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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, 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

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Integrating mental health care into primary care systems in low- and middle-income countries: lessons from prime and affirm

Davies, T.; Lund, C. Global Mental Health (2017) C1

Policy and systems. Global Mental Health(2017),4, e7, page 1 of 6. doi:10.1017/gmh.2017.3

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Long-acting injectable vs oral antipsychotics for relapse prevention in schizophrenia: a meta-analysis of randomized trials

Kishimoto T., Robenzadeh A, Leucht C, et al. (2014) CC

Schizophr Bull. 2014 Jan;40(1):192-213. doi: 10.1093/schbul/sbs150. Epub 2012 Dec 17.

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Global, regional, and national burden of mortality associated with non-optimal ambient temperatures from 2000 to 2019: a three-stage modelling study

Zhao,Q.; Guo Y., , Ye T., et al. (2021) C1

Lancet Planet Health 2021; 5: e415–25

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Effectiveness of community health worker training programmes for cardiovascular disease management in low-income and middle-income countries: a systematic review

Abdel-All, M; Putica, B.; Praveen, D. et al. BMJ Open (2017) CC

Introduction Community health workers (CHWs) are increasingly being tasked to prevent and manage cardiovascular disease (CVD) and its risk factors in underserved populations in low-income and middle-income countries (LMICs); however, little is known about the required training necessary for them to ... more

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Pastoral care as a resource for development in the global healthcare context: Implications for Africa’s healthcare delivery system

Agbiji E., Agbiji O.M. AOSIS (2016) C1

HTS Teologiese Studies/Theological Studies ISSN: (Online) 2072-8050, (Print) 0259-9422

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Disease diagnosis in primary care in Uganda

Martin Kayitale Mbonye, Sarah M Burnett, Robert Colebunders, et al. (2014) CC

BMC Family Practice201415:165, DOI: 10.1186/1471-2296-15-165 Open Access

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S2k-Leitlinie: Tuberkulose im Erwachsenenalter

T. Schaberg, T. Bauer, F. Brinkmann, et al. (2017) C2

Eine Leitlinie zur Diagnostik und Therapie, einschließlich Chemoprävention und -prophylaxe des Deutschen Zentralkomitees zur Bekämpfung der Tuberkulose e.V. im Auftrag der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e.V. Tuberculosis Guideline for Adults Guideline for Diagnosis... more

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Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review

Maurice Bucagu, Jean M. Kagubare, Paulin Basinga, Fidèle Ngabo, Barbara K Timmons & Angela C Lee Reproductive Health Matters (2012) CC

From 2000 to 2010, Rwanda implemented comprehensive health sector reforms to strengthen the public health system, with the aim of reducing maternal and newborn deaths in line with Millennium Development Goal 5, among many other improvements in national health. Based on a systematic review of the lit... more

Tracking official development assistance for reproductive health in conflict-affected countries: 2002—2011

Patel P.; Dahab M.; Tanabe M. et al. BJOG An International Journal of Obstetics and Gynaecology (2016) CC

To provide information on trends on official development assistance (ODA) disbursement patterns for reproductive health activities in 18 conflict-affected countries

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Geographical and seasonal correlation of multiple sclerosis to sporadic schizophrenia

M. Fritzsche PMC; BioMed central (2002) C2

Int J Health Geogr. 2002; 1: 5. Published online 2002 Dec 20. doi: 10.1186/1476-072X-1-5 PMCID: PMC149400 PMID: 12537588

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The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

Hanne M. Norseth1,2, Patricia D. Ndhlovu3, Elisabeth Kleppa, et al. (2014) CC

Plos Neglected Tropical Diseases 8(11): e3229 (20 November 2014)

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Tuberkulosescreening bei Schwangeren im Kontext von § 36 (4) Infektionsschutzgesetz (IfSG)

K. Schenkel, T. Bauer; C. Breuer; et al. (2016) C2

Eine Stellungnahme des DZK in Zusammenarbeit mit FZB, DGI, DGPI, GPP, DGGG, DRG und DGMP Pneumologie 2016; 70: 777–780

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Social network methods for HIV case-finding among people who inject drugs in Tajikistan

M. Kan; D. B. Garfinkel; O. Samoylova; et al. Journal of the International AIDS Society (2018) C2

Kan M et al. Journal of the International AIDS Society 2018, 21(S5):e25139 http://onlinelibrary.wiley.com/doi/10.1002/jia2.25139/full | https://doi.org/10.1002/jia2.25139

Key Considerations: Emerging evidence on shielding vulnerable groups during COVID-19

Schmidt-Sane M. SSHAP (2020) CC

Shielding is a term used to describe the protection of individuals at high risk of severe COVID-19 illness by separating them from the general population.

Annual Evaluation of the Abolition of User Fees at Primary Healthcare Facilities in Kenya

Maina T., Kirigia D. USAID, PEPFAR, Health Policy Project (2015) C1

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Miners

M. Smelyanskaya, J. Duncan (The Focus Group Consulting); D. Daniels, et al. Stop TB Partnership; UNOPS; END TB (2016) C1

Key popupations brief.

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Tuberculosis in HIV/AIDS Patients - Advanced Techniques in Clinical Microbiology

M. Gjergji; J. Bushati; A. Harxhi; H. Hafizi; P. Pipero iMedPub Journals (2017) C2

Research Article Received: August 21, 2017; Accepted: August 29, 2017; Published: Spetember 05, 2017 This article is available in: http://www.imedpub.com/advanced-techniques-in-clinical-microbiology/

Les systèmes de santé en action - Un guide électronique pour les leaders et les managers

Vriesendorp, S.; M.Shukla, K. Johnson Lassner et. al. Management sciences for health (MSH) (2010) C2

Dans cette perspective, nous espérons que notre expérience pratique dans ces domaines constituera un apport aux prochaines éditions de ce guide. Et si le renforcement des systèmes de santé peut ne pas être une science exacte et que l’approche universelle n’existe pas, cette publication dé... more

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L’efficacité contestée du recours aux agents de santé communautaires pour la prise en charge du paludisme

Druetz T. Université de Montréal (2015) C2

Évaluation du programme burkinabé dans les districts de Kaya et de Zorgho Objectif. L’objectif central de cette thèse est d’évaluer, dans des conditions réelles d’implantation, les effets du programme burkinabé de prise en charge communautaire du paludisme sur le recours aux soins de... more