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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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The Covid-19 Pandemic and Conflict Dynamics in Syria

Asseburg, M.; H. Azizi, G. Dalay and M. Pieper Stiftung Wissenschaft und Politik (2020) CC

Neither a Turning Point Nor an Overall Determinant Nine years into the (civil) war, Syria is in an extraordinarily poor position to confront the Covid-19 pandemic. Instead of the pandemic leading towards the uniting of local, regional, and international actors involved in Syria around a common purp... 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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From Panic and Neglect to Investing in Health Security

The World Bank (2017) CC

Multiple pandemics, numerous outbreaks, thousands of lives lost and billions of dollars of national income wiped out—all since the turn of this century, in barely 17 years—and yet the world’s investments in pandemic preparedness and response remain woefully inadequate. We know by now that the ... more

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Kenya: National Action Plan on Prevention and Containment of Antimicrobial Resistance 2017-2022

Government of Kenya (2017) C2

This is the first NAP on the Prevention and Containment of AMR in Kenya. It has been developed based on the National Policy on Prevention and Containment of AMR and the recommendations of the situation analysis on AMR conducted in 2011 and updated in 2016. This strategy provides a regulatory and imp... more

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Review of the Concluding Observations made by the Committee on the Rights of the Child

Save the Children Sweden (2008) C1

Non-discrimination disability and ethnic rights

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Antimicrobials supplied in community pharmacies in eastern Europe and central Asia in the early phases of the COVID-19 pandemic

World Health Organization WHO (2022) CC

During the COVID-19 health crisis, community pharmacists had an enhanced role in supporting health-care systems that were overburdened by managing seriously ill patients. This study was undertaken to determine the patterns of community supply of antiviral and antibacterial agents from community phar... more

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Tackling Drug-Resistant Infections Globally: Final Report and Recommendations

The Review on Antimicrobial Resistance (2016) CC

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Guidelines for safe re-opening of inperson congregational worship

Inetrfaith Council on National Reponse to the Coronavirus Pandemic, Kenya (2020) CC

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Реагирование на неинфекционные заболевания во время пандемии COVID-19 и после ее завершения

Всемирная Организация Здравоохранения ВОЗ (2020) C_WHO

В настоящем документе представлен первоначальный обзор поступающей информации (по состоянию на 2 июля 2020 г.) о взаимосвязи между COVID-19, НИЗ и факторами риска НИЗ. Ре... more

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Global alcohol action plan 2022-2030

World Health Organization WHO (2021) C_WHO

Alcohol use is deeply embedded in the social landscape of many societies, and some 2300 million people drink alcoholic beverages in most parts of the world. At the same time, more than half of the global population aged 15 years and older reported having abstained from drinking alcohol during the pr... more

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Between perpetration and prevention of violent extremism accounting on gender

United Nations Development Programme Iraq (UNDP) (2022) C_UNICEF

This study emphasizes the contribution that women can play in the prevention of violent extremism within the family and society and analyzes the drivers and roles of women taking part in violent extremism and supporting violent and extremist groups. UNDP Iraq is pleased to make this study and its r... more

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Thailand's National Strategic Plan on Antimicrobial Resistance 2017-2021

Ministery of Public Health, Thailand (2017) C1

External Link

Antimicrobial Resistance, Fueled by the COVID-19 Pandemic

Pan American Health Organisation PAHO (2021) C_WHO

Policy Brief November 2021 Available in English, Spanish and Portuguese The COVID-19 pandemic has fueled the ongoing antimicrobial resistance (AMR) global crisis due to the increase in the use of antibiotics to treat COVID-19 patients, disruptions to infection prevention and control practices in o... more

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Public Health Emergency Operations Center (PHEOC) Legal Framework Guide

African Union; Africa CDC Centres for Disease Control and Prevention (2021) CC

A public health emergency operation center (PHEOC) serves as a hub for better coordinating the preparation, response, and recovery for public health emergencies. A functional PHEOC is critical for the implementation of the International Health Regulations (IHR 2005). The Framework for a Public Healt... more

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Tobacco product regulation

World Health Organization; Together lets beat Tobacco (2018) C_WHO

Building laboratory testing capacity

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Immediate Socio-Economic Response Plan to Acute Infectious Disease Pandemic for Turkmenistan

UN Sustainable Development Group UNSDG; et al. (2020) C1

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Child Poverty in Tanzania

Lucia Ferrone, Sudhanshu Handa, Milline Jethro Mbonile UN Children's Fund and Government of the United Republic of Tanzania (2016) CC

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Global spending on health: Emerging from the pandemic

World Health Organization (WHO) (2024) CC

The Global Health Expenditure Report delves into the intricate landscape of global economies and health systems. This year, it focuses on health spending in 2022, the third year of the COVID-19 pandemic. It shows how countries around the world responded to the health and economic shocks of the pande... more