the aid library

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

A comprehensive review of the policy and programmatic response to chronic non-communicable disease in Ghana

Bosu, WK (2012) CC

Ghana Med J. 2012 Jun;46(2 Suppl):69-78.

Family Planning and HIV Integration in Malawi

Laili Irani, Sara Pappa, and Pierre Dindi USAID; PEPFAR; Health Policy Project (2015) C1

A Policy analysis

Influence of Service Readiness on Use of Facility Delivery Care: A Study Linking Health Facility Data and Population Data in Haiti

Wang, Wenjuan, Michelle Winner, Clara Burgert, and Josh Colston ICF International (2014) C2

DHS Working Papers No. 114

Household Nucleation, Dependency and Child Health Outcomes in Ghana.

Annim, Samuel Kobina, Kofi Awusabo-Asare, and Joshua Amo-Adjei (2013) C2

DHS Working Papers No. 98.

2014 Ghana Demographic and Health Survey (DHS) Key Findings

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF International. (2015) C2

Assessing the Quality of Care in Family Planning, Antenatal, and Sick Child Services at Health Facilities in Kenya, Namibia, and Senegal

Wang, W., Do, M., Hembling, J. & Ametepi, P. (2014) C1

DHS Analytical Studies No. 44 Rockville, Maryland, USA: ICF International.

Ghana 2017 Maternal Health Survey Key Findings

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF. (2018) CC

Measuring Health and Disability - Manual for WHO Disability Assessment Schedule

World Health Organization (WHO) (2010) C_WHO

The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a generic assessment instrument developed by WHO to provide a standardized method for measuring health and disability acr ... more

Facility Delivery and Postnatal Care Services Use among Mothers Who Attended Four or More Antenatal Care Visits in Ethiopia: Further Analysis of the 2016 Demographic and Health Survey

Abeje Fekadu, G. F. Ambaw Getahun; and S. Ayenalam Kidanie (2018) CC

Demographic and Health Surveys, Working Paper

Women's Empowerment and Spousal Violence in Relation to Health Outcomes in Nepal: Further analysis of the 2011 Nepal Demographic and Health Survey

Tuladhar S., Khanal K.R., K.C. Lila, Ghimire P.K., Onta K. Nepal Ministry of Health and Population, New ERA, and ICF International (2013) C2

CHILDHOOD DISABILITY IN RURAL ZAMBIA: A QUALITATIVE STUDY ON THE USE OF HEALTH CARE SERVICES

Hege Johanne Asting Magnussen University of Oslo (2011) C1

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

Individual and Community-Level Predictors of Home Delivery in Ethiopia: A Multilevel Mixed-Effects Analysis of the 2011 Ethiopia National Demographic and Health Survey.

Yebyo, Henock G., Mussie A. Gebreselassie, and Alemayehu B. Kahsay ICF International (2014) C2

DHS Working Papers No. 104.

Education in Ghana - Data from the 2014 Ghana Demographic and Health Survey (GDHS)

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF International (2015) C2

Trends in Demographic and Reproductive Health Indicators in Ethiopia

Zachary, Blake, Zhuzhi Moore, and Pav Govindasamy ICF International (2013) C2

Data from the 2000, 2005, and 2011 Demographic and Health Surveys. DHS Trend Reports No. 7

Devolution of Healthcare Services in Kenya: Lessons learnt from other Countries

KPMG Africa (2013) C1

Trends in Maternal Health in Nigeria, 2003-2013

Mallick, Lindsay, Tukur Dahiru, and Kerry L.D. MacQuarrie ICF International (2016) C2

DHS Further Analysis Reports No 102

Measuring Health and Disability - Manual for WHO Disability Assessment Schedule (WHODAS 2.0)

Üstün, T.B., Kostanjsek, N., Chatterji, S. & Rehm, J. WHO (2010) C_WHO

This manual summarizes the methodology used to develop WHODAS 2.0 and the findings obtained when the schedule was applied to certain areas of general health, including mental and neurological disorders. The manual will be useful to any researcher o ... more

Ghana Demographic and Health Survey 2014 Key Indicators

Ghana Statistical Service Accra, Ghana Health Service Accra, Ghana; The DHS Program ICF (2015) C1