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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

Integrated operational framework for mental health, brain health and substance use

World Health Organisation (WHO) (2024) C_WHO

This integrated operational framework provides an overview of the connections between mental health, neurological and substance use (MNS) conditions, and their links to health, well-being and the broader public health and sustainable development agenda. The need for integrated approaches is increasi... more

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World Report on Ageing and Health

John Beard, Alana Officer, Andrew Cassels et al. World Health Organization WHO (2015) C_WHO

Comprehensive public health action on population ageing is urgently needed. This will require fundamental shifts, not just in the things we do, but in how we think about ageing itself. The World report on ageing and health outlines a framework for action to foster Healthy Ageing built around the new... more

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Study on Female Refugees

Charité; Alexianer St. Hedwig-Krankenhaus Bundesamt für Migration und Flüchtlinge BAMF (2017) C1

Abschlussbericht. Repräsentative Untersuchung von geflüchteten Fraün in unterschiedlichen Bundesländern in Deutschland

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Las personas transgénero y la infección por el VIH

Organización Panamericana de la Salud; Organización Mundial de la Salud (Las Américas) (2018) C2

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Principles of Clinical Ethics and Their Application to Practice

Varkey, B. Medical Principles and Practice (2021) CC

Med Princ Pract 2021;30:17–28 An overview of ethics and clinical ethics is presented in this review. The 4 main ethical principles, that is beneficence, nonmaleficence, autonomy, and justice, are defined and explained. Informed consent, truth-telling, and confidentiality spring from the ... more

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APS FORTE no SUS: no combate à pandemia

Padilla, M.; R.M. de Oliveira Costa et al. Organização Pan-Americana da Saúde e Ministério da Saúde (2021) C_WHO

Challenged by the health emergency, Primary Health Care (PHC) professionals remodeled their work processes and realized that many of the innovations implemented in an emergency manner to respond to the pandemic of COVID are here to stay. The initiative APS Forte no SUS - no combate à pandemia de CO... more

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Gesundheit braucht Politik. Sonderausgabe Soziale Determinanten von Gesundheit

Verein demokratischer Ärztinnen und Ärzte (2015) C1

Accessed 4 March 2019.

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CH 3: Psychosocial interventions, treatment of emotional disorders.

World Health Organization (2015) C_WHO

[Updated 2015] Scoping question: What is the effectiveness of psychosocial interventions, including caregiver skills training, for emotional disorders in children and adolescents?

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Social Anxiety Disorder

National Institute for Health and Care Excellence (NICE) (2013) C2

Recognition, Assessment and Treatment National Clinical Guideline Number 159

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Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019

Kulkarni, S.; et al. (2022) C1

Global Health Science and Practice February 2022, https://doi.org/10.9745/GHSP-D-21-00237 Key Findings: Exposure to vaccination information from faith leaders and health facilities was associated with increased likelihood of vaccination uptake. The significant association between exposure to a... more

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Kairos for Creation - Confession Hope for Earth

Andrianos, L.; M.Biehl, R. Gütter ,et al. Brot für die Welt; WCC; EKD; et al. (2019) CC

The “Wuppertal Call” – Contributions and Recommendations from an International Conference on Eco-Theology and Ethics of Sustainability Wuppertal, Germany, 16 – 19 June 2019

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Weibliche Genitalverstümmelung im Flüchtlingskontext

Plan International (2018) CC

Herausforderungen und Handlungsempfehlungen