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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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Covid-19 vaccines: safety surveillance manual

World Health Organization WHO (2020) C_WHO

22 December 2020 The COVID-19 vaccine safety guidance manual has been developed upon recommendation and guidance of GACVS members, as well as by experts incorporating current and available information critical to all stakeholders when COVID-19 vaccines will be introduced. For ease of use, the man... more

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Third round of the global pulse survey on continuity of essential health services during the COVID-19 pandemic
recommended

World Health Organization WHO (2022) C_WHO

Countries reported disruptions in all health-care settings. In more than half of countries surveyed, many people are still unable to access care at the primary care and community care levels. Significant disruptions have also been reported in emergency care, particularly concerning given the impact... more

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Migration of South African health workers: the extent to which financial considerations influence internal flows and external movements

George, G., Atujuna, M. & Gow, J. BMC Health Services Research (2013) CC

Research Article

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Determinants du coix du lieu de l'accouchementt par les femmes haitiennes

Institut Haitien de l'enfance MSPP, Haiti (2015) CC

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Policy in action

World Health Organization (Europe) (2017) C_WHO

A tool for measuring alcohol policy implementation

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Assessing changes in HIV-related legal and policy environments: Lessons learned from a multi-country evaluation

L. Ferguson; A. Nicholson; I. Henry; et al. PLOS One; US National Library of Medicine National Institutes of Health (PMC); NCBI (2018) CC

PLOS ONE | https://doi.org/10.1371/journal.pone.0192765 February 23, 2018

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Turkey: Regional Refugee and Resilience Plan in Response to the Syria Crisis

UN High Commissioner for Refugees UNHCR (2020) C1

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What near-term climate impacts should worry us most?

Quiggin D., et al. Environment and Society Programme (2021) C2

What near-term climate impacts should worry us most? Supporting the most exposed and vulnerable societies to reduce regional and global climate risks

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Brighter futures: Protecting early brain development through salt iodization

United Nations Children’s Fund (UNICEF), Global Alliance for Improved Nutrition (GAIN) (2018)

The UNICEF-GAIN Partnership Project
The report notes that iodine deficiency is a leading cause of preventable brain damage worldwide. Insufficient iodine during pregnancy and infancy results in neurological and psychological deficits, reducing a child’s IQ by 8 to 10 points. This translates ... more

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Inclusive Community-Based Disaster Risk Reduction: Guidance on Good Practice in the Ayeyarwaddy Delta, Myanmar

ActionAid Myanmar (2015) C1

This publication presents guidance on good practice from the Ayeyarwaddy Delta in Myanmar, outlining the key factors which contributed to the successful implementation and outcome of a range of community-based Disaster Risk Reduction initiatives implemented by the Myanmar Consortium for Community Re... more

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Guidelines on lobby and advocacy

H. Sloot; M. Gaanderse; R. Knottneruset al. icco (Partner to enterprising people) (2010) C2

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Prevalence, Etiology, and Outcome of Sepsis among Critically Ill Patients in Malawi

Prin, M.; Onofrey, L.; Purcell, L; et al. (2020) CC2

Most of the global burden of sepsis occurs in low- and middle-income countries (LMICs), but the prevalence and etiology of sepsis in LMICs are not well understood. In particular, the lack of laboratory infrastructure in many LMICs has historically precluded an assessment of the pathogens leading to ... more

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Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes

World Health Organization (WHO) World Health Organization (WHO) (2023) C_WHO

The WHO document "Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes: implementation guidance" provides a framework for integrating noncommunicable diseases (NCDs) into existing health programs for HIV/AIDS, tub... more

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Climate Change and Health: Local Solutions to Local Challenges

Paul J. Schramm, Munerah Ahmed, Hannah Siegel, Jamie Donatuto et al. (2020) CC

Current Environmental Health Reports volume 7, pages 363–370 (2020) Climate change has direct impacts on human health, but those impacts vary widely by location. Local health impacts depend on a large number of factors including specific regional climate impacts, demographics and human vulnerabil... more

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Understanding Menstrual Hygiene Management & Human Rights

Human Rights Watch and WASH (Water, Sanitation and Hygiene) United (2017) C2

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Lesotho Demographic and Health Survey 2004

Ministry of Health and Social Welfare (MOHSW), Bureau of Statistics (BOS) and ORC Macro (2005) C2

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ETHICAL GUIDELINES FOR BIOMEDICAL RESEARCH ON HUMAN PARTICIPANTS

Indian Council of Medical Research (ICMR) (2006) C1

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Myanmar Action Plan on Disaster Risk Reduction [MAP DRR]

The Republic of the Union of Myanmar, National Disaster Management Committee (2017) C1

Fostering resilient development through integrated action plan
The Myanmar Action Plan on Disaster Risk Reduction, 2017 is a comprehensive and unified action plan for disaster risk reduction with prioritized interventions across Myanmar till 2020. With a long term vision and considering deep-root... more

Third round of the global pulse survey on continuity of essential health services during the COVID-19 pandemic recommended

Third round of the global pulse survey on continuity of essential health services during the COVID-19 pandemic
recommended