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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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Implementation of a Mental Health Care Package for Children in Areas of Armed Conflict: A Case Study from Burundi, Indonesia, Nepal, Sri Lanka, and Sudan

M. J. D. Jordans; W. A. Tol; D. Susanty; et al. PLOS Medicine (2013) CC

PLOS Medicine | www.plosmedicine.org January 2013 | Volume 10 | Issue 1 | e1001371

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Tanzania: National Guidelines for Monitoring Medicines Safety

Tanzania Food & Drugs Authority (TFDA) (2010) C2

Made under Section 5 (c) of the Tanzania Food, Drugs and Cosmetics Act, 2003 | Second Edition

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Migration of South African health workers: the extent to which financial considerations influence internal flows and external movements

George, G., Atujuna, M. & Gow, J. BMC Health Services Research (2013) CC

Research Article

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Health financing for the COVID-19 response: Process guide for national budgetary dialogue. ACT-A Health Systems Connector

World Health Organization (WHO), World Bank, Global Financing Facility (GFF) et al. World Health Organization (WHO) (2021) CC

Annual and medium-term budget preparation processes are the platforms through which specific plans are transformed into actual resource allocation decisions. The aim of this Process Guide is to support key stakeholders involved in these processes (such as the Cabinet, Ministries of Finance and Healt... more

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Detection of Schistosoma mansoni DNA using polymerase chain reaction from serum and dried blood spot card samples of an adult population in North-western Tanzania

Fuss, A.; H. D. Mazigo and A. Mueller (2021) CC

Infect Dis Poverty (2021) 10:15. Real-time polymerase chain reaction (PCR) is a sensitive and specific method for diagnosing schistoso- miasis. However, this method should be performed in a laboratory, usually located distant from the sample collection site. Therefore, it is important to have fas... more

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Antiepileptic drug treatment after first unprovoked seizure

World Health Organization (2012) C_WHO

Q8. Should Anti-Epileptic Drug (AED) treatment be started after first unprovoked seizure in non-specialist health settings?

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Mental health policy development in Africa

O. Gureje & A. Alem Bulletin of the World Health Organization (2000) C_WHO

Mental health issues are usually given very low priority in health service policies. Although this is changing, African countries are still confronted with so many problems caused by communicable diseases and malnutrition that they have not woken up to the impact of mental disorders. Every country m... more

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Financing Maternal and Child Health—What Are the Limitations in Estimating Donor Flows and Resource Needs?

Schäferhoff, M.; Schrade, C.; Yamey G. PLOS Med (2010) CC

Marco Schäferhoff and colleagues critique funding estimates for the maternal and child health Millennium Development Goals, and make recommendations for improving the tracking of financing flows and estimating the costs of scaling up interventions for mothers and children.

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Climate change and mental health: risks, impacts and priority actions

Katie Hayes, G. Blashki, J. Wiseman et al. International Journal of Mental Health Systems (2018) CC

This article provides an overview of the current and projected climate change risks and impacts to mental health and provides recommendations for priority actions to address the mental health consequences of climate change.

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Situational Analysis on Post-Rape Care of Children in Lesotho

Levy, Marcy, Veronica Magar, and Derrick Sialondwe Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1 (2013)

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Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Adela Cayetano, R.D.; and J. Elkins Disability, CBR & Inclusive Development Journal (DCIDJ) (2016) CC

Conclusion: CBR has improved the quality of life, access to medical services, functional independence, autonomy, community inclusion, and empowerment of people with disabilities in LMICs in the Asia-Pacific region. However, challenges in the implementation of CBR remain. These include lack of awaren... more

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Access to HIV care and treatment for migrants between Lesotho and South Africa: a mixed methods study

I. Faturiyele, D. Karletsos, K. Ntene-Sealiete, et al. BMC Public Health (2018) CC

BMC Public Health (2018) 18:668 https://doi.org/10.1186/s12889-018-5594-3

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Diagnosis of dementia

World Health Organization (2012) C_WHO

Q6: Can dementia be diagnosed at first or second level care by non-specialist health care providers? What should be the assessment process for the diagnosis of dementia?

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Community based rehabilitation (CBR)

World Health Organization (2012) C_WHO

Q4: Should community based rehabilitation be offered to children with intellectual disabilities?

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Assessment of the health needs of Syrian refugees in Lebanon and Syria’s neighboring countries

El Arnaout, N., Rutherford, S., Zreik,, et al. (2019) CC

Health needs of displaced Syrians in refugee hosting countries have become increasingly complex in light of the protracted Syrian conflict. The primary aim of this study was to identify the primary health needs of displaced Syrians in Iraq, Jordan, Lebanon, Turkey, and Syria.

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Gap Analysis: the Inclusion of People with Disability and Older People in Humanitarian Response

Pryor, W.; M. Marella and A. Robinson Humanitarian Innovation Fund HIF; ELRHA (2020) C1

Part 2: Part 2 Beyond the evidence: Implications for innovation and practice Part 2 of the Gap Analysis presents the insights from individuals working in humanitarian response, disability inclusion and older age inclusion. This report begins by looking at how an agenda for the inclusion of people ... more

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Unprecedented economic attack on Sub-Sahara African economies: coronavirus: How severe is the perceived slump?

Nichiimunya N. Environment Systems & Decisions (2020) CC

This paper is motivated by the global spread of the coronavirus referred to as COVID-19 and its efect on Sub-Saharan African (SSA) economies. The International Monetary Fund (IMF) has alluded to the COVID-19 not only afecting the global health but also trade and tourism, commodity prices, and fnanci... more

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Policies and program implementation experience to improve maternal nutrition in Ethiopia

L. S. Saldanha, L. Buback, J. M. White, et al. (2012) C1

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Child soldiers. The shadow of their existence

War Child (2007) C2

This report outlines the known problems of child soldiers and the different forms of recruiting. The report zooms in on the Colombia situation and the motives with which Colombian children join these armed groups. Finally there's a list of actions that can be taken to change this situation and the c... more