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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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Guidance Note: Qualitative Assessment Approaches for the Protection of Children with Disabilities Within Humanitarian Contexts

The Alliance for Child Protection in Humanitarian Action (2023) C1

Children with disabilities are particularly vulnerable in humanitarian settings, yet they are often not able to access the services and protection they need. While multiple factors create these barriers, a major cause is how data about children with disabilities is collected and mapped. Data collect... more

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Collective Voices: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2018) C1

Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States. The study recognizes that civil society can promote people-centered health by creating an e... more

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A cross-country qualitative analysis of teachers’ perceptions of asthma care in sub-Saharan Africa

Naidoo, K.L.; Dladla, S.; Mphahlele, R.E. et al. npj Primary Care Respiratory Medicine (2023) CC2

Asthma is the most common chronic respiratory disease among school-going adolescents worldwide. However, the burden of severe asthma is highest in Sub-Saharan Africa. This study aimed to explore teachers’ perceptions of asthma care across six African countries. We conducted focus group discussions... more

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Cameroun: Résultats de L'Etude Qualitative à Moyen-Terme

rbfhealth.org (2014) C1

Le Cameroun conduit actuellement une évaluation d’impact à grande échelle pour étudier les effets du Financement basé sur la Performance sur les résultats de santé dans le contexte spécifique du Cameroun. Bien que l’évaluation d’impact repose largement sur l’analyse quantitative à ... more

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Zur Finanzierung qualitativer Dolmetschleistungen für Menschen mit Behinderung bei medizinischer Behandlung

Handicap International (2020) CC

Zugewanderten Menschen mit Behinderung, die nicht ausreichend Deutsch sprechen, bleibt ohne Sprachmittlung dervolle Zugang zu grundlegenden Rechten versperrt. Besonders deutlich wird dies im Bereich medizinischer Leistungen. Daher ist es not-wendig, einen umfassenden Anspruch auf die F... more

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Collective Voices Report: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2017) C1

Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States
The following report is a study of 14 villages under the Collective Voices project (Nov... more

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First, Do No Harm: A Qualitative Research Documentary

Tim Holland, Alyson Holland (2011) C2

This is a qualitative research documentary that was created by Alyson and Timothy Holland. The documentary explores the ethics of global health clinical electives and volunteer projects in developing regions. It features interviews from experts and global health providers from Europe, Africa, Asia, ... more

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Bangladesh Demographic and Health Survey 2014. Three Qualitative Studies

Ministry of Health Bangladesh; The DHS Program; ICF International, et al. (2016) C1

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Factors influencing ART adherence: Qualitative findings from selected sites in Tanzania - January 2008

Ministry of Health and Social Welfare, Tanzania (2008) C1

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Include us in education! A qualitative research study on barriers and enablers to education for children with disabilities in Nepal

Zuurmond, M., L.M. Banks, P. Aryal, et al. London School of Hygiene and Tropical Medicine, International Centre for Evidence in Disability, Plan International (2014) C1

A 2013 Plan study across 30 countries found that children with disabilities were on average 10 times less likely to go to school than children without disabilities. This report presents the findings of a follow-up second phase to the research with a qualitative study on barriers and enablers to educ... more

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"Out of the shadows" : a qualitative study of parents’ and professionals’ attitudes and beliefs about children with communication disability in Uganda and how best to help them

McGeown, J. Centre for International Health and Development (2012) CC

Dissertation submitted in part fulfilment of the requirements for a Masters degree at the Centre for International Health and Development (CIHD) at University College London (UCL) Institute of Child Health (ICH) The user has given permission for the uploaded document to be reproduced and made publi... more

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Pathways of antibiotic use in Bangladesh: qualitative protocol for the PAUSE study

Rousham E. K., M. Aminul Islam, P. Nahar et al. (2018) C2

Global actions to reduce antimicrobial resistance (AMR) include optimising the use of antimicrobial medicines in human and animal health. In countries with weak healthcare regulation, this requires a greater understanding of the drivers of antibiotic use from the perspective of providers and consume... more

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Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives

Condo J, et al. Human Resources for Health (2014) CC

This study highlights the challenges and areas in need of improvement as perceived by CHWs and beneficiaries, in regards to a nationwide scale-up of CHW interventions in a resource-challenged country. Identifying and understanding these barriers, and addressing them accordingly, particularly within ... more

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CHILDHOOD DISABILITY IN RURAL ZAMBIA: A QUALITATIVE STUDY ON THE USE OF HEALTH CARE SERVICES

Hege Johanne Asting Magnussen University of Oslo (2011) C1

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Schisto POC-CCA. Rapid test for qualitative detection of: Bilharzia (Schistosomiasis)

Rapid Diagnostics (2018) CC

25 Diagnostic Tests

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Task-shifting to improve asthma education for Malawian children: a qualitative analysis

Nkhalamba, L.; Rylance, S.; Muula, S. A. et al. Human Resources for Health (2021) CC

Background Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced a... more

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Repositionnement de la planification familiale au Burkina Faso: étude qualitative sur la délégation des tâches

Gandaho T., C. Striefel, M. Maiga et. al. Washington, DC : Futures Group, Health Policy Project (2014) C2

La présente analyse du projet HPP a pour objectifs spécifiques de documenter (1) les sources d’approvisionnement existantes des contraceptifs ; (2) l’implication des agents par catégorie dans la proposition de médicaments et de contraceptifs ; (3) les politiques et les directives actuelles d... more

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Motivating and demotivating factors for community health workers: a qualitative study in urban slums of Delhi, India

Mathew Sunil George, Shradha Pant, Niveditha Devasenapat, et al. (2017) C_WHO

WHO South-East Asia Journal of Public Health, April 2017, 6(1) 8 pp. 211 kB

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Child mental health in Sierra Leone: a survey and exploratory qualitative study

H.N.C. Yoder, W..Tol, R. Reis and J.T.V.M. deJong (2016) CC

This study complements the growing amount of research on the psychosocial impact of war on chil-dren in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help-seeking behaviour and stigma Yoder et al. Int J Ment Health Syst (2016) 10:48 DOI 10.11... more