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Community conversation kit: everyday conversations to protect community health against infectious diseases

World Health Organization WHO (2024) C_WHO

This Community Conversation Kit (CCK) is designed to help people who have a leadership role speak with people in their community about how to protect themselves and those they care about from becomi... 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... more

National Community Health Strategy 2017-2022

Government of the Republic of Malawi (2017) CC

The Government of Malawi is committed to improving health and livelihoods in Malawi through community health – the provision of basic health services in rural and urban communities with the participation of people who live there. Historically, <... Health has significantly contributed to improvements in Malawi’s health outcomes in particular attainment of MDG4. However, the community health system faces resource constraints and inconsistencies around quality of service – which negatively affect health outcomes. 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 accompan...iment. 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

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

Community health workers to improve uptake of maternal healthcare services: A clusterrandomized pragmatic trial in Dar es Salaam, Tanzania

Geldsetzer, P.; Mboggo, E.; Larson, E.; et al. (2019) CC2

PLoS Med 16(3): e1002768. https://doi.org/10.1371/journal.pmed.1002768 Home delivery and late and infrequent attendance at antenatal care (ANC) are responsible for substantial avoidable maternal and pediatric morbidity and mortality in sub-Saharan Africa. This cluster-randomized trial aimed to de... more

The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

Kigume, R.; Maluka, S. (2021) CC2

Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fu... more

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Promouvoir des Soins de Proximité en Afrique : L'exemple de la Médecine Générale Communautaire au Bénin; Promotion of community-based care in Africa: example of community general practice in Benin

Roland Caplain, Ismaïl Yacoubou, Didier Adedemy, Alidou Sani, Sandrine Takam, Dominique Desplat Cairn Info (2014) C2

Des efforts considérables ont été menés pour apporter aux populations rurales du continent africain des soins de base. Mais la qualité de ces soins reste aujourd’hui peu satisfaisante car le médecin généraliste est le plus souvent absent en première ligne. Cette situation est paradoxa... more

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Guidelines on Community DOTS Implementation
recommended

National Tuberculosis Control Program, Cambodia Ministry of Health (2004) C1

Guide to community engagement in WASH
recommended

Niederberger, E.; S. Ferron and M. O'Reilly Oxfam (2016) C1

A practioner's guide, based on lessons from Ebola. This guide is a compilation of best practices and key lessons learned through Oxfam’s experience of community engagement during the 2014–15 Ebola response in Sierra Leone and Liberia. It aims t... more

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A strategic approach to reproductive, maternal, newborn,child and adolescent health (RMNCH+A ) in India

Ministry of Health and Social Welfare, Government of India (2013) C1

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WHO Preventing suicide: a community engagement toolkit Pilot version 1.0
recommended

World Health Organization WHO (2016) C_WHO

Communities can play a critical role in suicide prevention. Facilitating community engagement in suicide prevention is an important task. The toolkit is a step-by-step guide for communities to engage in suicide prevention activities and have ownersh... more

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Summary of Key Approach he's on improving HIV testing and services children orphaned or made vulnerable by HIV (OVC)

K. Greenaway; F. Stuer USAID; PEPFAR; 4 Children; Catholic Relief Services (2017) C2

Expanded IMPACT Program in Zimbabwe Lea Toto and APHIAplus Nuru ya Bonde programs in Kenya Yekokeb Berhan Program for Highly Vulnerable Children in Ethiopia

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COVID-19 Planning Guide for Adapting Risk Communication and Community Engagement as Public Health and Social Measures Shift

IFRC; Save the Children andJohn Hopkins Center for Communication Programs (2020) CC

With Safety Tips for Conducting Community Meetings Updated July 2020 This document includes key Risk Communication and Community Engagement (RCCE) considerations during shifting lockdown measures,... more

Pioneer Project: A holistic systems strengthening approach towards Malaria control in Mid-Western Uganda

Malaria Consortium and Comic Relief (2014) C1

Successes and lessons

External Link

ACF – Sierra Leone Case Study: Community Led Ebola Management and Eradication (CLEME) - Trigger Behavioural Change to strengthen community’s resilience to Ebola Outbreaks

Action contre le Faim (2015)

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Sierra Leone: National Community Health Worker Policy 2016–2020

Ministry of Health and Sanitation of Sierra Leone (2016) C1

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Inclusive Community-Based Disaster Risk Reduction: Guidance on Good Practice in the Ayeyarwaddy Delta, Myanmar

ActionAid Myanmar (2015) C1

This publication presents guidance on good practice from the Ayeyarwaddy Delta in Myanmar, outlining the key factors which contributed to the successful implementation and outcome of a range of community-based Disaster Risk Reduction initiatives imp... more