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Malawi’s Community-based Health System Model: Structure, Strategies, and Learning

Devlin, K.; Pandit-Rajani, T.; Egan, F.K. Advancing Partners & Communities (2017) CC

The Community-based Health System Model Series briefs identify and discuss critical health system inputs and processes that have contributed to the implementation and expansion of community-based service delivery in different countries. Countries were selected for their geographic diversity, type o... 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

Health emergency preparedness for imported cases of high-consequence infectious diseases

European Centre for Disease Prevention and Control (ecdc) (2022) C_CDC

Preparedness planning is essential in order to respond effectively to outbreaks, including single case occurrences of highconsequence infectious diseases (HCID), such as the importation of a viral haemorrhagic fever (VHF) case

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A Decade of Destruction: Attacks on Health Care in Syria

Sider, R. , Buswell, M. , Al Salman, M. et al. International Rescue Committee, et al. (2021) CC

March 2021. “A Decade of Destruction: Attacks on health care in Syria,” highlights with chilling detail how this 10-year war strategy has turned hospitals from safe havens into no-go zones where Syrian civilians now fear for their lives.

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Community health workers at the dawn of a new era: 9. CHWs’ relationships with the health system and communities

Karen LeBan , Maryse Kok and Henry B. Perry Health Research Policy and Systems (2021) CC

This is the ninth paper in our series, “Community Health Workers at the Dawn of a New Era”. Community health workers (CHWs) are in an intermediary position between the health system and the community. While this position provides CHWs with a good platform to improve community health, a major cha... more

Quality of Care Certification - Manual for the Kenyan Health Sector

Kenya Ministry of Health (2020) C1

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Planetary health in practice: sensing air pollution and transforming urban environments

Gabrys, J. (2020) C1

Unlocking the community health workforce potential, post-Ebola: what models and strategies work?

Wilton Park mPowering; USAID; Bill & Melinda Gates Foundation, et al. (2016) CC

There is strong evidence of the impact CHWs can have on health outcomes for their communities. Justification for investment in in CHWs has been well established, but there remain questions about how to find the resources to do this sustainably. Real and practical challenges to building and supportin... more

Resource needs for the Kenya Health Sector Strategic and Investment plan: Analysis Using the One Health Tool

USAID, Health Policy Project (2015) C1

Kenya Urban Reproductive Health Initiative (Tupange)

Kenya National Bureau of Statistics, MLE Initiative (2011) C1

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Structural violence: Understanding mother & child health and Ebola in Sierra Leone

Schwienhorst, E.M.; K. Boegel Medical Peace Work (2015) C1

This is one of seven Medical Peace Work courses.

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Namibia: National guidelines on oral health services delivery

Ministry of Health and Social Services (MOHSS) (2010) C1

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National Strategic Framework on the Health & Development of Adolescents & Young People in Nigeria 2007 -2011

Federal Ministries of Health & Youth Development (2007) C1

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National Training Manual for the Health and Development of Adolescent and Young People in Nigeria

Federal Ministry of Health, Nigeria (2011) C1

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Influence of Use of Maternal Health Care on Postpartum Contraception in Nigeria

Akinlo, Ambrose, Adeleke Bisiriyu, and Olapeju Esimai ICF International (2013) C2

DHS Working Papers No. 92

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Initiativthema „One Health“ in der Entwicklungszusammenarbeit

Bundesministerium für wirtschaftliche Zusammenarbeit und Entwicklung BMZ (2021) CC

BMZ Papier 1 Gesundheit ist nicht nur Voraussetzung für ein selbstbestimmtes Leben, sondern auch essenziell für die gesellschaftliche und nachhaltige wirtschaftliche Entwicklung in unseren Partnerländern. Die gegenwärtige COVID-19 Pandemie zeigt, welche Gefahren von Infektionskrankheiten ausge... more

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Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995-2015

Global Burden of Disease Health Financing Collaborator Network Lancet (2018) CC

Background: Comparable estimates of health spending are crucial for the assessment of health systems and to optimally deploy health resources. The methods used to track health spending continue to evolve, but little is known about the distribution of spending across diseases. We developed improved e... more

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Tracking development assistance for health from China, 2007–2017

Micah et al. BMJ Global Health (2019) CC

In In recent years, China has increased its international engagement in health. Nonetheless, the lack of data on contributions has limited efforts to examine contributions from China. Existing estimates that track development assistance for health (DAH) from China have relied primarily on one data... more

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Food Planet Health. EAT

EAT Lancet Commission (2019) CC

Healthy Diets From Sustainable Food Systems. Summary Report of the EAT Lancet Commission This report was prepared by EAT and is an adapted summary of the Commission Food in The Anthropocene: the EAT-Lancet Commission on Healthy Diets From Sustainable Food Systems. To access the EAT–Lancet Comm... more

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The People Living With HIV Stigma Index: South Africa 2014

HSRC (Human Sciences Research Council); UNAIDS; et al. (2015) C2

Summary Report Full report submitted by the Human Sciences Research Council (HSRC) to the South African National AIDS Council (SANAC)