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Community health workers’ efforts to build health system trust in marginalised communities: a qualitative study from South Africa

Watkins, J:W.; F. Griffiths, and J. Goudge BMJ Open (2021) C1

Community health workers (CHWs) enable marginalised communities, often experiencing structural poverty, to access healthcare. Trust, important in all patient–provider relationships, is difficult to build in such communities, particularly when stigma associated with HIV/AIDS, tuberculosis and now ... more

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Coaching Community Health Volunteers in Integrated Community Case Management Improves the Care of Sick Children Under-5: Experience from Bondo, Kenya

Wandabwa, M.S. ; Kabue M., Kasungami D., et al. , (2018) C1

Shortages of healthcare workers is detrimental to the health of communities, especially children. This paper describes the process of capacity building Community Health Volunteers (CHVs) to deliver integrated preventive and curative package of care of services to manage common childhood illness in h... 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 a CHW programme. In this study, we evaluated expan... more

Moving to a strong(er) community health system: analysing the role of community health volunteers in the new national community health strategy in Malawi

Angwenyi, V.; Aantjes, C.; Kondowe, K. et al. BMJ Global Health (2018) CC

Since the Alma Ata Declaration in 1978, community health volunteers (CHVs) have been at the forefront, providing health services, especially to underserved communities, in low-income countries. However, consolidation of CHVs position within formal health systems has proved to be complex and continue... 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 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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Community use of face masks
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C1

Update 1 October 2020. This document provides guidance to Member States on the effective use of face masks/coverings in the community by individuals without COVID-19 symptoms in order to reduce potential transmission of SARS-CoV-2.a It also provides advice on the use of masks during home care for ... more

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Developing intervention strategies to improve community health worker motivation and performance

Frank, Ti.; Kallander, K. Malaria Consortium (2012) C1

This learning paper describes Malaria Consortium’s experience with Integrated Community Case Management (ICCM) in malaria prevention and treatment in Mozambique and Uganda. ICCM is an approach where community-based health workers are trained to identify, treat, and refer complex cases malaria (an... more

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Developing and Strengthening Community Health Worker Programs at Scale

Perry, H.; L. Crigler, et al. Maternal and Child Health Integrated Program (MCHIP) (2014)

A Reference Guide for Program Managers and Policy Makers. Recently, a renewed interest in large-scale community health worker (CHW) programs has been seen globally. This renewal provides an opportune moment to take stock of issues and challenges such programs face and what can be done to make them a... more

Community Case Management Essentials: Treating Common Childhood Illnesses in the Community

David Marsh, Ashley Aakesson, Kechi Anah et al. CORE Group; Save the Children; BASICS; MCHIP (2012)

2nd edition. Known as “Community Case Management of Sick Children” (CCM), this approach sends community-based health workers out to find, diagnose, and successfully treat sick children, in partnership with their families. Inspired by the classic “Immunization Essentials”, this guide methodic... more

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From the Frontline of Community Action: A Compendium of Six Successful Community Based HIV Interventions That Have Worked for MSM- TG-Hijras in India

Shobhna S. Kumar,Pallav Patankar, Dr. Maninder Singh Setia UNDP India (2011) C1

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Kenya - Strategy for Community Health 2014-2019

Ministry of Health, Kenya; Community Health Services Unit USAID; PEPFAR; FANIKISHA (2014) C1

Transforming health: Acclerating the attainment of health goals

Community Approaches to Child Health in Cameroon: Applying the Community-based Integrated Management of Childhood Illness (C-IMCI) Framework

USAID, core group, PLAN (2009) C1

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Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

Karen Weidert, Amanuel Gessessew, Suzanne Bellet al. (2017) CC

Glob Health Sci Pract; March 24, 2017, Vol. 5, No. 1, pp. 44-56

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Involving the Community in Responding to TB/HIV: Outcomes of Community-Led Monitoring and Advocacy

Open Society Institute; Public Health Watch (2017) C2

Public Health Fact Sheet Involving the Community in Responding to TB/HIV: Outcomes of Community-Led Monitoring and Advocacy Accessed November 2017

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Community Mental Health Policy
recommended

Christoffel-Blindenmission (CBM) (2008)

What Are We Learning About Protecting Children in the Community? An inter-agency review of the evidence on community-based child protection mechanisms in humanitarian and development settings

Mike Wessells Save the Children (2008) CC

How to respond to, mitigate, and prevent risks to children’s protection and well-being is a profound, if unanswered, question. Practitioners agree that it is necessary to develop or strengthen protective factors at multiple levels, such as the family, community, and national levels.

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Rwanda: NATIONAL COMMUNITY HEALTH STRATEGIC PLAN July 2013 - June 2018

Ministry of Health, Rwanda (2013) C2

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Myanmar national framework for community disaster resilience: Promoting People-centered, Inclusive, and Sustainable Local Development

The Republic of the Union of Myanmar, National Natural Disaster Management Committee (2017) C1

The Myanmar National Framework seeks to achieve people-centered, inclusive, and sustainable socioeconomic development in the face of disasters triggered by natural hazards and climate change. The framework articulates a common understanding, proposes a coherent approach, and identifies potential opp... more

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Community Health Strategy 2017-2021

Ministry of Health, Zambia (2017) C1

2 million African community health workers - Harnessing the demographic dividend, ending AIDS and ensuring sustainable health for all in Africa

UNAIDS (2017) CC

This report makes the case for a major new initiative—to rapidly recruit, train and deploy 2 million community health workers in Africa. Drawing on a vast body of evidence and substantial regional experience, the report shows how community health workers save lives and improve quality of life and ... more

Community use of face masks recommended

Community Mental Health Policy recommended

Community use of face masks
recommended

Community Mental Health Policy
recommended