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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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Faire ce qui compte en période de stress
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Organisation Mondiale de la Santé OMS (2020) C_WHO

Doing What Matters in Times of Stress: An Illustrated Guide is a stress management guide for coping with adversity. The guide aims to equip people with practical skills to help cope with stress. A few minutes each day are enough to practice the self-help techniques. The guide can be used alone or wi... more

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Panorama de las tecnologías para el tratamiento de desechos infecciosos y punzocortantes en los centros de salud

Pan American Health Organisation PAHO (2020) C_WHO

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El impacto del COVID-19 en los pueblos indígenas de América Latina-Abya Yala Entre la invisibilización y la resistencia colectiva

Publicación de las Naciones Unidas (2021) C2

La crisis sanitaria y socioeconómica desencadenada por la pandemia del COVID-19 ha golpeado duramente a los países de América Latina y ha dejado al descubierto las profundas desigualdades sobre las que numerosos informes internacionales, regionales y nacionales han alertado en las últimas décad... more

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Health Sector Human Resources Strategy 2014-2018

Ministry of Health, Republic of Kenya (2014) C1

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СТАНДАРТЫ ПОВЫШЕНИЯ КАЧЕСТВА МЕДИЦИНСКОЙ ПОМОЩИ, ОКАЗЫВАЕМОЙ МАТЕРЯМ И НОВОРОЖДЕННЫМ В ЛЕЧЕБНЫХ УЧРЕЖДЕНИЯХ

Всемирная организация здравоохранения (2018) C_WHO

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COVID-19 en América Latina y Caribe: Determinación de prioridadesen investigación y llamado a la acción

Feune de Colombi, N.; et al. (2020) CC

Rev Méd Hondur, Vol 88, Núm 2, 202

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Centro de tratamiento de infecciones respiratorias agudas graves: manual práctico para instalar y gestionar

World Health Organization WHO (2020) C_WHO

Centro de tratamiento de infecciones respiratorias agudas graves: manual práctico para instalar y gestionar un centro de tratamiento de las infecciones respiratorias agudas graves y una zona para el tamizaje de estas en los establecimientos de asistencia médica

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Faith for Earth, A Call for Action

UN Environment Programme (2020) CC

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La salud mental infantil frente las adversidades colectivas: pobreza, indigencia, guerra y desplazamiento

L. Pacione; T. Measham; R. Kronick; et al. IACAPAP (2018) C2

Miscelanea Capítulo J.4 Editores: Matías Irarrázaval, Andres Martin, Laura Revert Martín & Sergio Jesús Soler Traductores: Sergio Jesús Soler, Nieves Hermosin Carpio, Clara De Castro & Beatriz Ortega

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САМОТЕСТИРОВАНИЮ НА ВИЧ И ИНФОРМИРОВАНИЮ ПАРТНЕРОВ

Всемирная организация здравоохранения (ВОЗ) Всемирная организация здравоохранения (ВОЗ) (2018) C_WHO

РУКОВОДСТВО ПО ДОПОЛНЕНИЕ К СВОДНОМУ РУКОВОДСТВУ ПО УСЛУГАМ ТЕСТИРОВАНИЯ НА ВИЧ ДЕКАБРЬ 2016 г. УСЛУГИ ТЕСТИРОВАНИЯ НА ВИЧ

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Шизофрения

Штат Нью-Йорк Отдел охраны психического здоровья Штат Нью-Йорк Отдел охраны психического здоровья (2019) CC

В этой брошюре содержится информация о симптомах шизофрении, о том, когда они появляются, о течении болезни, современных методах лечения, о поддержке больных и их б�... more

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Encuesta Nacional de Demografía y Salud 1990

Centro Paraguayo de Estudios de Población ; DHS (1990) C1

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Standard treatment guidelines neurology (India)

Ministry of Health & Family Welfare, India (2020) C1

Accessed Febr. 6, 2020

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Kenya: Multi-Sectorial Cholera Elimination Plan

Global Task Force On Cholera Control (GTFCC) (2022) CC

Cholera remains an issue of major public health importance in Kenya. Kenya has in recent years experienced outbreaks affecting different parts of the country

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Clinical Guidelines: HIV Diagnosis - Chapter 2

World Health Organization (WHO) World Health Organization (WHO) (2019) C_WHO

Accessed: 29.09.2019

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Kenya Health Workforce Report: The Status of Healthcare Professionals in Kenya, 2015

Ministry of Health, Kenya (2017) CC

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Marco conceptual científico para la neutralidad de la degradación de la tierra. Un informe de la Interfaz Ciencia-Política

Nations Unies (2017) CC

El marco conceptual científico de la neutralidad de la degradación de la tierra (LDR) proporciona una base científica para comprender, aplicar y supervisar la LDR. Su objetivo es salvar la brecha entre la visión y la aplicación práctica de la ENC, definiendo la ENC en términos operativos. El ... more

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Kenya Nation e-health Policy 2016-2030

Ministry of Health, Kenya (2017) C1

Faire ce qui compte en période de stress recommended

Faire ce qui compte en période de stress
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