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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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Tuberculosis and HIV—An Update on the “Cursed Duet” in Children

S. H.-L. Fry; S. L. Barnabas; Mark F. Cotton; E. André Frontiers in Pediatrics (2019) C2

Frontiers in Pediatrics | www.frontiersin.org 1 April 2019 | Volume 7 | Article 159

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Plantes médicinales et pratiques médicales au Burkina Faso : cas des Sanan

Zerbo P., J. Millogo-Rasolodimby, O. G.Nacoulma-Ouedraogo Bois et forêts des tropiques (2011) C2

Élément culturel important, les plantes ont été utilisées pendant des siècles par les populations pour se soigner. Cependant, peu d’ethnies connaissent leur pharmacopée de par le manque d’études ethnobotaniques. La présente étude, réalisée en pays San, entité territoriale traditionn... more

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community-based rehabilitation: CBR guidelines - Introductory booklet (russian)

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, Philippe Chervin, Peter Coleridge, Mike Davies, Sunil Deepak, Kenneth Eklindh, Ann Goerdt, Cindy Greer, Karen Heinicke-Motsch, Derek Hooper, Venus B Ilagan, Natalie Jessup, Chapal Khasnabis, Diane Mulligan, Barbara Murray, Alana Officer, Francesca Ortali, Bob Ransom, Aline Robert, Sue Stubbs, Maya Thomas, Venkatesh Balakrishna et Roselyn Wabuge-Mwangi. WHO (2010) C_WHO

Recommendations to develop guidelines on community-based rehabilitation (CBR) were made during the International Consultation to Review Community-based Rehabilitation which was held in Helsinki, Finland in 2003. WHO; the International Labour Organization; the United Nations Educational, Scientific ... more

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Analyse du financement de la santé et réflexions sur le régime d'assurance maladie universelle au Bénin

Mathauer, I.; A. Ntamwishimiro Soumare, et B. my Semegan Organisation mondiale de la Santé OMS (2010) C1

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Adherence to Treatment for HIV A Training Curriculum for Counselors - Facilitator Guide

F. Saini; Dr. V. R. Kandula; G. Venugopal Engender Health Society (Improving Women's Health Worldwide); CII Confederation of Indian Industry; Population Foundation of India; et al. (2006) C2

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WHEELCHAIR SERVICE TRAINING PACKAGE Reference Manual for Participants (Intermediate level)

Sarah Frost, Kylie Mines, Jamie Noon, Elsje Scheffler, and Rebecca Jackson Stoeckle WHO; USAID (2013) C_WHO

Following the release of the Wheelchair Service Training Package – Basic level (WSTP-B), WHO in partnership with United States Agency for International Development (USAID) has developed the Wheelchair Service Training Package – Intermediate Level (WSTP-I). WSTP-I is the second part of the WHO w... more

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Liste OMS des équipements de protection individuelle de prévention et de contrôle de l'infection orientée sur Ebola - Classée par priorité de don
recommended

Organisation de la Santé Mondiale (2015)

Version 31 Mars 2015

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Options for the decontamination and reuse of respirators in the context of the COVID-19 pandemic
recommended

European Centre for Disease Prevention and Control ECDC (2020) C1

Guiding principles for reuse are: Respirators which have been visibly contaminated (e.g. during procedure at intubated patients, such as suction cleaning of airways, taking probes, extubation attempts, etc.) or are damaged or not fitting, should be discarded and cannot be taken for re-use or de... more

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Compendium of accessible WASH technologies

Hazel Jones and Jane Wilbur Water Aid (2014) CC

The compendium is designed for use by staff working directly with communities - e.g. health workers and community volunteers working with disabled and older people and their families in rural areas of sub-Saharan Africa. A few examples of technologies are presented that families can adapt to suit t... more

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We’ve got the power — Women, adolescent girls and the HIV response

UNAIDS (2020) CC

This publication marks the 25th anniversary of the Beijing Declaration and Platform for Action. It is dedicated to the women leaders and allied community mobilizers who have devoted their lives to advancing the human rights and dignity of all people affected by the HIV epidemic, and to opposing soci... more

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WMO Statement on the State of the Global Climate in 2018

World Meteorological Organization (2019) C1

The 2019 edition treating data for 2018 marks sustained international efforts dedicated to reporting on, analysing and understanding the year-to-year variations and long-term trends of a changing climate.

