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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 role of community health workers in influencing social connectedness using the household model: a qualitative case study from Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M. et al. Global Health Action (2022) CC

Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare and social support services. More studies are needed to understand the factors facilitating these interactions among CHWs, clients, an... more

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A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health: a stepped-wedge cluster randomised controlled trial in Neno Distr

Wroe, E.B.; Nhlema, B.; Dunbar, E.L. et al. BMJ Global Health (2021) CC

Background: Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements in disease-specific outcomes relative to the absence of a CHW programme. In this study, we evaluated expan... more

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Community Health Worker Training Curriculum - Facilitator's Guide

Baylor Tingathe Community Outreach Programme Baylor College of Medicine Children’s Foundation Malawi (2016) CC

This curriculum was designed to train newly recruited health care workers (HCW) in the basic knowledge and skills needed to improve different HIV services within the health facility including identification, linkage, retention and support. In addition to HIV basics, the training has supplementary un... more

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Module for Multi-Purpose Workers (MPW) - Female/Male on Prevention, Screening and Control of Common Non-Communicable Diseases

National Health Mission; Minister of Health and Family Welfare Government of India (2024) CC2

This module covers common Non-Communicable Diseases such as Hypertension, Diabetes and three common cancers (Cervical, Breast and Oral cancer). The focus of this module is on building the knowledge and skills of the Multi-Purpose Workers (MPW) in undertaking Population Based Screening, identifi ca... more

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An Official ATS Workshop Report: Issues in Screeningfor Asthma in Children

Gerald, B.L.; Sockrider, M.M.; Grad, R. et al. American Thoracic Society Documents (2007) CC

The article "An Official ATS Workshop Report: Issues in Screening for Asthma in Children" summarizes discussions from a workshop organized by the American Thoracic Society (ATS) on the challenges of asthma screening in children. The report reviews the effectiveness of population-based asthma screeni... more

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Effectiveness of community health worker training programmes for cardiovascular disease management in low-income and middle-income countries: a systematic review

Abdel-All, M; Putica, B.; Praveen, D. et al. BMJ Open (2017) CC

Introduction Community health workers (CHWs) are increasingly being tasked to prevent and manage cardiovascular disease (CVD) and its risk factors in underserved populations in low-income and middle-income countries (LMICs); however, little is known about the required training necessary for them to ... more

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Engaging health and care workers in health emergencies: implementation toolkit

World Health Organisation (WHO) (2024) C_WHO

The active participation and engagement of health and care workers (‎HCWs)‎ in health emergency preparedness, readiness and response is crucial to support risk communication, community engagement and infodemic management (‎RCCE-IM)‎ interventions during emergencies. HCWs hold unique position... more

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Engaging Community Health Workers Recommended to Prevent Cardiovascular Disease

The Community Guide (2022) CC

Did you know that public health interventions that engage community health workers (CHWs) can help people manage risk factors and prevent cardiovascular disease, as well as reduce health disparities? The Community Preventive Services Task Force (Task Force) recommends interventions that engage CHWs ... more

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Empowering Frontline Primary Healthcare Workers in a Global Health Partnership Training of Trainers Intervention to Strengthen the Prevention and Control of Cardiovascular Disease in Mozambique

Harris. P.; Juga, E.; Bay, N. et al. Global Heart (2022) CC

Unpreparedness of health professionals to address non-communicable diseases (NCD) at peripheral health facilities is a critical health system challenge in Mozambique. To address this weakness and decentralize NCD care, training of the primary care workforce is needed. We describe our experience in t... more

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Reimagining effective workplace support for health workers

World Health Organisation (WHO) (2024) C_WHO

The coronavirus disease 2019 (COVID-19) pandemic revealed systemic weaknesses in health-care systems worldwide. The breadth of challenges left health workers overwhelmed and overstretched, reducing their professional efficacy and causing long-term issues with retention, recruitment and education of... more

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Implementing National Bridging Workshop roadmaps for One Health collaboration: successes and challenges from 17 countries

World Health Organisation (WHO) (2024) C_WHO

The health of humans, animals and environment is vitally interlinked. A majority of emerging and endemic human diseases have their origins in animals, be they transmitted directly, through food or the environment. The World Health Organization (WHO), the World Organisation for Animal Health (WOAH,... more

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Air pollution and health training toolkit for health workers (APHT)

World Health Organization (WHO) (2024) C_WHO

All health workers would benefit from gaining knowledge and skills to protect individuals and communities from air pollution exposure. This course examines the main health impacts of air pollution and which roles health workers can play to protect and promote people’s health.

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Making development assistance work for Africa: from aid-dependent disease control to the new public health order

Nonvignon J.; Soucat A.; Ofori-Adu P. Health Policy and Planning (2024) CC

The Coronavirus disease (COVID-19) pandemic has revealed the fragility of pre-crisis African health systems, in which too little was invested over the past decades. Yet, development assistance for health (DAH) more than doubled between 2000 and 2020, raising questions about the role and effectivenes... more

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Guide for rehabilitation workforce evaluation: project officer handbook

World Health Organisation (WHO) (2023) C_WHO

The Project officer handbook (the Handbook – this document) describes the four phases and 10 steps conducted by the project officer when implementing the Guide for Rehabilitation Workforce Evaluation (GROWE) (the Guide) in a country

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Building health workforce capacity on air pollution and health

World Health Organisation (WHO) (2023) C_WHO

This report describes the “Building health workers capacity on air pollution and health” pilot workshop held in Ghana in 2022 which aimed at testing the training material of the first WHO Air Pollution and Health Training toolkit (APHT) targeting health professionals. APHT aims at strengthening ... more

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Cholera: Instructions for health workers

World Health Organisation (WHO) (2023) C_WHO

Poster for Cholera prevention

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A glimpse into WHO work in Botswana

World Health Organisation (WHO) (2023) C_WHO

This publication articulates the WHO Botswana Country Office’s focus and investment needs for the biennium 2022–2023, building on achievements, networks, and partnerships fostered in 2020-2021. As the leading health authority within the United Nations system in Botswana, the WHO Country Offi... more

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Noma: training of health workers at national and district levels on skin-NTDs

World Health Organization WHO (2022) C_WHO

Noma (cancrum oris) is a serious gangrenous disease of the mouth and face, mainly affecting children aged 2 to 6 years in sub-Saharan Africa. Despite substantial knowledge gaps, it is reported to be linked with malnutrition, poor oral hygiene, immunosuppression, and living in extreme poverty situ... more

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Onchocerciasis: training of health workers at national and district levels on skin-NTDs

World Health Organization WHO (2022) C_WHO

Onchocerca volvulus transmitted by repeated bites of infected blackflies (Simulium spp.). These blackflies breed along fast-flowing rivers and streams, close to remote villages located near fertile land where people rely on agriculture. There is a need to reinforce skills of national and district... more