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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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Global oral health status report: towards universal health coverage for oral health by 2030: regional summary of the Western Pacific Region

World Health Organisation (WHO) (2023) C_WHO

This regional summary draws on the WHO Global oral health status report (2), published in 2022, which provides a comprehensive overview of the global oral disease burden, the global health importance of oral health and the impact of oral diseases over the life course. The summary focuses on the ... more

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Frontline health workers in COVID-19 prevention and control: rapid evidence synthesis

The Georg Institute for Global Health India (2020) C1

The Government of India is embarking on a mammoth task to prevent COVID-19 spread among communities. The Rapid Evidence Synthesis team received a request to support the planning and development of resources for ensuring preparedness of FLHWs for COVID-19 . The rapid evidence synthesis was conducted ... more

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Humanitarian development peace nexus for health profile: Yemen, October 2020

World Health Organization WHO (2021) CC

The humanitarian-development-peace nexus (‎HDPNX)‎ is a new way of working that offers a framework for coherent joined-up planning and implementation of shared priorities between humanitarian development and peacebuilding actors in emergency settings. To advance the HDPNx in a given country a sh... more

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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 can also include local emergency responders/paramedics, pharmacists, nurses, and doctors who serve in... more

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Peru: a primary health care case study in the context of the COVID-19 pandemic

World Health Organization WHO (2024) C_WHO

The region of Latin America and the Caribbean (LAC) has high levels of income inequality and urbanization. This leaves a large percentage of the population exposed and vulnerable to infectious disease outbreaks (1). The COVID-19 outbreak occurred suddenly, within a complex economic, social and polit... more

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Community based Mental health and Psychosocial support in humanitarian settings: Three-tiered support for children and families (Field test)

UN Children's Fund UNICEF (2018) CC

The CB MHPSS operational guidelines were developed in response to emerging evidence on the determinants of children’s resilience, lessons learned from the evaluation of existing approaches, and the unique challenges that today’s crises pose for children’s safety, wellbeing and optimal developm... more

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Development assistance for health: past trends, associations, and the future of international financial flows for health

Dieleman, J.L.; M. T. Schneider; A. Haakenstad et al. Lancet (2016) C1

Background: Disbursements of development assistance for health (DAH) have risen substantially during the past several decades. More recently, the international community's attention has turned to other international challenges, introducing uncertainty about the future of disbursements for DAH. Meth... more

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Guidelines for Warehousing Health Commodities [1st ed.] (Burmese Version)

The Republic of the Union of Myanmar, Ministry of Health and Sports (2016) C1

Translation of the 1st ed., 2003
These guidelines were written for anyone trying to meet and solve the challenges of operating a warehouse today. They are an important reference tool for managers and staff, whether they are constructing a new warehouse, implementing a new warehouse syste... more

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Quality Assessment Guidebook: A guide to assessing health services for adolescent clients.

World Health Organization (WHO) (2009) C_WHO

Over the past few decades and throughout the world, the landscape of adolescent health has been altered dramatically. Currently, the total population of adolescents between the ages of 10 and 19 years is 1.2 billion – the largest generation of young people in history. The vast majority of adolesce... more

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Research for universal health coverage: World health report 2013

World Health Organization (2013) C_WHO

Universal health coverage ensures everyone has access to the health services they need without suffering financial hardship as a result. In December 2012, a UN resolution was passed encouraging governments to move towards providing universal access to affordable and quality health care services. As ... more

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National Mental Health Policy in Rwanda

Ministry of Health, Rwanda (2011) C2

The national mental health policy was introduced in 1995 and has allowed political decision-makers and other actors in society to identify anchor points to initiate a mental health practice adapted to the context and that is close to the community. Today, that policy needs to be revised to meet the ... more

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Developing and Strengthening Community Health Worker Programs at Scale, A Reference Guide for Program Managers and Policy Makers

USAID, MCHIP (2013) CC

Recently, a renewed interest in large-scale community health worker (CHW) programs has been seen globally. This renewal provides an opportune moment to take stock of issues and challenges such programs face and what can be done to make them as effective as possible. With this in mind, this manual is... more

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World health statistics 2025: monitoring health for the SDGs, sustainable development goals

World Health Organisation (WHO) (2023) C_WHO

The World health statistics report is the annual compilation of health and health-related indicators, which has been published by the World Health Organization since 2005. The 2025 edition consolidates data for health-related indicators from the Sustainable Development Goals. It assesses progres... more

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COP24 special report: health and climate change
recommended

World Health Organization WHO WHO (2018) C_WHO

Exposure to air pollution causes 7 million deaths worldwide every year and costs an estimated US$ 5.11 trillion in welfare losses globally. In the 15 countries that emit the most greenhouse gas emissions, the health impacts of air pollution are estimated to cost more than 4% of their GDP. Actions to... more

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Rwanda: Health Sector Research Policy

Ministry of Health, Rwanda (2012) C2

The Rwandan Health Sector Research Policy (HSRP) policy defines the scope of research in the Rwandan health sector and presents the strategic principles to ensure that the research done in Rwandan health sector will be conducted in a more coordinated manner, promoting research for equity and social ... more

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The Health Emergency of Climate Change

UCTV University of California Television (2022) CC

As the global impact of climate change accelerates, there is increasing awareness that human health is severely threatened. Just what are these threats to health and what can we do about them? UCSF faculty and associates examined the effects of global warming on individual patient health and expl... more

Strengthening Sexual Reproductive, Maternal, New-born, Child, Adolescent Health and Nutrition Services by Implementing the WHO People-Centered Health Services Model in Zambia

World Health Organization WHO (2022) C2

Last accessed on 21.12.22 IPCHS is a new concept for Zambia and has been implemented in limited proportions. The WHO global strategy on IPCHS reported that in Zambia there is limited focus on integrated community case management for malaria, pneumonia and diarrhoea to reduce child mortality. ... more

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Humanitarian Health Ethics Analysis Tool: HEAT Handbook

Fraser V, Hunt MR, Schwartz L, and de Laat S (2014)

You can download the handbook, worksheets and quick reference cards from the website! The HHEAT is an ethical analysis tool designed to help humanitarian healthcare workers make ethical decisions. It consists of 3 components: (1) a summary card highlighting key questions, (2) a handbook providing a... more

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A guidance document for medical teams responding to health emergencies in armed conflicts and other insecure environments

World Health Organisation (WHO) (2023) C_WHO

Medical care for people caught up in armed conflict and other insecure environments saves lives and alleviates suffering. It is one of the most immediate and high priority needs of an affected population and is often the first type of response activated and/or requested by authorities and affected c... more

COP24 special report: health and climate change recommended

COP24 special report: health and climate change
recommended