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Other substance use

W.Cheung; A. K. Lam; S. Hung IACAPAP (2012) C2

Substance use disorders Chapter G.3

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Buruli ulcer : management of Mycobacterium ulcerans disease : a manual for health care providers
recommended

J. Buntine; Crofts, K. World Health Organization WHO (2001) CC

This manual is addressed to health care providers dealing with Mycobacterium ulcerans disease (Buruli ulcer). The manual aims to achieve a better understanding of the disease, its clinical presentation and its surgical management. The manual is aimed particularly at district health care providers. A... more

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Projet de rapport du Secrétaire général sur la situation au Mali (S/2015/219)

UN Security Council (2015)

Le présent rapport est soumis en application de la résolution 2164 (2014) du Conseil de sécurité, par laquelle le Conseil a prorogé le mandat de la Mission multidimensionnelle intégrée des Nations Unies pour la stabilisation au Mali (MINUSMA) et m’a demandé de lui faire rapport tous les tr... more

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The Integrated Bio-Behavioral Survey (IBBS) in Syria: 2013-2014 - Final Report

Loulou Kobeissi Government of the Syrian Arab Republic, UN Development Programme (2015) CC

Strengthening HIV prevention among most-at-risk populations (MARPs) in the Syrian Arab Republic:

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A pocket guide to antibiotic prescribing for adults in South Africa 2015

Wasserman, S.; T. Boyles, M. Mendelson SOUTH AFRICAN ANTIBIOTIC STEWARDSHIP PROGRAMME (SAASP) (2015) C2

The international community sits at the tipping pointof a post-‐antibiotic era, where common bacterial infections are no longer treatable with the antibiotic armamentarium that exists. In South Africa, t... more

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Responding to COVID-19: Guidance for humanitarian agencies

ALNAP; CERAH; LSHTM (2020) C2

How should humanitarian organisations prepare and respond to COVID-19 in humanitarian settings in low- and middle-income countries? This Rapid Learning Review outlines 14 actions, insights and ideas for humanitarian actors to consider in their COVID-19 responses. It summarises and synthesises the... more

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Monitoring the Convention on the Rights of Persons with Disabilities Guidance for human rights monitors Professional training series No. 17 New

United Nations Human Rights UNHR (2010)

The adoption and the entry into force of the Convention on the Rights of Persons with Disabilities and its Optional Protocol challenge such attitudes and mark a profound shift in existing approaches towards disability.

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Updated recommendations on treatment of adolescents and children with chronic HCV infection
recommended

World Health Organization WHO (2022) C_WHO

The new treatment recommendations that extend the 2018 treat all recommendation for adults with chronic HCV infection to include adolescents and children down to 3 years, and to align the existing recommended pangenotypic direct-acting antiviral (DAA) regimens (SOF/DCV, SOF/VEL and G/P) for adults, ... more

Liste OMS des équipements de protection individuelle de prévention et de contrôle de l'infection orientée sur Ebola - Classée par priorité de don recommended

Options for the decontamination and reuse of respirators in the context of the COVID-19 pandemic recommended

Buruli ulcer : management of Mycobacterium ulcerans disease : a manual for health care providers recommended

Updated recommendations on treatment of adolescents and children with chronic HCV infection recommended

Liste OMS des équipements de protection individuelle de prévention et de contrôle de l'infection orientée sur Ebola - Classée par priorité de don
recommended

Options for the decontamination and reuse of respirators in the context of the COVID-19 pandemic
recommended

Buruli ulcer : management of Mycobacterium ulcerans disease : a manual for health care providers
recommended

Updated recommendations on treatment of adolescents and children with chronic HCV infection
recommended