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Community Health Volunteers' Decision Support System Project

P. Bakibinga, Kamande E. , Kisia L., et al. African Population and Health Research Centre APHRC (2018) C1

This report presents the key findings of the end-of-project assessment of households and community health volunteers, conducted in 2017 in the Kamukunji and Embakasi sub-counties of Nairobi, Kenya, for a Community Health Volunteers’ Decision Support System (CHV DSS) intervention project. The re... more

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

Home visits versus fixed-site care by community health workers and child survival: a cluster-randomized trial, Mali

World Health Organisation (WHO) (2024) C_WHO

Despite recent global declines, under-five mortality remains high in many of the poorest countries. Barriers to timely quality care, including user fees, distance to facilities and the availability of trained health workers and medical supplies, hinder progress in further reducing morbidity and m... more

COVID-19 Preparedenss Checklist for rural primary health care & community settings

The Georg Institute for Global Health India (2020) C1

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Policy guidelines: Child and adolescent mental health

Department of Health, South Africa (2013) C2

The guidelines begin with an overview of the determinants of mental health among children and adolescents before reviewing related South African policies and legislation. The document then discusses strategies to build skills among caregivers, teachers and other frontline providers of mental health ... more

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Exploration of Community Health Workers’ views about in their role and support in Primary Health Care in Northern Cape, South Africa

Ramukumba, M.M. Journal of Community Health (2019) CC

Community health workers (CHWs) play a significant role in Primary health Care due to their proximity to households, communities and the health care system. Many studies focus on CHWs and the work they do. However, few have examined their experiences and identity and how that might influence how the... more

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An analysis of the services provided by community health workers within an urban district in South Africa: a key contribution towards universal access to care

Thomas, L.S., E. Buch and Y. Pillay Human Resources for Health (2021) C1

Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide ho... more

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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How effective are community health workers?

Henry Perry; Rose Zulliger John Hopkins Bloomberg University (2012)

An Overview of Current Evidence with Recommendations for Strengthening Community Health Worker Programs to Accelerate Progress in Achieving the Health-related Millennium Development Goals

Community Approaches to Child Health in Cameroon: Applying the Community-based Integrated Management of Childhood Illness (C-IMCI) Framework

USAID, core group, PLAN (2009) C1

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Availability and Accessibility of Treatment for Persons with Mental Illness Through a Community Mental Health Programme

Dr. Janardhan N Navaneetham, Shravya Raghunandan, D M Naidu, H Hampanna Disability, CBR & Inclusive Development Journal (DCIDJ) (2011) CC

This article describes experiences in implementing a community mental health and development project in a rural district in southern India, including the position of persons with mental illness when the project was initiated, the challenges faced and the strategies that were developed to overcome th... more

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Community Discussion Guide for Maternal and Newborn Health Care

Mobilising Access to Maternal Health Services in Zambia Programme, District Health Management Teams UK Aid; Health Partner International, MOH Zambia (2012) C1

A training manual for safe motherhood action groups (MAMaZ)

A Framework for Integrating Childhood Tuberculosis into Community-based Child Health Care

Detjen A, Gnanashanmugam D, Talens A International Union Against Tuberculosis and Lung Disease (The Union), CORE Group (2013) C_WHO

A Guide for Training Community Health Workers/Volunteers to Provide Maternal and Newborn Health Messages

USAIDBASICS and POPPHI (2009)

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Community Empowerment in Health Uganda

Edward O'Neil Jr The Brookings Institution’s International Volunteering and Service Initiative (2009) C1

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An Analytical Report on Female Community Health Volunteers of Selected Districts of Nepal

USAIDNepal, New ERA, Government of Nepal (2008) C1

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ENGAGE-TB: integrating community-based tuberculosis activities into the work of nogovernmental and other civil society organizations: training of community health workers and community volunteers

Thomas Joseph, Nathalie Likhite, Lana Syed et al. World Health Organization (2015) C_WHO

Facilitator's Guide. This guide is designed to assist facilitators in training community health workers (CHWs) and community volunteers (CVs) in integrating community-based TB services into their work. The training will help community workers who already provide numerous services to understand TB an... more

A Case Study Evaluation of Community Health Clubs in Port au Prince, Haiti

J. Brooks, A. Adams, N. Moraga-Lewy et al. UT Health Science Center (2014) CC

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Programmatic and Training Brief: Engaging Frontline Community Health Workers in Providing Oral Rapid HIV Testing to Pregnant Women in India

Sarkar A, Mburu G, Shukla S, Behara J, et al. (2016) C1

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Mobilizing Communites for Health and Social Change. Participant Training Manual tookit module 2-5

Ministry of Health, Malawi; USAID (2012) C1

These toolkits were produced and used as part of the Moyo ndi Mpbamba project in Malawi to guide the community mobilization process in target districts.