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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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Turn Down The Heat

The World Bank (2012) CC

Why a 4°C warmer world must be avoided

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Guidance on vaccination and prevention of vaccine-preventable disease outbreaks for countries hosting refugees from Ukraine, April 2022 update

World Health Organization WHO, Regional Office of Europe (2022) C_WHO

This document provides guidance on interventions to prevent vaccine-preventable disease outbreaks in the context of mass population movement resulting from the ongoing crisis in Ukraine.

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The Covid-19 Pandemic and Conflict Dynamics in Syria

Asseburg, M.; H. Azizi, G. Dalay and M. Pieper Stiftung Wissenschaft und Politik (2020) CC

Neither a Turning Point Nor an Overall Determinant Nine years into the (civil) war, Syria is in an extraordinarily poor position to confront the Covid-19 pandemic. Instead of the pandemic leading towards the uniting of local, regional, and international actors involved in Syria around a common purp... more

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Nigeria: Preparedness and Response to Acute Watery Diarrhoea Outbreaks

Federal Ministry of Health - Nigeria Centre for Disease Control (2017) C2

A GUIDE FOR HEALTH WORKERS AND AUTHORITIES IN NIGERIA

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GETTING TO KNOW CEREBRAL PALSY: Module 5 - Everyday Activities

Hambisela - Towards Excellence in Therapy for Cerebral Palsy Cerebral Palsy Association (Eastern Cape) (2008) C2

A learning resource for facilitators, parents, caregivers, and persons with cerebral palsy | Version 1 - Released March 2008

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A Comprehensive HIV Prevention Roadmap 2017-2021

Ministry of Health, Zambia (2017) C1

Framework of Indictors and Targets

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Global Progress Report on Implementation of the WHO Framework Convention on Tobacco Control 2018

WHO Framework Convention on Tobacco Control (2018) C_WHO

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What are the challenges facing Myanmar in progressing towards Universal Health Coverage?

Phone Myint; Than Tun Sein; Cassels, Andrew World Health Organization (WHO) (2015) C_WHO

Policy Note #1: Myanmar Health Systems in Transition Policy Notes Series
The Government of the Republic of the Union of Myanmar is committed to achieving universal health coverage (UHC) by 2030. In practice, this means that over the next 15 years the aim is to progressively ensure that all peop... more

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Digital adaptation kit for antenatal care: operational requirements for implementing WHO recommendations in digital systems

World Health Organization WHO (2021) CC

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WHO's Health Emergency Appeal 2023

World Health Organisation (WHO) (2023) C_WHO

WHO needs US$2.54 billion to provide life-saving assistance to millions of people around the world facing health emergencies. WHO’s Health Emergency Appeal is a consolidation of WHO’s priorities and financial requirements for 2023 to carry out health interventions in emergency and humanitarian r... more

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Sierra Leone Cholera ERU Operation Review

International Federation of Red Cross and Red Crescent Society (IFRC) (2013)

This review of the IFRC support to the Sierra Leone Red Cross Society response to the 2012 cholera outbreak provides ideas and concepts to promote a more coherent and evidence based rationale on how to make more effective use of IFRC global assets to stop, control, mitigate and respond to cholera ep... more

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Public health dimension of the world drug problem

World Health Organization WHO (2022) C_WHO

Report by the Director-General. 75th World health assembly 25 April 2022

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Kenya National Cancer Sreening Guidelines

Ministry of Health, Kenya (2018) CC

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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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2016 Health Facility Assessment for Reproductive Health Commodities and Services

The Republic of the Union of Myanmar, Ministry of Health and Sports, Department of Public Health, Department of Medical Services and UNFPA (2016) C1

A nationwide survey of a representative sample of health facilities across public health services in all states and regions of Myanmar has been undertaken since 2014 to track Reproductive Health Commodity Security (RHCS) indicators, such as the availability of reproductive health (RH) commodities; t... more