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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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Selection of essential medicines for the prevention and treatment of cardiovascular diseases in low and middle income countries

Bazargani, Y.T.; Ugurlu, M.; Leufkens, H.G.M. et al. BMC Cardiovascular Disorders (2018) CC

The incidence and mortality of cardiovascular diseases (CVDs) in low and middle income countries (LMICs) have been increasing, while access to CVDs medicines is suboptimal. We assessed selection of essential medicines for the prevention and treatment of CVDs on national essential medicines lists (NE ... more

Community-based rehabilitation: CBR guidelines - Introductory booklet (chinese)

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. WHO (2011) C_WHO

Community-based rehabilitation: cBr guidelines - Introductory booklet (thai)

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. WHO (2010) C_WHO

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Tracking progress on health and climate change in Europe

Romanello M., van Daalen K., et al. (2021) C2

Left unabated, climate change will have catastrophic effects on the health of present and future generations. Such effects are already seen in Europe, through more frequent and severe extreme weather events, alterations to water and food systems, and changes in the environmental suitability for infe ... more

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Epidemiological and clinical aspects of urogenital schistosomiasis in women, in Burkina Faso, West Africa

Zida, A.; Briegel, J.; Kabré, I. et al. BioMed Central (2016) CC

Human schistosomiasis, a parasitic and often chronic illness, is one of the major neglected tropical diseases worldwide. It is estimated that 240 million people suffer from schistosomiasis, with more than 200000 fatalities recorded each year. Schistosomiasis is caused by an infection of the blood fl ... more

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Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study

Adelekan, B.; E. Goldson, Z. Abubakar et al. Repoductive Health Journal (2021) CC

RESULTS: Between 76 and 97% of the PHCS offered RMCAH services before the lockdown. Except in antenatal, delivery and adolescent care, there was a decline of between 2 and 6% in all the services during the lockdown and up to 10% decline after the lockdown with variation across and within States. Dur ... more

Pedoman Tatalaksana Pencegahan Penyakit Kardiovaskular pada Perempuan

Lukito, A.A., A.U. Rahajoe, L.I. Rilantono, et al., Indonesian Heart Association (2015) C1

Guidelines for the Prevention of Cardiovascular Disease in Women in Indonesia

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An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

S. Chauwa Phiri, M.Lippitt Prust, C. Phiri Chibawe, et al. (2017) CC

Phiri et al. Human Resources for Health (2017) 15:40 DOI 10.1186/s12960-017-0214-3

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Quality of care for children with severe disease in the Democratic Republic of the Congo

Clarke-Deelder, E., G. Shapira, H. Samaha, et al. (2019) CC

BMC Public Health (2019) 19:1608 https://doi.org/10.1186/s12889-019-7853-3

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Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders

Catherine O Egbe, C.Brooke-Sumner†, T. Kathree,et al. (2014) CC

BMC Psychiatry 2014 14:191 https://doi.org/10.1186/1471-244X-14-191

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Integrating science into humanitarian and development planning and practice to enhance community resilience

Melanie Duncan, et al. CAFOD; AfClix; UCL; et al. (2014)

These draft guidelines are designed to encourage humanitarian and development non-governmental organisation (NGO) practitioners to think about the types of scientific information and expertise they may need, how to access and use them, and how to ensure that they are applied in an ethical and accoun ... more

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Zimbabwe Multiple Indicator Cluster Survey 2014. Key Findings Report

Zimbabwe National Statistics Agency (ZIMSTAT) USAID; UKAid; UNICEF; et al. (2015)

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Guía para aplicar las pruebas rápidas para la detección de sífilis y VIH en embarazadas

Ministerio de salud pública y bienestar social, Paraguay; UNICEF et al. (2015)

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Recognition of depression by primary care clinicians in rural Ethiopia

Abebaw Fekadu, Girmay Medhin, Medhin Selamu, et al. (2017) CC

BMC Family Practice (2017) 18:56 DOI 10.1186/s12875-017-0628

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Zimabwe Multiple Indicator Cluster Survey 2014. Final Report

Zimbabwe National Statistics Agency (ZIMSTAT) USAID; UKAid; UNICEF; et al. (2015) C1

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Training community healthcare workers on the use of information and communication technologies: a randomised controlled trial of traditional versus blended learning in Malawi, Africa

Nikolaos Mastellos, Tammy Tran, Kanika Dharmayat et al. BMC Medical Education (2018) CC

Despite the increasing uptake of information and communication technologies (ICT) within healthcare services across developing countries, community healthcare workers (CHWs) have limited knowledge to fully utilise computerised clinical systems and mobile apps. The ‘Introduction to Information and ... more

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A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries

O'Sullivan, B.; et al. (2020) CC

Front. Med., 27 November 2020 | https://doi.org/10.3389/fmed.2020.594728. The Checklist included eight actions for implementing rural pathways in LMICs: establishing community needs; policies and partners; exploring existing workers and scope; selecting health workers; education and training; workin ... more

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Normas para el tratamiento de la Sífilis en la embarazada

Organización Panamericana de la Salud, Ministerio de la Salud Pública y Bienestar Social, et al. (2009) C1

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Guide de l'Union pour le Diagnostic et la prise ( Édition Afrique)

Stephen M. Graham USAID, l'Union, Initiative 5%; et. al (2016) C2

Troisième édition 2016