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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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A Case Study Evaluation of Community Health Clubs in Port au Prince, Haiti

J. Brooks, A. Adams, N. Moraga-Lewy et al. UT Health Science Center (2014) CC

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Mental health policy developments in Latin America

R.D. Alarcón & S.A. Aguilar-Gaxiola Bulletin of the World Health Organization (2000) C_WHO

New assessment guidelines for measuring the overall impact of mental health problems in Latin America have served as a catalyst for countries to review their mental health policies. Latin American countries have taken various steps to address long-standing problems such as structural difficulties, s... more

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Towards universal access - Scaling up priority HIV/AIDS interventions in the health sector

World Health Organization; UNAIDS; Unicef (2010) C_WHO

Progress Report 2010

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I1. IACAPAP Textbook of Child and Adolescent Mental Health - Psychiatry and Pediatrics

O. Fiertag; S. Taylor; A. Tareen; E. Garralda IACAPAP (2012) C2

Section I Somatoform disorders Child Psychiatry and Pediatrics Chapter I.1

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Climat and health country profile – 2015 United Republic of Tanzania

World Health Organization (WHO); UN (2015) C_WHO

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Addressing Violence against Women and Girls in Sexual and Reproductive Health Services: A Review of Knowledge Assests

Bonnie L. Shepard UNFPA (2010)

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Handbook on Mental Health and Psychosocial Support (MHPSS)PLANNING TOOLS
recommended

Universtität Innsbruck; AmC; Univ. Zagreb; Danish Red Cross; et al. OPSIC (2016) C2

In the following you can find 51 Planning tools for Mental Health and Psychosocial support in disasters, that have been derived from an anylsis of 282 Psychosocial Mental Health guidelines and 678 Tools. The single planning tools are structured according to the most relevant topics and can be used i... more

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Integrating sexual and reproductive health into health emergency and disaster risk management

World Health Organization; UNICEF; UNHCR; et al. (2012)

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Newborn Health Interventions and Challenges for Implementation in Nepal.

Khatri RB, Mishra SR, Khanal V, Gelal K and Neupane S Front. Public Health (2016) CC

Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and child mortality. The Government of Nepal has implem... more

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Education in Ghana - Data from the 2014 Ghana Demographic and Health Survey (GDHS)

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF International (2015) C2

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Guidelines for Operationalising a Primary Health Centre for Providing 24-Hour Delivery and Newborn Care Under RCH-II

Ministry of Health and Family Welfare, Government of India (2005) C1

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From Panic and Neglect to Investing in Health Security

The World Bank (2017) CC

Multiple pandemics, numerous outbreaks, thousands of lives lost and billions of dollars of national income wiped out—all since the turn of this century, in barely 17 years—and yet the world’s investments in pandemic preparedness and response remain woefully inadequate. We know by now that the ... more

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Orientation Programme on Adolescent Health for Health-care Providers - Handout

World Health Organization (WHO); Department of Child Health and Adolescent Health (CAH) World Health Organization (WHO); Department of Child Health and Adolescent Health (CAH) (2020) C_WHO

Handout New Modules Accessed: 09.03.2020