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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

Emerging Practice – Fostering peace and respect by bringing women and girls with disabilities concerns into a Women’s Organization

Rural Women Peace Link (RWPL), Bungoma, Kenya (2018) CC

Rural Women Peace Link (RWPL) is a grassroots women-led organization working in rural areas in the west of Kenya to promote local women’s invol ... more

A training manual for agricultural extension agents: The use of RICCAR climate data in a crop model (APSIM) to identify context-based climate adaptation and mitigation options

International Center for Agricultural Research in Dry Areas (ICARDA), UN Economic and Social Commision for Western Africa (ESCWA) (2023) C2

The Arab region in the Middle East and North Africa (MENA) represents a substantial area of the terrestrial landmass encompassing several countries and ecosystems. This area is generally drier and warmer compared to the rest of the world and has extreme resource limitations that are highly vulnerabl ... more

Let us know HOW TO KEEP WATER SAFE

WHOSEARO (2016)

Key concern areas of various water supply technologies and users’ water handling practice responsible for water contamination and measures required to avoid such contamination are depicted in this manual using simple language and real life photog ... more

World Urbanization Prospects. The 2018 Revision

United nations. Department of Economic and Social Affairs (2019) CC

This report presents the results of the official United Nations estimates and projections of urban and rural populations for 233 countries and areas of the world and for close to 1,900 urban settlem ... more

Diabetes in Mozambique: Prevalence, management and healthcare challenges

Silva-Matos, C et al (2010) C1

This study assesses the prevalence and awareness of diabetes in urban and rural areas of Mozambique and describes its management.

Zimbabwe Humanitarian Response Plan 2020 (Revised July 2020 to update COVID-19 Response)

UN Office for the Coordination of Humanitarian Affairs OCHA (2020) C1

Across Zimbabwe, 7 million people in urban and rural areas are in urgent need of humanitarian assistance, compared to 5.5 million in August 2019. Since the launch of the Revised Humanitarian Appeal ... more

How can the township health system be strengthened in Myanmar?

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

Policy Note #3: Myanmar Health Systems in Transition Policy Notes Series
A network of basic health facilities has been established in each of the 330 townships, covering both rural and urban areas ... more

World Urbanization Prospects: The 2018 Revision. Key facts

United Nations Populations Division (2018) CC

Globally, more people live in urban areas than in rural areas, with 55 % of the world’s population residing in urban ... more

Schistosomiasis

World Health Organization World Health Organization WHO (2023) C_WHO

Schistosomiasis is a parasitic disease caused by infection with Schistosoma trematodes. The disease affects poor rural communities but has spread to urban areas and to tourists visiting endemic ... more

Recent Advances in the Management Strategies for Buruli Ulcers

Popa G.; Muntean Al., Popa M. (2023) CC

Buruli ulcer (BU) is a bacterial skin infection that is caused by Mycobacterium ulcerans and mainly affects people who reside in the rural areas of Africa and in suburban and beach resort communitie ... more

Guidelines for the Management of Snake-bites. 2nd edition
recommended

Word Health Organization Regional Office of South-East Asia Word Health Organization Regional Office of South-East Asia (2016) C_WHO

Snakebites are well-known medical emergencies in many parts of the world, especially in rural areas. Agricultural workers and children are the most affected. The incidence of snakebite mortality is ... more

The tippy tap! Resource Platform
recommended

Tippy Tap; Watershed Management Group; Grampari (2020) CC

The tippy tap is a hands free way to wash your hands that is especially appropriate for rural areas where there is no running water. It is operated by a foot lever and thus reduces the chance for ba ... more

Myanmar Living Conditions Survey 2017: Key Indicators Report

The Republic of the Union of Myanmar, Ministry of Planning and Finance, Central Statistical Organization et al. (2018) C1

The survey is representative of the Union Territory, its states and regions and urban and rural areas. It was conducted in all the districts and in 296 of the 330 townships of Myanmar. A total of 13 ... more

Health Workforce projections towards universal health coverage in Namibia 2018-2023

Ministry of Health and Social Services; Republic of Namibia (2019) CC2

The Ministry of Health and Social Services achnowledges that approximately half the population of the global south live in rural areas and that these area ... more

The Case For Frontiline Health Workers in Addressing Non-Communicable Diseases Globally

IntraHealth International (2016) CC

Frontline health workers (FHWs) provide services directly to communities where they are most needed, especially in remote and rural areas. Many are community health workers and midwives, though they ... more

Compendium of accessible WASH technologies

Hazel Jones and Jane Wilbur Water Aid (2014) CC

The compendium is designed for use by staff working directly with communities - e.g. health workers and community volunteers working with disabled and older people and their families in rural areas ... more

Climate-smart agriculture, fisheries and livestock for food security

The Republic of the Union of Myanmar, Ministry of Natural Resources and Environmental Conservation; Myanmar Climate Change Alliance (MCCA) (2017) C1

Policy Guidance Brief 1
• Climate change has already challenged the agriculture sector in Myanmar by afecting rice yields and livestock production, while disasters such as foods and cyclones have caused massive destruction in rural ... more

The 2014 Myanmar Population and Housing Census: Thematic report on Population Projections for the Union of Myanmar,...

The Republic of the Union of Myanmar (2017) C1

Census Report Volume 4-F (Thematic report on Population Projections for the Union of Myanmar, States/Regions, Rural and Urban Areas, 2014-2050)
Key findings
- The total population of Myanma ... more

Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review

Maurice Bucagu, Jean M. Kagubare, Paulin Basinga, Fidèle Ngabo, Barbara K Timmons & Angela C Lee Reproductive Health Matters (2012) CC

From 2000 to 2010, Rwanda implemented comprehensive health sector reforms to strengthen the public health system, with the aim of reducing maternal and newborn deaths in line with Millennium Development Goal 5, among many other improvements in national health. Based on a systematic review of the lit ... more