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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 mu...st 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

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Baby-Friendly Hospital Initiative: revised, updated and expanded for Integrated Care - Section 2; Session 1: The national infant feeding situation

WHO, UNICEF (2009)

The revised package of BFHI materials includes five sections: 1. Background and Implementation, 2. Strengthening and Sustaining the BFHI: A course for decision-makers, 3. Breastfeeding Promotion and Support in a Baby-friendly Hospital: a 20-hour course for maternity staff, 4. Hospital Self-Appraisal... more

Clinical management of patients in the Ebola Treatment Centres and other care centres in Sierra Leone

Ministry of Health and Sanitation Sierra Leone; World Health Organization (2015)

Interim emergency guidelines

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Guidelines for TB infection prevention and control for health care workers in Kenya
recommended

National Tuberculosis, Leprosy and Lung Disease Unit, Ministry of Health, Kenya (2014) C1

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Uganda National Guidelines for Tuberculosis Infection Control in Health Care Facilities, Congregate Settings and Households

Dr. Nathan Kenya Mugisha, Ministry of Health Uganda (2008) C1

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The Associations between Nutrition, Stress, Infection, and Inflammation and Maternal Health and Pregnancy Outcomes in Rural Malawi

Ashorn, P.; B. Poelman, K.G. Dewey, et al. Fanta Project; USAID (2017) C1

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Young Children with Special Needs - Training for early childhood caregivers and teachers

Catholic Relief Services (CRS) & Hilton Foundation (2016) C1

MODULE 5 RESOURCE GUIDE | This guide is part of a series of manuals that focuses on six topics in Early Childhood Development (ECD): different programming approaches, basic concepts, assessments, early childhood environments, children with special needs and child protection, and the health, safety a... more

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A Comparison of Summary Measures of Quality of Service and Quality of Care for Family Planning in Haiti, Malawi, and Tanzania

Mallick, Lindsay, Wenjuan Wang, Temsah, Gheda (2017) C1

DHS Methodological Report No. 20

This study used Service Provision Assessment (SPA) and Demographic and Health Survey (DHS) data from Haiti, Malawi, and Tanzania to compare traditionally used additive methods with a data reduction method—principal component analysis (PCA).
We scored ... more

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Compendium of WHO guidelines and associated standards: ensuring optimum delivery of the cascade of care for patients with tuberculosis
recommended

World Health Organization WHO (2018) C_WHO

2nd edition. T The Compendium has been developed as a clear and concise instrument to facilitate the understanding and planning of delivery of high-quality care for everybody affected by TB. It incorporates all recent policy guidance from WHO; foll... more

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Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation

Langston, A., Weiss, J., Landegger, J., et al. Global Health: Science and Practice (2014) CC

The Kabeho Mwana project (2006–2011) supported the Rwanda Ministry of Health (MOH) in scaling up integrated community case management (iCCM) of childhood illness in 6 of Rwanda’s 30 districts. The project trained and equipped community health workers (CHWs) according to national guidelines. In p... more

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Achieving quality universal health coverage through better water, sanitation and hygiene services in health care facilities: A focus on Ethiopia

World Health Organization (WHO) (2017) C_WHO

A two-week mission was conducted by WASH and quality UHC technical experts from WHO headquarters and supported by the WHO Ethiopia Country Office (WASH and health systems teams) in July 2016, to understand how change in WASH services and quality improvements have been implemented in Ethiopia at nati... more

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Achieving quality universal health coverage through better water, sanitation and hygiene services in health care facilities: A focus on Cambodia and Ethiopia

World Health Organization (WHO) (2017) C_WHO

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Helping young children who have experienced trauma: policies and strategies for early care and education

Jessica Dym Bartlett, Sheila Smith, Elizabeth Bringewatt Child Trends (2017) C1

In this report, we describe early childhood trauma and its effects, offer promising strategies for ECE programs and systems to help young children who have experienced trauma, and present recommendations for state policymakers and other stakeholders looking to support trauma-informed ECE for this vu... more

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Failure to thrive or weight faltering in a primary health care setting

A. Berg IACAPAP (2012) C2

Infant Psychiatry Chapter B.2

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Ready to Save Lives: A Preparedness Toolkit for Sexual and Reproductive Health Care in Emergencies

IAWG on Reproductive Health in Crises, IPPF, JSI, et al. (2021) C1

The purpose of the toolkit is to bring together existing learning and guidance as a starting point for stakeholders to begin SRH preparedness work. Within the SRH sector the field of preparedness is relatively new and growing. More collective effort is required to further evaluate the impact of prep... more

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Health Sector Response to Gender Based Violence - Standard Operating Procedures for First Contact Point Health Care Providers - Sri Lanka

Ministry of Health, Nutrition & Indigenous Medicine (2019) CC

The United Nations Population Fund (UNFPA) is the lead UN agency working to further gender equality and women’s empowerment in Sri Lanka. We are pleased to be a part of the joint effort with the Ministry of Health to develop the first ‘Standard Operating Procedures on sexual and gender-based vio... more

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Exploration of Community Health Workers’ views about in their role and support in Primary Health Care in Northern Cape, South Africa

Ramukumba, M.M. Journal of Community Health (2019) CC

Community health workers (CHWs) play a significant role in Primary health Care due to their proximity to households, communities and the health care system. Many studies focus on CHWs and the work t... 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 ... more

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Standard Operating Procedures - Adherence Guidelines for HIV, TB and NCDs: Training Course for Health Care Workers

National Department of Health South Africa National Department of Health South Africa (2021) C1

- A Skills Building Program for Clinicians and Non-Clinicians. Adherence guidelines- slide deck- training course for health providers

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Responding to aid volatility: government spending on district health care in Zambia 2006–2017

Jacksona, A.; Forsberg, B.; Chansa, C.; Sundewall, J. (2020) CC

A corruption event in 2009 led to changes in how donors supported the Zambian health system. Donor funding was withdrawn from the district basket mechanism, originally designed to pool donor and government financing for primary care. The withdrawal ... more

Guidelines for TB infection prevention and control for health care workers in Kenya recommended

Compendium of WHO guidelines and associated standards: ensuring optimum delivery of the cascade of care for patients with tuberculosis recommended

Guidelines for TB infection prevention and control for health care workers in Kenya
recommended

Compendium of WHO guidelines and associated standards: ensuring optimum delivery of the cascade of care for patients with tuberculosis
recommended