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Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework

Murphy, J.P.; A. Moolla, S. Kgowedi et al. Health Policy and Planning (2020) C1

South Africa has a long history of community health workers (CHWs). It has been a journey that has required balancing constrained resources and competing priorities. CHWs form a bridge between communities and healthcare service provision within health facilities and act as the cornerstone of South A ... more

Lessons from Uganda on Integrating the Integrated Community case management model, final report 2015

USAID (2015) C1

Evaluation Report of the Community Health Strategy Implementation in Kenya

Divisions of Community Health Services, UNICEF (2010)

Access to healthcare through community health workers in East and Southern Africa

Kumar, M.; R. Nefdt, E. Ribaira and K. Diallo UNICEF (2014) C_UNICEF

The role of community health workers in the re-engineering of primary health care in rural Eastern Cape

Karl le Roux, Ingrid M le Roux, Nokwanele Mbewu & Emily Davis South African Family Practice (2015) CC

Community health workers to improve uptake of maternal healthcare services: A clusterrandomized pragmatic trial in Dar es Salaam, Tanzania

Geldsetzer, P.; Mboggo, E.; Larson, E.; et al. (2019) CC2

PLoS Med 16(3): e1002768. https://doi.org/10.1371/journal.pmed.1002768 Home delivery and late and infrequent attendance at antenatal care (ANC) are responsible for substantial avoidable maternal and pediatric morbidity and mortality in sub-Saharan Africa. This cluster-randomized trial aimed to de ... more

Community-Based Disaster Risk Reduction. STEP-BY-STEP Methodology

Myanmar Red Cross Society (2013) C1

The CBDRR Step-by-Step Methodology aims to guide the effective implementation of new community-based as well as school-based interventions implemented by MRCS as well as other DRR actors in Myanmar ... more

Improving Financial Access to Health Services for the Poor in Nigeria - Brief: Community-based Health Insurance

Federal Ministry of Health, Nigeria; National Health Insurance Scheme; National Primary Health Care et al. (2012) C_WHO

Baseline assessment of community based TB services in 8 WHO ENGAGE-TB priority countries

World Health Organization WHO (2018) C_WHO

This document contains a series of desk reviews for the eight ENGAGE-TB priority countries supported by the Global Fund (DRC, Kenya, Indonesia, Mozambique, Myanmar, Nigeria, Pakistan and Tanzania). The document provides a situation assessment and gap analysis about the state of ... more

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 accompan ... iment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to maintain 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

Community-based rehabilitation: CBR guidelines - Introductory booklet
recommended

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, World Health Organization WHO (2010) C_WHO

Available in: English, French, Chinese, Spanish, Russian, Arabic, Thai, Korean, Tajik, Vietnamese, Uzbek http://www.who.int/disabilities/cbr/guidelines/en/

Inclusion Through Community Based Rehabilitation

LIGHT FOR THE WORLD (2012) C1

Lessons learned in Burkina Faso, Ethiopia & Mozambique 2009 - 2011

The use of low-cost Android tablets to train community health workers in Mukono, Uganda, in the recognition, treatment and prevention of pneumonia in children under five: a pilot randomised controlled

J.O’Donovan, K. Kabali, C. Taylor, et al. (2018) CC

Human Resources for Health201816:49; https://doi.org/10.1186/s12960-018-0315-7

Community-Based Mental Health: A Training Guide for Community Providers

International Federation of Red Cross and Red Crescent Societies IFRC (2023) CC

Mental health problems are common and cause great suffering to individuals and communities around the world. They have a significant impact not only on the physical and mental health of those affected but also on their families and the communities they live in. At the same time, all communities have ... more

Community consultation on the role of peer support in the Retention of women, adolescents and children in HIV care and treatment

World Health Organization ( WHO Regional Office for Africa), ICW, Unicef, (2017) C_WHO

16-17 November 2017, Hotel Djeugua, Yaoundé, Cameroon Meeting Report December 2017

Working With the Community for Improved Health

K. Gryboski, N.V. Yinger; R.H. Dios, et al (2006) C1

Health Bulletin No.3

Community-Based Disaster Risk Reduction (CBDRR) Manual in Lao PDR

(2016) C1

The CBDRR Manual is a practical ‘how-to’ guide on community-based disaster risk reduction for government and non-government agencies in Lao PDR. It is a commonly agreed document to be referred t ... more

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

Stop TB Partnership; WHO (2021) C_WHO

Information note

Impact of community-led and community-based HIV service delivery beyond HIV: case studies from eastern and southern Africa

UNAIDS (2025) C1

The objectives of the research presented in this report were to identify case studies of community-led HIV-related health and social inclusion service delivery organizations in eastern and southern Africa; describe the typologies of the services provided; and identify evidence of their service deliv ... more

Training and Evaluation of Community Health Workers (CHWs): Towards Improving Maternal and Newborn Survival in an Urban Setting in KwaZulu-Natal, South Africa

Thoko Ndaba1, Myra Taylor, Musawenkosi Mabaso The Open Public Health Journal (2019) C1

CHWs demonstrated social commitment and purpose in the short term observed. The evaluation of the training of CHWs revealed that most demonstrated the necessary skills for referrals to prevent complications, caring for newborns and their mothers at home immediately after discharge from health care c ... more