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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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HIV and TB in Practice: Moving towards combination TB prevention

Theo Smart (2012)

HIV & AIDS Treatment in Practice No. 198

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Building capacity for creating demand in support of malaria prevention and control

Sue George, John Dada, Kolawole Maxwell et al. Malaria Consortium (2014)

In the context of the Support to National Malaria Control Programme (SuNMaP), demand creation is the strategic combination of advocacy, communication and mobilisation approaches that seek to achieve increased community awareness of, and demand for, effective malaria prevention and treatment services... more

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National Guidelines for the Integration of Adolescent and Youth-friendly Services into Primary Health Care Facilities in Nigeria

Federal Ministry of Health, Nigeria (2013) C1

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Guidelines for The Use of Herbal Medicines in Family Health Care

Ministry of Health Republic of Indonesia (2010) C1

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Integrated Communication Strategy for the Introduction of Oral Cholera Vaccine in Cholera Prevention and Control Programmes

UNICEF (2014)

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Water, Sanitation, and Hygiene Improvement Training Package for the Prevention of Diarrheal Disease

Kenya Ministry of Public Health and Sanitation (2009) C1

The Water, Sanitation, and Hygiene Improvement Training Package is intended to support the training of local outreach workers and their subsequent work in communities to promote improved water, sanitation and hygiene (WASH) practices to reduce diarrhea

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Intimate Partner Violence (IPV) in Zambia: Sociodemographic Determinants and Association with Use of Maternal Health Care

Simona, Simona J., Mazuba Muchindu, and Harriet Ntalasha ICF International (2015) C2

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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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Integrating the response to mental disorders and other chronic diseases in health care systems

World Health Organization World Health Organization (2014) C_WHO

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A good start: advances in early childhood development - Parenting in times of war: supporting caregivers and children in crisis

Katie Murphy, Sandra Maignant, Laura Boone, Sarah Smith Bernard van Leer Foundation (2015) C2

Early Childhood Matters is a journal about early childhood. It looks at specific issues regarding the development of young children, in particular from a psychosocial perspective. It is published twice per year by the Bernard van Leer Foundation. On Page 54 of this issue the article titled: "Par... more

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Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study

Roberton, T.; et al. (2020) CC

The Lancet Global Health Published:May 12, 2020DOI:https://doi.org/10.1016/S2214-109X(20)30229-1

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

National Department of Health, South Africa (2020) C1

STANDARD OPERATING PROCEDURES PARTICIPANT GUIDE This Participant Guide has been designed to assist health facilities and community based non-clinicians to develop skills to provide linkage to care, adherence and retention in care services for chronic conditions

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Putting HIV and HCV to the test - A product guide for point-of-care CD4 tests and laboratory-based and point-of-care HIV and HCV viral load tests

Medecins Sans Frontieres (Access Campaign) (2017) C2

3rd Edition – July 2017 www.msfaccess.org

Global Report on Diabetes World Health Organization 2016 1. Diabetes Mellitus – epidemiology. 2. Diabetes Mellitus – prevention and control. 3. Diabetes, Gestational. 4. Chronic Disease.

World Health Organization WHO (2016) C_WHO

The document "Global Report on Diabetes" by the World Health Organization (WHO) provides an in-depth analysis of diabetes as a global health challenge. It covers the rising prevalence of the disease, the associated risk factors, and the increasing burden on healthcare systems, particularly in low- a... more

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Deprived of the right to health. Sick and without medical care in Germany

Médecins du MondeDoctors of the World (2019) C1

Observatory report by Médecins du Monde/Doctors of the World Germany:“Deprived of the right to health. Sick and without medical care in Germany” gives a rare insight into the situation of those who have no or only limited access to the German health system.

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Developing and Operationalizing a National Monitoring and Evaluation System for the Protection, Care and Support of Orphans and Vulnerable Children Living in a World with HIV and AIDS

S. Laver; B. Noubary; et al. Unicef (2009) C_UNICEF

Guidance Document Unite for Children

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

National Department of Health, South Africa (2020) C1

The target audience for this training course is non-clinicians such as Home Based Carers, Community Caregivers, Youth Care Workers, Peer educators, Community Health Workers etc. primarily those who will be providing adherence counselling to clients with HIV, TB, Hypertension and Diabetes. This group... more

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Alleviating the Burden of Responsibility: Men as Providers of Community-Based HIV/AIDS Care and Support in Lesotho

Newman C Capacity Project (2009) C2

Capacity Project Gender Research Brief | In Lesotho, as in many other countries, the HIV and AIDS care burden falls on the shoulders of women and girls in unpaid, invisible household and community work. This gender inequity in HRH needs to be addressed to ensure fair and sustainable responses to the... more

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Perspectives and Practice of Hiv Disclosure to Children and Adolescents by Health-Care Providers and Caregivers in sub-Saharan Africa: A Systematic Review

O. Aderomilehin; A. Hanciles-Amu; O. O. Ozoya Frontiers in Public Health (2016) CC

Review published: 12 August 2016 doi: 10.3389/fpubh.2016.00166 Frontiers in Public Health | www.frontiersin.org 1 August 2016 | Volume 4 | Article 166

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

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

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

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