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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

Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes

World Health Organization (WHO) World Health Organization (WHO) (2023) C_WHO

The WHO document "Integrating the prevention and control of noncommunicable diseases in HIV/AIDS, tuberculosis, and sexual and reproductive health programmes: implementation guidance" provides a framework for integrating noncommunicable diseases (NCDs) into existing health programs for HIV/AIDS, tub... more

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Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants: recommendations for a public health approach

World Health Organization (2010) C_WHO

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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.

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Comprehensive Evaluation of the Community Health Program in Rwanda (FINAL REPORT)

Centre for Maternal and Newborn Health (CMNH), from the Liverpool School of Tropical Medicine (LSTM) (2016) C2

The objective of the evaluation is to understand whether the CHW program has achieved its intended objectives, thus contributing to the overarching objectives defined in the HSSP III of improving the health status of the population by “Ensuring universal accessibility of quality health services fo... more

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Provision of Primary Healthcare among Internally Displaced Persons and Vulnerable Populations of Burma

Back Pack Health Worker Team (BPHWT) (2016) C1

Project Programs:
A. Medical Care Program
B. Community Health Promotion and Prevention Program
C. Maternal and Child Health Program
Target Population: 228,000 people living within the Mon, Kayah, Kayan, Karen,Shan, Kachin, Pa O, Chin and Arakan areas
Projec...t Duration:January to December 2016 more

Recommendations on maternal and perinatal health

World Health Organization (2013)

WHO GUIDELINES REVIEW COMMITTEE

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WHO recommendations on maternal health: Guidelines approved by the WHO Guidelines Review Committee

World Health Organization (WHO) (2017) C_WHO

Updated May 2017
This document is meant to respond to the questions:
■ What health interventions should be delivered during pregnancy, childbirth and the postnatal period?
■ What health behaviours should the women practise (or not practise) during these periods to care for ... more

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Building Health System Capacity Through Implementation Research: Experience of INSPIRE—A Multi-country PMTCT Implementation Research Project

M. Newman Owiredu; N. B. Bellareet; C. C. Chakanyuka Musanhu al. J Acquir Immune Defic Syndr; Wolters Kluwer Health (2017) C2

Supplement Article J Acquir Immune Defic Syndr Volume 75, Supplement 2, June 1, 2017 Building Health Systems through Implementation Research Published by Wolters Kluwer Health, Inc.

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Good Pharmacy Practice - Joint FIP/WHO Guidelines on Good Pharmacy Practice: Standards for Quality of Pharmacy Services

World Health Organization (WHO), International Pharmaceutical Federation (FIP) (2011) C_WHO

WHO Technical Report Series, No. 961, 2011, Annex 8 - These guidelines are intended to provide a description of ways in which pharmacists can improve access to health care, health promotion and the use of medicines on behalf of the patients they serve. The role of FIP is to provide leadership for na... more

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“I would love if there was a young woman to encourage us, to ease our anxiety which we would have if we were alone”: Adapting the Mothers2Mothers Mentor Mother Model for adolescent mothers living with

N. B. Carbone; J. Njala; D. J. Jackson; et al. PLOS One; PubMed.gov (2019) CC

PLOS ONE | https://doi.org/10.1371/journal.pone.0217693 June 7, 2019

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Health workforce policy and management in the context of the COVID-19 pandemic response

World Health Organization WHO (2021) C_WHO

This guide is available in English, French, Spanish, Russian, Arabic and Chinese This guide consolidates COVID-19 guidance for human resources for health managers and policy-makers at national, subnational and facility levels to design, manage and preserve the workforce necessary to manage the COVI... more

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COVID-19 and the social determinants of health and health equity: evidence brief

World Health Organization WHO (2021) C_WHO

6 December 2021

Quality criteria for the evaluation of climate-informed early warning systems for infectious diseases

World Health Organization WHO (2021) C_WHO

The frequency of infectious disease epidemics is increasing, and the role of the health sector in the management of epidemics is crucial in terms of response. In the context of infectious disease epidemics, the use of climate-informed early warning systems (EWS) has the potential to increase the eff... more

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Emergency health response plan for drought in Somalia: Early action to protect health and save lives April-December 2022

World Health Organisation (WHO) (2022) C_WHO

Nearly 260 000 people died in parts of Somalia between October 2010 and April 2012, including 133 000 children under five during the famine and food crisis in Somalia making it the worst famine in history. A study commissioned and funded by the Food and Agriculture Organization of the United Natio... more

Detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants

Ministry of Health & Family Welfare, India (2016) C1

Background Document

Mauritius National Action Plan on Antimicrobial Resistance 2017-2021

Ministry of Health and Quality of Life Mauritius (2017) C2

Antimicrobial resistance has become a serious public health threat for effective treatment of an ever increasing range of infections caused by bacteria, parasites, viruses and fungi. When infections can no longer be treated by first-line antibiotics, other antibiotics must be used, which are both mo... more

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Emergency Appeal - Kenya April - September 2020

UN Office for the Coordination of Humanitarian Affairs; Humanitarian Response et al. (2020) C2

Kenya reported its first case of COVID-19 on 12 March 2020 and, as at 7 April 2020, 172 cases had been confirmed and 6 deaths reported. The Government of Kenya has taken a number of measures to curb the spread of the virus, including implementing a curfew, restricting movement out and into four coun... more

Plateforme clinique mondiale COVID-19 - Nouveau Coronavirus (COVID-19) - Version Abrégée

Organisation Mondiale de la Santé (OMS) (2020) C_WHO

Les données COVID-19 anonymisées reçues des États Parties par l’intermédiaire de la plateforme de données COVID-19 resteront la propriété de l’État Partie contributeur et seront utilisées par l’OMS à des fins de vérification, d’évaluation et d’assistance conformément au RSI (... more

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Strengthening the health systems response to COVID-19: policy brief: recommendations for the WHO European Region (‎‎1 April 2020)‎‎

World Health Organization (Europe) (2020) C_WHO