmon, Mary-Louise McLaws, Dale Fisher (2015)

www.thelancet.com/infection Vol 15 February 2015

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Haemorrhagic Fevers in Africa: Narratives, Politics and Path ways of Disease an Response

Melissa Leach STEPS Centre, Institute of Development Studies (2008) C1

Ebola

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Centre Pasteur du Cameroun - Rapport d'activités 2012

Dr. Vernet G; Mme C. Owona; Dr. S. Eyangoh et. al. Centre Pasteur du Cameroun (2013) C1

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Health workers’ adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis

World Health Organization WHO (2025) C_WHO

Digital health technology can make health systems more efficient and sustainable, facilitating the provision of high-quality care across a wide range of contexts and for diverse population health needs. The pace of innovation in digital health is rapid and constant, with new interventions bein... more

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Clinical Manifestations and Case Management of Ebola Haemorrhagic Fever Caused by a Newly Identified Virus Strain, Bundibugyo, Uganda, 2007–2008

Paul Roddy, Natasha Howard, Maria D. Van Kerkhove, et al. (2012) CC

PLoS ONE 7(12): e52986. doi:10.1371/journal.pone.0052986. Opern Access please download from the website

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Infection Rates and Risk Factors for Infection Among Health Workers During Ebola and Marburg Virus Outbreaks: A Systematic Review

Saranya A, Selvaraj E Lee, Mason Harrell, et al. (2018) CC

The Journal of Infectious Diseases, jiy435, https://doi.org/10.1093/infdis/jiy435. Many outbreaks reported high proportions of infected HWs. Similar HW infection rates and exposure risk factors in both past and recent EVD and MVD outbreaks emphasize the need to improve the implementation of approp... more

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Ebola Virus Disease in Africa: Epidemiology and health facility related transmission

Shears, Paul, T.J.D. O'Dempsey (2015)

A review of current literature and up date data from the field, April 2015. This report has been published in part in J Hosp Inf. 2015;90:1-9. http://www.ncbi.nlm.nih.gov/pubmed/?term=ebola+nosocomial+shears