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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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Manual on community-based mental health and psychosocial support in emergencies and displacement

International Organization for Migration IOM (2020) C1

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Young people’s participation in community-based responses to HIV

UNAIDS; The Pact; UPROOT; et al. (2019) C2

From passive beneficiaries to active agents of change

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Training of community health workers: Cervical cancer screening and management of cervical pre-cancers

Lakhbir Dhaliwal, Vanita Suri, Reshmi Bagga et al. World Health Organisation (WHO) (2017) C_WHO

Cervical cancer is the second most common cancer among women worldwide and causes a significant number of deaths in the South-East Asia Region. Nearly 200 000 new cases of cervical cancer occurred in SEA Region Member States in 2008, giving an incidence of almost 25 per 100... more

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Operational Guidelines & Reference Manual Prevention of Postpartum Haemorrhage through Community Based Distribution of Misoprostol

Maternal Health Division Ministry of Health and Family Welfare Government of India Maternal Health Division Ministry of Health and Family Welfare Government of India (2013) C1

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From the Frontline of Community Action: A Compendium of Six Successful Community Based HIV Interventions That Have Worked for MSM- TG-Hijras in India

Shobhna S. Kumar,Pallav Patankar, Dr. Maninder Singh Setia UNDP India (2011) C1

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ACF – Sierra Leone Case Study: Community Led Ebola Management and Eradication (CLEME) - Trigger Behavioural Change to strengthen community’s resilience to Ebola Outbreaks

Action contre le Faim (2015)

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Strengthening the Human Resource Base at Township Level: Ensuring More Effective Implementation of Community Based Disaster Risk Reduction Initiatives

Myanmar Red Cross Society (2012) C1

CBDRR Practice. Case Studies 2
No publication year indicated.

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The Control of Neglected Zoonotic Diseases - Community-based interventions for prevention and control

World Health Organization WHO (2010) C_WHO

Report of the third conference organized with ICONZ, DFID-RIU, Gates Foundation, SOS, EU, TDR and FAO with the participation of ILRI and OIE WHO headquarters, Geneva, Switzerland 23–24 November 2010 In this report we have tried to present the various issues, problems and challenges that ... more

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Digital Health Technologies, Virtual Care and Community-Based Monitoring Solutions for TB Programmes

Stop TB Partnership; WHO (2021) C_WHO

Information note

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Lessons Learnt Report. Rohingya Emergency Response Community Based Approach

Catholic Relief Services CRS (2018) C1

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Baseline and End-Line Studies as Means to Analyze the Effectiveness of Community-Based Disaster Risk Reduction Activities

Myanmar Red Cross Society (2012) C1

CBDRR Practice. Case Studies 3
No publication year indicated.

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COVID-19: Training slides based on guidelines for case-finding, diagnosis, management and public health response in South Africa

Centre for Respiratory Diseases and Meningitis and Outbreak Response National Department of Health, South Africa (2020) C2

Outline • Welcome and objectives • Microbiology, epidemiology and clinical presentation • Surveillance for imported cases including case definitions • Laboratory diagnosis • Infection prevention and hospital readiness • Patient flow and actions required at each step • Co-ord... more

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Integrating severe acute malnutrition into the management of childhood diseases at community level in South Sudan

Emily Keane, Andrea King, Anthony Awira et al. Malaria Consortium South Sudan (2013) C1

Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortiums experience of t... more

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Use of a Participatory Method for Community-Based Brucellosis Control Design in Agro-Pastoral Areas in Tanzania

Asakura S.; Makingi G.; John K. et al. Frontiers in Veterinary Science (2022) CC

Brucellosis is widespread in both humans and livestock in many developing countries. The authors have performed a series of epidemiological studies on brucellosis in agro-pastoral areas in Tanzania since 2015, with the aim of the disease control. Previously, the potential of a community-based brucel... more

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Promotion of Savings and Loan groups in Community Based Rehabilitation Programmes CBM Livelihood Technical Guideline

Christoffel-Blindenmission (CBM) (2016)

The main objectives of these guidelines are: A. To create awareness among the CBM family (International Office, Member Associations, Regional Offices, Country Offices and partners) on the opportunity savings groups create to attain socio-economic empowerment of a significantly larger number of pers... more

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Burden of leprosy in Malawi: community camp-based cross-sectional study

K. P Msyamboza, L.Mawaya 2 , H.W Kubwalo, et al. (2012) CC

BMC International Health and Human Rights 2012, 12 :12 http://www.biomedcentral.com/1472-698X/12/12

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HEARTS. Technical package for cardiovascular disease management in primary health care. Evidence-based treatment protocols

World Health Organization WHO, et al. (2018) C_WHO

In many low- and middle-income countries, there is a wide gap between evidencebased recommendations and current practice. Treatment of major CVD risk factors remains suboptimal, and only a minority of patients who are treated reach their target levels for blood pressure, blood sugar and blood choles... more

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Operational considerations for case management of COVID-19 in health facility and community
recommended

World Health Organization WHO (2020) C_WHO

This document is intended to guide the care of COVID-19 patients as the response capacity of health systems is challenged; to ensure that COVID-19 patients can access life-saving treatment, without compromising public health objectives and safety of health workers. It promotes two key messages: ... more

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Towards a Core Set of Clinical Skills for Health-Related Community Based Rehabilitation in Low and Middle Income Countries

Jessica O'Dowd, Malcolm MacLachlan, Chapel Khasnabis, Priscille Geiser Disability, CBR & Inclusive Development Journal (DCIDJ) (2015) CC

This research aims to identify a core set of clinical skills for working in a Community Based Rehabilitation (CBR) setting, and to discuss whether they are appropriate for task shifting to a new or an alternative cadre of rehabilitation workers.

Operational considerations for case management of COVID-19 in health facility and community recommended

Operational considerations for case management of COVID-19 in health facility and community
recommended