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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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Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach & Governance

Ministerial Advisory Committee on Antimicrobial Resistance National Dept. of Health, South Africa (2017) C2

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Disability Rights in Burkina Faso

Sida (2012) C2

According to the National Institute of Statistics and Demography (NSID) 168,094 persons out of Burkina Faso’s 14,017,262 inhabitants are living with a physical, sensory or mental disability. The numbers are questioned as the effort to collect in-depth statistics has not been great. Furthermore, mu... more

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India National Health Policy 2017

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

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Digital adaptation kit for antenatal care: operational requirements for implementing WHO recommendations in digital systems

World Health Organization WHO (2021) CC

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Kenya National Cancer Sreening Guidelines

Ministry of Health, Kenya (2018) CC

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Orientations sur les mesures temporaires de lutte antipaludique dans les pays affectés par le virus Ebola

Organisation Mondiale de la Santé OMS (2014)

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National Guidelines on Management of Sexual Violence in Kenya

Ministry of Public Health& Sanitation. Ministry of Medical Services. Kenya (2009) C1

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A scorecard for assessing functionality of community health unit in Kenya

Ager, D., Oele, G., Muhula, S., et al Pan African Medical Journal (2016) CC

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Management of type 2 diabetes in adults

Department of Health: Republic of South Africa (2014) CC2

Diabetes is a major public health problem. The rising incidence of Diabetes Type 2 is related to the effects of urbanization and unhealthy lifestyles. Research studies show that healthy eating and regular physical activity can prevent or delay the onset of Diabetes Type 2, even in high-risk individu... more

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The tuberculosis report for heads of state and goverment

Stop TB Partnership; UNOPS; END TB (2017) C1

Global Plan to end TB 2016-2020

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Framework for implementing the “End TB Strategy” in the African Region 2016 - 2020

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

Tuberculosis (TB) control in the African Region has evolved since the disease was declared a global emergency by the World Health Organization (WHO) in 1993. Member States have adopted and implemented successive global and regional strategies and resolutions, with demonstrable positive impacts on in... more

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Eliminate Yellow fever Epidemics (EYE): a global strategy, 2017-2026

World Health Organization WHO (2018) C_WHO

The EYE strategy is a comprehensive and long-term strategy built on lessons learned that aims at ending yellow fever epidemics by 2026, and consists of three strategic objectives: protect at-risk populations; prevent international spread; and contain outbreaks rapidly.

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Nepal: National Safe Motherhood and Newborn Health - Long Term Health 2006-2017

Governement of Nepal, Family Health Division Department of Health Services (2006) C1

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Supporting survivors of violence with a multi-sectorial, solidarity-based, stress- and trauma-sensitive approach

Karin Griese, Alena mehlau Medica Mundiale (2016) CC

Guiding the work of medica mondiale is an attitude of sensitivity towards both trauma and stress. This stress- and trauma-sensitive approach has a strengthening and relieving effect on the affected people and also the activists, specialist staff and working groups. For medica mondiale, trauma as a... more

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Swaziland: Guidelines on Import and Export Procedures for Medicines

Ministry of Health, Kingdom of Swaziland (2016) C2

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Recovery toolkit: Supporting countries to achieve health service resilience

World Health Organization WHO (2016) C_WHO

A key purpose of the Recovery Toolkit is to support countries in the reactivation of health services which may have suffered as a result of the emergency. These services include ongoing programmes such as immunization and vaccinations, maternal and child health services, and noncommunicable diseases... more