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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, trea...tment, referral, psychosocial support, and accompaniment. With a broad scope of work, CHW programs must balance the breadth and depth of tasks to maintain 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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IACAPAP Textbook of Child and Adolescent Mental Health - Section B Perinatal and early childhood risk and protective factors & disorders

S.Mares; L. Newman S. MK Tan; N. K. Nor; L. S. Fong; et al. IACAPAP (2012) C2

Infant Psychiatry Chapter B.1 Early Maltreatment and exposure to violence

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Guideline for the treatment of women undergoing termination of pregnancy

Dutch Association of Abortion Specialists (NGvA) (2011) C2

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Bangladesh Demographic and Health Survey 2014. Key Indicators

National Institute of Population Research and Training Dhaka; Mitra and Associates Dhaka The DHS Program ICF International (2015) C1

Bangladesh - Demographic and Health Survey 2011

National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ICF International (2013) C1

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Planning Guide for national implementation of the Global Strategy for Infant and Young Child Feeding

World Health Organization; UNICEF (2007) C_WHO

Kenya: Demographic and Health Survey - 2008-09

Kenya National Bureau of Statistics,National AIDS Control Council (2010) C1

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Albania - Demographic and Health Survey

Institute of Statistics Institute of Public Health; Schweizerische Eidgenossenschaft; UNFPA; UN Women; Unicef; et al. (2018) C2

2017-2018 Republic of Albania

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MHGAP forum and launch of the world suicide report

World Health Organization (2014) C_WHO

Sixth Meeting of the mhGAP Forum Hosted by WHO in Geneva on 4-5 September 2014 Summary Report

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Nurses and midwives: a vital resource for health

World Health Organization WHO, Regional Office of Europe (2022) C_WHO

This European compendium was produced to provide operational examples of the new nursing and midwifery roles and new service delivery models currently being employed across the Region. The case studies directly relate to the priority areas in ... 2020 and exemplify the types of activities needed to fully implement the objectives within the Strategic Directions framework. more

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WHO Guidelines for the Treatment of Neisseria gonorrhoeae
recommended

Santesso, N.; J. Wasserheit, H. Schünemann, et cl. World Health Organization (WHO) (2016) C_WHO

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WHO guidelines for the treatment of Chlamydia trachomatis
recommended

World Health Organization WHO (2016) C_WHO

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Ebola Outbreak: Updated Overview of Needs and Requirements for January-June 2015

World Health Organization, UN Office for the Coordination of Humanitarian Affairs, UN Mission for Ebola Emergency Response (2015)

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WHO toolkit for the care and support of people affected by complications associated with Zika virus

World Health Organization WHO (2017) C_WHO

The WHO Toolkit for the care and support of people affected by complications associated with Zika virus has been developed to serve as a model guide, with the goal of enhancing country preparedness... more

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Prevention of harm caused by alcohol exposure in pregnancy

L. Schölin World Health Organization (Europe) (2016) C_WHO

Rapid review and case studies from Member States

Western Pacific Regional action plan for the prevention and control of noncommunicable diseases (‎2014-2020)‎

World Health Organization WHO (2014) CC

The Western Pacific Regional Action Plan for the Prevention and Control of Noncommunicable Diseases (2014–2020) was developed in response to a resolution adopted at the sixty-second session of... the WHO Regional Committee for the Western Pacific. The regional plan is fully harmonized with the Global Action Plan for the Prevention and Control of Noncommunicable Diseases (2013–2020) while adding the value of actions that build on regional achievements, contexts, opportunities and perspective more

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Tracking Universal Health Coverage in the WHO African Region, 2022

World Health Organization WHO, Regional Office of Africa (2022) C_WHO

n 2015, Member States of the United Nations adopted the 2030 Agenda for Sustainable Development and its accompanying Sustainable Development Goals (SDGs), with the third goal of the agenda focusing ... more

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Child and adolescent Mental health in europe: infrastructures, policy and programmes

F. Braddick; V. Carral; R. Jenkins; E. Jané-Llopis European Commission; Generalitat de Catalunya Department de Salud; Institute of Psychiatry; Kings College London; State Mental Health Center ; et al. (2009) C2

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