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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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Guidance Note: Qualitative Assessment Approaches for the Protection of Children with Disabilities Within Humanitarian Contexts

The Alliance for Child Protection in Humanitarian Action (2023) C1

Children with disabilities are particularly vulnerable in humanitarian settings, yet they are often not able to access the services and protection they need. While multiple factors create these barriers, a major cause is how data about children with disabilities is collected and mapped. Data collect... more

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Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives

Condo J, et al. Human Resources for Health (2014) CC

This study highlights the challenges and areas in need of improvement as perceived by CHWs and beneficiaries, in regards to a nationwide scale-up of CHW interventions in a resource-challenged country. Identifying and understanding these barriers, and addressing them accordingly, particularly within ... more

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An Assessment of Available Evidence on NCDs and their Risk Factors in Myanmar

HelpAge International Myanmar, University of Public Health and University of Medicine-2 (2016) C1

Report on Main Findings
The review encompasses three complementary components: 1) a review of published literature 2000-2015 on NCDs and their risk factors; 2) qualitative interviews with key actors engaged in NCD research in Myanmar; and 3) additional reviews of Myanmar ethical committee inqui... more

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Rapid Pharmaceutical Management Assessment

Rational Pharmaceutical Management Project Pan American Health Organization (1995) CC

An Indicator-based Approach - This manual presents an indicator-based approach for rapidly assessing pharmaceutical management systems and programs. The manual contains a set of 46 indicators of performance, grouped under eight topics of pharmaceutical management, with each topic being covered by a ... more

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Emotions and feelings in critical and emergency caring situations: a qualitative study

Jiménez-Herrera M.F., Llauradó-Serra M., Acebedo-Urdiales S. et al. (2020) CC

Moral emotions are a key element of our human morals. Emotions play an important role in the caring process. Decision-making and assessment in emergency situations are complex and they frequently result in different emotions and feelings among health-care professionals.

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“We know about schistosomiasis but we know nothing about FGS”

Mazigo, H.; Sanson, A.; Lambert, V.; et al. (2021) CC

A qualitative assessment of knowledge gaps about female genital schistosomiasis among communities living in Schistosoma haematobium endemic districts of Zanzibar and Northwestern Tanzania. PloS Neglected Tropical Diseases September 30, 2021 https://doi.org/10.1371/journal.pntd.0009789 Schistosoma... more

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A Primer on Rapid Visual Screening (RVS)

National Disaster Management Authority India (2020) CC

Consolidating Earthquake Safety Assessment Efforts in India. This document provides succinct instructions on how to perform rapid visual screening (RVS), a quick method of earthquake assessment of buildings. It covers a brief description of RVS and its role as a simplified qualitative assessment in ... more

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Novel Coronavirus COVID-19 Policy Briefs FAO

Food and Agriculture Organization (FAO) (2020) CC

Policy briefs The COVID-19 pandemic is impacting not only food trade, food supply chains and markets but also people’s lives, livelihoods and nutrition. This collection of policy briefs presents a qualitative and quantitative assessment of the pandemic’s impacts on these areas. Briefs are r... more

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Bench Aids for the diagnosis of filarial infections
recommended

World Health Organization WHO (1997) C_WHO

The Alere Filariasis Test Strip (FTS) is a rapid diagnostic test recommended for mapping, monitoring and transmission assessment surveys (TAS) for the qualitative detection of Wuchereria bancrofti antigen in human blood samples. The FTS has replaced the Binax Now filariasis immunochromatographic tes... more

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Guidance paper - Assessing country health financing systems: the health financing progress matrix

Jowett, M.; J. Kutzin; S. Kwon et al. World Health Organization (WHO) (2020) CC

This paper outlines the background to and design of the Health Financing Progress Matrix (HFPM), WHO’s standardized qualitative approach to assessing country health financing systems. Primarily qualitative in nature, the HFPM assesses a country’s health financing institutions, processes, policie... more

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Synthesis of Focus Group Discussions with Health Workers in Rwanda

Tomas Lievens and Pieter Serneels Human Resources for Health (2006) C2

Health Systems for Outcomes Publication | This report summarizes the findings of a qualitative study on health workers’ performance and career in Rwanda to identify bottlenecks, strengths and shortcomings for human resources in the health sector, as perceived by both health workers and users of he... more

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Assessment on Family Planning Needs of People Living with Disabilities: Case of Addis Ababa, Ethiopia

United States Agency for International Development USAID United States Agency for International Development USAID (2017) C1

.This assessment was conducted using focus group discussion(FGD)with peopleliving with disabilities who were members of the Ethiopian National Association of the Deaf(Person with hearing impairment), Ethiopian National Association of the Deaf -Blind ( Person with hearing and visual impairment), Ethi... more

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Simplified Field Guide to Participatory Assessment

UN High Commissioner for Refugees Greece (2016) CC

The purpose of this field guide is to provide field staff with simple direction for the planning, design and conducting of participatory assessment. The document provides basic tips to help teams to better structure the identification of data sources, conducting focus groups, reporting of outcomes a... more

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Rapid psychosocial assessment of children in donetsk oblast

UN Children's Fund UNICEF (2019)

Executive summary Accessed: 31.03.2019

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Malawi: Assessment of the Logistics and Supply Chain Management of Anti-TB Medicines

Chana, R USAID (2009) C1

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Rapid Assessment of Ebola Infection Prevention and Control Needs — Six Districts, Sierra Leone, October 2014

Centers for Disease Control and Prevention CDC (2014)

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Collective Voices: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2018) C1

Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States. The study recognizes that civil society can promote people-centered health by creating an e... more

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KENYA Service Provision Assessment Survey 2010 - Key Findings

National Coordinating Agency for Population and Development , Ministry of Medical Services, Ministry of Public Health and Sanitation USAID, UNICEF, UNFPA (2011) C2

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Collective Voices Report: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2017) C1

Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States
The following report is a study of 14 villages under the Collective Voices project (Nov... more

Bench Aids for the diagnosis of filarial infections recommended

Bench Aids for the diagnosis of filarial infections
recommended