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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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Childhood Asthma: Low and Middle-Income Countries Perspective

Soto-Martínez, M.E.; Soto-Quiros, M.E.; Custovic, A. Acta Medica Academica (2020) CC

Our aim is to review current asthma epidemiology, achievements from the last 10 years, and persistent challenges of asthma man- agement and control in low-middle income countries (LMICs). Despite global efforts, asthma continues to be an important public health problem worldwide, particularly in poo... more

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Das Asylverfahren. Deine Rechte, deine Perspektiven erklärt für unbegleitete Minderjährige

Flüchtlingsrat Niedersachsen (2019) C1

Wie kann ich einen Asylantrag stellen? Welche Rechte habe ich im Asylverfahren? Wie kann ich mich auf die Anhörung vorbereiten? Was kann ich machen, wenn mein Asylantrag abgelehnt wurde? Welche Wege und Möglichkeiten gibt es, neben dem Asylverfahren, um in Deutschland zu bleiben? Wen kann ich frag... more

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Atención Primaria en Salud en Paraguay: panorámica y perspectiva

Roberto Dullak, Monica Ruoti, et al. (2010) C1

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Inclusión de las personas mayores en la planificación para emergencias: Perspectivas durante y después de la pandemia de COVID-19

World Health Organisation (WHO) (2023) C_WHO

En la Región de las Américas, las poblaciones están envejeciendo y se está experimentando una rápida transición demográfica. El índice de envejecimiento, que refleja el tamaño de los grupos de mayor edad por 100 en comparación con los menores de 15 años, demuestra claramente el aumento de... more

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Food safety and antimicrobial resistance research: A One Health perspective

Hung Nguyen-Viet International Livestock Research Institute ILRI (2019) C2

Food safety and antimicrobial resistance research: A One Health perspective. Presented at the Emerging Pathogens Institute Seminar Series, Gainesville, Florida, 26 July 2019

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Defining, treating and preventing hospital acquired pneumonia: European perspective

Torres, A.; Ewig S.; Lode, H.; et al. (2017) C2

Intensive Care Med (2009) 35:9–29DOI 10.1007/s00134-008-1336-9 Although thousands of papers have been devoted tohospital-acquired pneumonia (HAP), many controversiesremain, and management of HAP is probably often sub-optimal. Several reviews or guidelines have been pub-lished rec... more

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Current Treatments to Control African Trypanosomiasis and One Health Perspective

Venturelli, A.; Tagliazucchi, L.; Lima, C.; Venuti, F. et al. MDPI Microorganisms (2022) CC

Human African Trypanosomiasis (HAT, sleeping sickness) and Animal African Trypanosomiasis (AAT) are neglected tropical diseases generally caused by the same etiological agent, Trypanosoma brucei. Despite important advances in the reduction or disappearance of HAT cases, AAT represents a risky reserv... more

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Under- and over-diagnosis of COPD: a global perspective

Ho T., Cusack R.P., Chaudhary N. et al. Breathe, part of the European Respiratory Society (ERS) (2019) CC2

The article "Under- and over-diagnosis of COPD: a global perspective" reviews the worldwide variation in the prevalence of chronic obstructive pulmonary disease (COPD) and issues related to its misdiagnosis. It highlights that COPD is under-diagnosed due to factors such as limited access to spiromet... more

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Peace and security along the Ivorian-Liberian border: the local perspective

Conciliation Resources (2015)

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Multisectoral prioritization of zoonotic diseases in Uganda, 2017: A One Health perspective

Sekamatte, M.; V. Krishnasamy, L.Bulage et al. PLOS journals (2018) CC

PlosOne https://doi.org/10.1371/journal.pone.0196799; Zoonotic diseases continue to be a public health burden globally. Uganda is especially vulnerable due to its location, biodiversity, and population. Given these concerns, the Ugandan government in collaboration with the Global Health Security Age... more

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Improving access to care for children with mental disorders: A global perspective

V. Patel; C. Kieling; P. K. Maulik; G. Divan Europe PMC Funders Group (2013) C2

Europe PMC Funders Group Author Manuscript Arch Dis Child. Author manuscript; available in PMC 2013 November 01. Published in final edited form as: Arch Dis Child. 2013 May ; 98(5): 323–327. doi:10.1136/archdischild-2012-302079.

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The burden of asthma in children: a Latin American perspective

Bueno Fischer, G.; Moreira Camargos, P. A.; Teresinha Mocelin, H. (2005) CC2

Worldwide, studies on asthma prevalence have shown major rises over the last 30 years. The impact on the burden of asthma is being increasingly recognised. In some countries in Latin America, the prevalence of asthma is among the highest in the world. Asthma admissions are very common in children, l... more

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The burden of asthma in children: an Asian perspective

Singh, M. Science Direct (2005) CC2

A worldwide increase in the prevalence of asthma has been reported in recent years. With an increase in prevalence comes an increased burden of disease in terms of morbidity, mortality and compromised quality of life. The economic burden in terms of utilisation of healthcare resources and limitation... more

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Pathogenesis of chronic obstructive pulmonary disease: An African perspective

Allwood, B.; Calligaro, G. South African Medical Journal (SAMJ) (2015) CC2

The article discusses the significant impact of chronic obstructive pulmonary disease (COPD) as a global health issue, with cigarette smoking as the main risk factor. However, in developing countries, the causes of COPD are often multifactorial, involving environmental tobacco smoke, biomass fuel sm... more

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Considerations for selection of SARS-CoV-2 diagnostics and potential multiplexing: A perspective to ensure continuity of care for people with TB

Stop TB Partnership; WHO (2020) C_WHO

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Disability inclusive employment in urban Malawi: A multi-perspective interview study

Remnant, J.; Wånggren, L.; Huque, S. et al. Journal of International Development (2022) CC

The paper presents interview data from Malawian government representatives, trade unionists, employers and people with disabilities from the country's largest cities Lilongwe and Blantyre. Findings relate to the gap between the discourse of employers and government officials and that of workers with... more

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District Health System Reorganization Guideline from a Managerial Perspective

Ministry of Health, Rwanda (2011) C2

These guidelines are Rwanda’s official guide to the management of a functional district health system and were designed as a daily guide for the duties of the district health team. It traces key roles and responsibilities of each team member.

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Finanzielle Anstrengungen für die öffentliche Entwicklungszusammenarbeit (ODA) im Jahr 2020 und Perspektiven für 2021

Rüppel, J.; and T. Rüppel Medical Mission Institute (2021) CC

Aktualisierung nach der Publikation der vorläufigen ODA-Daten durch DAC/OECD mit Projektionen für das Jahr 2021 unter Berücksichtigung der kürzlich beschlossenen Haushaltspläne, 20.06.2021

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Threats posed by stockpiles of expired pharmaceuticals in low- and middle-income countries: a Ugandan perspective

Pakoyo Fadhiru Kamba, Munanura Edson Ireeta, Sulah Balikuna et al. World Health Organisation (WHO) (2017) C_WHO

Bull World Health Organ 2017;95:594–598