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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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Revised Common Protocol for Uniform Evaluation of Public Health Pesticides including Bio-larvicides for use in Vector Control

Indian Council of Medical Research (ICMR); National Vector Borne Disease Control Programme (NVBDCP); National Centre for Disease Control (NCDC) (2014) C1

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National Strategy For Scale-Up Of Chlorhexidine in Nigeria

Federal Ministry of Health, Nigeria (2016) C2

Building on Nigeria’s Call to Action to Save Newborn Lives, the Federal Ministry of Health (FMoH) has developed the National Strategy and Implementation Plan for Scale-up of Chlorhexidine. The Ministry incorporated existing maternal, newborn, and child health plans with additional comprehensive st... more

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Integrated surveillance of antimicrobial resistance in foodborne bacteria

World Health Organization WHO (2017) C_WHO

Application of a One Health approach . The present guidance was developed with the support of the WHO Advisory Group on Integrated Surveillance of Antimicrobial Resistance (AGISAR) to assist countries and other stakeholders in the establishment and development of programmes of integrated surveillan... more

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Determinants of Maternal Care Seeking in Kenya, DHS Further Analysis Reports No. 111

Mbugua S., L. D. MacQuarrie K. DHS Further Analysis Reports No. 111 (2018) C1

This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delivery, and timely postnatal care (PNC).This s... more

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The Role of Women's Empowerment in Influencing HIV Testing

Bashemera, Domitilla R., Martha J. Nhembo, and Grace Benedict ICF International (2013) C2

DHS Working Papers No. 101 Women’s empowerment, HIV testing, birth in past five years, Tanzania

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Key technical issues of herbal medicines with reference to interaction with other medicines

World Health Organization WHO (2020) C_WHO

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Situational analysis of quality improvement in maternal and neonatal health care, Sierra Leone

United Nations Population Fund UNFPA (2018) CC

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The Role of Faith, Values and Ethics in Strengthening Action for Nature and Environmental Governance

UN Environment Programme (2020) CC

This concept report was prepared by Faith for Earth Initiative in support of the efforts of the Government of Iceland to put forth a new resolution during UNEA 5.2 1

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Treatment of anxiety disorders

B.Bandelo, S. Michaelis, D. Wedekind (2017) CC

Dialogues Clin Neurosci. 2017 Jun; 19(2): 93–107.

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Manual of Mental Health for Psychologists

Uday K. Sinha, Devvarta Kumar, Naveen Grover, Jai Prakash, Gouri Shankar Kaloiya National Health Ministry for Health and Family Welfare; Ministry of Health and Family Welfare, India; WHO (2016) C1

For Mental Health Service Delivery under National Mental Health Programme

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East and Horn of Africa COVID-19 Strategic Response and Recovery Plan 2021

International Organization for Migration IOM (2021) CC

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Effect of employment on rate and severity of domestic violence against women in Swaziland

Charles I Azih (2007) C1

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Review of Child and Adolescent Refugee Mental Health

The National Child Traumatic Stress Network NCTSN (2003) C1

White Paper from the National Child Traumatic Stress Network Refugee Trauma Task Force

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Review of Community-Based Management of Acute Malnutrition Implementation in Burkina Faso

Deconinck H., S. Diene, P. Bahwere Food and Nutrition Technical Assistance II Project (FANTA-2) (2010) C2

The United States Agency for International Development (USAID) Bureau for Democracy, Conflict, and Humanitarian Assistance Office of U.S. Foreign Disaster Assistance (DCHA/OFDA) requested Food and Nutrition Technical Assistance II Project (FANTA-2) assistance to review Community-Based Management of ... more

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STUDY ON THE RIGHTS OF PERSONS WITH DISABILITIES IN CAMEROON

EVA JACQUELINE ETONGUE MAYER African Union of the Blind (AFUB), Cameroon National Association for the Blind (CNAB) (2007) CC

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State of the world's hand hygiene

World Health Organisation (WHO) (2021) C_WHO

This report is the first of its kind. It brings together various data sets to present the current status of hand hygiene, highlight lagging progress, and call governments and supporting agencies to action, offering numerous inspiring examples of change. During the COVID-19 pandemic, hand hygiene ... more

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Uptake of HIV testing in Burkina Faso: an assessment of individual and community level determinants

Kirakoya-Samadoulougou F., K. Jean, M. Maheu-Giroux BMC Public Health (2017) C2

Previous studies have highlighted a range of individual determinants associated with HIV testing but few have assessed the role of contextual factors. The objective of this paper is to examine the influence of both individual and community-level determinants of HIV testing uptake in Burkina Faso.

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We are also dying of AIDS

Human Rights Watch (2014) C1

Barriers to HIV Services and Treatment for Persons with Disabilities in Zambia The 80-page report documents the obstacles faced by people with disabilities in both the community and healthcare settings. These include pervasive stigma and discrimination, lack of access to inclusive HIV prevention ed... more

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Inclusion of persons with disabilities in humanitarian action: 39 examples of field practices, and learnings from 20 countries

CBM; Handicap International (HI), and International Disability Alliance (IDA) (2019) C1

39 examples of field practices, and learnings from 20 countries, for all phases of humanitarian response. The report shows that deliberate and proactive action is required to ensure that persons with disabilities from all constituencies are systematically included and meaningfully participate in DRR... more