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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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Efficacy and effectiveness of an rVSV-vectored vaccine expressing Ebola surface glycoprotein: interim results from the Guinea ring vaccination cluster-randomised trial

Ana Maria Henao-Restrepo, Ira M Longini, Matthias Egger, et al. (2015)

the Lancet : Published Online July 31, 2015 http://dx.doi.org/10.1016/S0140-6736(15)61117-5

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Essential prevention and care interventions for adults and adolescents living with HIV in resource-limited settings

World Health Organization WHO (2008) C_WHO

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Facilitator's Training Guide for a Stigma-Free Health Facility

R. Kidd; S. Clay; M. Stockton; et al. USAID From the American People; PEPFAR; Health Policy Project (2015) C2

Policy June 2015 Training Menus, Facilitation Tips, and Participatory Training Modules

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Mental health policy developments in Latin America

R.D. Alarcón & S.A. Aguilar-Gaxiola Bulletin of the World Health Organization (2000) C_WHO

New assessment guidelines for measuring the overall impact of mental health problems in Latin America have served as a catalyst for countries to review their mental health policies. Latin American countries have taken various steps to address long-standing problems such as structural difficulties, s... more

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Covid-19 vaccines: safety surveillance manual

World Health Organization WHO (2020) C_WHO

22 December 2020 The COVID-19 vaccine safety guidance manual has been developed upon recommendation and guidance of GACVS members, as well as by experts incorporating current and available information critical to all stakeholders when COVID-19 vaccines will be introduced. For ease of use, the man... more

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Towards universal access - Scaling up priority HIV/AIDS interventions in the health sector

World Health Organization; UNAIDS; Unicef (2010) C_WHO

Progress Report 2010

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India National Health Policy 2017

Ministry of Health and Family Welfare, India (2017) C1

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WHO's Health Emergency Appeal 2023

World Health Organisation (WHO) (2023) C_WHO

WHO needs US$2.54 billion to provide life-saving assistance to millions of people around the world facing health emergencies. WHO’s Health Emergency Appeal is a consolidation of WHO’s priorities and financial requirements for 2023 to carry out health interventions in emergency and humanitarian r... more

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Migration of South African health workers: the extent to which financial considerations influence internal flows and external movements

George, G., Atujuna, M. & Gow, J. BMC Health Services Research (2013) CC

Research Article

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Report of the workshop for implementing the WHO South-East Asia Regional NCD Roadmap, 2022-2030 WHO

World Health Organization (WHO) World Health Organization (WHO) (2023) C_WHO

The workshop aimed to support countries in the prioritization and acceleration of NCD prevention and management with a specific focus on accelerating the prevention and control of hypertension and diabetes, identifying the most impactful NCD interventions within their context, closing the gaps in ca... more

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Detection of Schistosoma mansoni DNA using polymerase chain reaction from serum and dried blood spot card samples of an adult population in North-western Tanzania

Fuss, A.; H. D. Mazigo and A. Mueller (2021) CC

Infect Dis Poverty (2021) 10:15. Real-time polymerase chain reaction (PCR) is a sensitive and specific method for diagnosing schistoso- miasis. However, this method should be performed in a laboratory, usually located distant from the sample collection site. Therefore, it is important to have fas... more

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Coronavirus. A book for children

Jenner, E.; K. Wilson and N. Roberts Nosy Crow (2020) CC

Illustrated by A. Scheffler and contribution by G. Medley

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Improving Prison Conditions by Strengthening the Monitoring of HIV, HCV, TB and Harm Reduction (Poland)

M. Wolny, P. Kubaszewski Helsinki Foundation for Human Rights, European Union (2015) C2

Mapping Report - Poland.

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Report on the Review of the Kenya National Guidelines for Safe Management of Health Care Waste

UNDP (2018) CC

Injection Safety and Safe Disposal of Medical Waste National Communication Strategy and Health Care Waste Management Standard Operating Procedures (SOPs). The overall objective of the consultancy was to review and align the three national technical and communication guiding documents on HCWM to th... more

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Climate change and mental health: risks, impacts and priority actions

Katie Hayes, G. Blashki, J. Wiseman et al. International Journal of Mental Health Systems (2018) CC

This article provides an overview of the current and projected climate change risks and impacts to mental health and provides recommendations for priority actions to address the mental health consequences of climate change.

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Management of diabetes A national clinical guideline

Helthcare Improvement Scotland (2017) CC2

Diabetes mellitus is a major cause of morbidity and mortality in Scotland and worldwide, with an increasing prevalence. In 2009 there were around 228,000 people registered as having diabetes in Scotland, an increase of 3.6% from the preceding year. This increase relates, in part, to the increasing a... more

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Guidelines - European AIDS Clinical Society (EACS)

European AIDS Clinical Society (EACS) European AIDS Clinical Society (EACS) (2020) C2

Version 10.1_5 October 2020 These Guidelines are available in different formats: As a paper booklet, a PDF, a mobile app, and now also as a website. The 2019 version of the Guidelines introduces a new drug-drug interaction panel and now consists of six main sections, including a general overview ... more

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Global Health Security (GHS) Index

Nuclear Threat Initiative (NTI) and the Johns Hopkins Center for Health Security (JHU) The Economist Intelligence Unit (EIU) (2019) CC

The GHS Index is intended to be a key resource in the face of increasing risks of high-consequence and globally catastrophic biological events and in light of major gaps in international financing for preparedness. These risks are magnified by a rapidly changing and interconnected world; increasing ... more

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Post-exposure prophylaxis to prevent HIV infection

World Health Organization; ILO (2007)

Joint WHO/ILO guidelines on post-exposure prophylaxis (PEP) to prevent HIV infection.