the aid library

LIST OPTIONS

Filter

4698

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

Download (815)

View PDF (1051)

WHO recommendations on antenatal care for a positive pregnancy experience

World Health Organization WHO (2016) C_WHO

This document is intended for a wide audience including national and local policymakers, implementers and managers of national and local maternal and child health programmes, non-governmental and other organizations and professional societies involved in the planning and management of maternal and c... more

Download (213)

View PDF (382)

Modelo de valores do SAGE OMS para alocação e priorização de vacinação contra a COVID-19

World Health Organization WHO (2020) C_WHO

14 de setembro de 2020Este Modelo de Valores fornece orientações globais para alocação de vacinas contra a COVID-19 entre os países, e orientações nacionais de priorização de grupos para vacinação dentro dos países em caso de oferta limitada. O Modelo destina-se a auxiliar os elaboradore... more

Download (489)

View PDF (957)

National Strategy For Scale-Up Of Chlorhexidine in Nigeria

Federal Ministry of Health, Nigeria (2016) C2

Building on Nigeria’s Call to Action to Save Newborn Lives, the Federal Ministry of Health (FMoH) has developed the National Strategy and Implementation Plan for Scale-up of Chlorhexidine. The Ministry incorporated existing maternal, newborn, and child health plans with additional comprehensive st... more

Download (1499)

View PDF (2479)

Immunization Essentials a practical Field Guide

USAID USAID (2004) CC

This guide provides a comprehensive overview of essential information related to immunization, including technical information about vaccines, a review of immunization program management best practices, guidance on the delivery of immunization services, monitoring and evaluation, disease surveillanc... more

Download (1192)

View PDF (2294)

Essential prevention and care interventions for adults and adolescents living with HIV in resource-limited settings

World Health Organization WHO (2008) C_WHO

Download (490)

View PDF (942)

Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach & Governance

Ministerial Advisory Committee on Antimicrobial Resistance National Dept. of Health, South Africa (2017) C2

External Link

Template Action Plan for the implementation of the WHO multimodal hand hygiene improvement strategy

World Health Organization WHO (2009) C_WHO

A guide to help you create an Action Plan specific for your health-care facility

Download (328)

View PDF (296)

Facilitator's Training Guide for a Stigma-Free Health Facility

R. Kidd; S. Clay; M. Stockton; et al. USAID From the American People; PEPFAR; Health Policy Project (2015) C2

Policy June 2015 Training Menus, Facilitation Tips, and Participatory Training Modules

External Link

Covid-19 vaccines: safety surveillance manual

World Health Organization WHO (2020) C_WHO

22 December 2020 The COVID-19 vaccine safety guidance manual has been developed upon recommendation and guidance of GACVS members, as well as by experts incorporating current and available information critical to all stakeholders when COVID-19 vaccines will be introduced. For ease of use, the man... more

Download (347)

View PDF (619)

Ukraine Situation: UNHCR Revised Supplementary Appeal 2022

United Nations High Commissioner for Refugees UNHCR (2022) CC

Given that the emergency has exceeded the worst-case scenario, this revised supplementary appeal for the Ukraine situation outlines UNHCR’s additional requirements of $1.246 billion for March to December 2022.

Download (404)

View PDF (648)

Norms, standards and processes underpinning WHO vector control policy recommendations

World Health Organization WHO WHO (2020) C_WHO

This document outlines the evaluation process that WHO undertakes to assess novel tools and strategies targeted at VBDs. Its aim is to articulate the linkage between the generation of evidence that demonstrates public health impact of novel interventions, and the development of policy recommendation... more