the aid library

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

Training community healthcare workers on the use of information and communication technologies: a randomised controlled trial of traditional versus blended learning in Malawi, Africa

Nikolaos Mastellos, Tammy Tran, Kanika Dharmayat et al. BMC Medical Education (2018) CC

Despite the increasing uptake of information and communication technologies (ICT) within healthcare services across developing countries, community healthcare workers (CHWs) have limited knowledge to fully utilise computerised clinical systems and mobile apps. The ‘Introduction to Information and ... more

Ghana’s National Health insurance scheme and maternal and child health: a mixed methods study

Kavita Singh, Isaac Osei-Akoto, Frank Otchere et al. BMC Health Services Research (2015) C1

Ghana is attracting global attention for efforts to provide health insurance to all citizens through the National Health Insurance Scheme (NHIS). With the program’s strong emphasis on maternal and child health, an expectation of the program is that members will have increased use of relevant servi ... more

Disease diagnosis in primary care in Uganda

Martin Kayitale Mbonye, Sarah M Burnett, Robert Colebunders, et al. (2014) CC

BMC Family Practice201415:165, DOI: 10.1186/1471-2296-15-165 Open Access

Strengthening monitoring and evaluation (M&E) and building sustainable health information systems in resource limited countries

Mpofu, M., Semo, B., Grignon, J., et al. BMC Public Health (2014) CC

Lessons learned from an M&E task-shifting initiative in Botswana

Prevalence of smear positive pulmonary tuberculosis among prisoners in North Gondar Zone Prison, northwest Ethiopia

B. Moges, B. Amare, F. Asfaw, et al. (2012) CC

BMC Infectious Diseases 2012, 12:352/1471-2334/12/352

Occupational segregation, gender essentialism and male primacy as major barriers to equity in HIV/AIDS caregiving: Findings from Lesotho

Newman et al International Journal for Equity in Health (2011) CC

Ethnobotanical study and conservation status of local medicinal plants: Towards a repository and monograph of herbal medicines in Lesotho

Mugomeri, Eltony; Chatanga, Peter; Raditladi, Tirelo et al. (2016) CC

Afr J Tradit Complement Altern Med. (2013) 10(5):210-229
Plants are important sources of medicines. Herbal medicines in Lesotho are exposed to excessive exploitation and habitat destruction. Comprehensive information to promote proper use and conservation of these herbal medicines is lacking. ... more

Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders

Catherine O Egbe, C.Brooke-Sumner†, T. Kathree,et al. (2014) CC

BMC Psychiatry 2014 14:191 https://doi.org/10.1186/1471-244X-14-191

Recognition of depression by primary care clinicians in rural Ethiopia

Abebaw Fekadu, Girmay Medhin, Medhin Selamu, et al. (2017) CC

BMC Family Practice (2017) 18:56 DOI 10.1186/s12875-017-0628

iSupport, an online training and support program for caregivers of people with dementia: study protocol for a randomized controlled trial in India

Mehta, M.K.; et al. (2018) CC

Trials (2018) 19:271 https://doi.org/10.1186/s13063-018-2604-9 Based on the findings of this trial, we will examine the potential use and scale up of iSupport for caregiver distress in India. This style of online self-help programs could be expanded to other regions or countries or to other suitabl ... more

Persons with disabilities as experts-by experience: using personal narratives to affect community attitudes in Kilifi, Kenya

Joseph K. Gona, Newton C.R., Hartley, Sally, et al. (2018) C1

International Health and Human Rights (2018) 18:18 Disability awareness, Community, Attitudes, Experts-by-experience

Costing of Integrated Community Case Management in Malawi

Z. Jarrah, A. Lee, K. Wright, K. Schulkers, D. Collins USAID; et al. (2013)

The Impact of Professional Spiritual Care

The Standard for Spiritual Care & Education et al (2020) C2

Our spiritual health profoundly impacts our physical health, well-being, and quality of life. Just as medical professionals care for our bodies and minds, spiritual care practitioners care for our spirits. The increasing need for spiritual care makes these practitioners even more crucial. However, m ... more

Hepatology. A Clinical Textbook

Stefan Mauss, et al. Flying Publisher, Boehringer Ingelheim (2015)

An assessment of antenatal care among Syrian refugees in Lebanon

Matthew Benage; et al. (2015) CC

Conflict and Health 2015, 9:8 doi:10.1186/s13031-015-0035-8

мигранты (Mobile Russian edition)

FG Consulting Group, C. Daniels, C. Smyth et al. UNOPS, Stop TB Partnership et al. (2019) C1

Hесмотря на многочисленные международные договоры и обязательства по защите прав мигрантов в области здравоохранения, эта ключевая затронутая группа населения п� ... more