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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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National Family Health Survey (NFHS-5), India, 2019-21: Mizoram

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Mizoram, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and... more

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National Family Health Survey (NFHS-5), India, 2019-21: Tripura

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Tripura, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and... more

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National Family Health Survey (NFHS-5), India, 2019-21: Kerala

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Kerala, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and ... more

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National Family Health Survey (NFHS-5), India, 2019-21: Telangana

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

May 2021 This report presents the key findings of the NFHS-5 survey in Telangana, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and... more

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National Family Health Survey (NFHS-5), India, 2019-21: Meghalaya

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

July 2021 This report presents the key findings of the NFHS-5 survey in Meghalaya, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India an... more

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National Family Health Survey (NFHS-5), India, 2019-21: Goa

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Goa, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and eac... more

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National Family Health Survey (NFHS-5), India, 2019-21: Maharashtra

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Maharashtra, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India... more

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Gender based violence and sexual and reproductive health during the Covid-19 pandemic in the pacific region

United Nations Population Fund UNFPA (2022) C1

Sexual and reproductive health is health issues that have to do with your body, sex, relationships, and having and giving birth to children. This includes having the information you need to be able to make your own decisions about your body, when to have sex, and whether or not to become a parent. T... more

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Communities, universal health coverage and primary health care

Sacks, E.; et al. (2015) C_WHO

Bull World Health Organ 2020;98:773–780 Universal health coverage (UHC) depends on a strong primary health-care system. To be successful, primary health care must be expanded at community and household levels as much of the world’s population still lacks access to health facilities for basic... more

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National Family Health Survey (NFHS-5), India, 2019-21: Arunachal Pradesh

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

March 2021 This report presents the key findings of the NFHS-5 survey in Arunachal Pradesh, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for... more

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National Family Health Survey (NFHS-5), India, 2019-21: Nagaland

International Institute for Population Sciences (IIPS) and ICF Ministry of Health and Family Welfare (2021) CC

July 2021 This report presents the key findings of the NFHS-5 survey in Nagaland, followed by detailed tables and an appendix on sampling errors. The 2019-21 National Family Health Survey (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India and... more

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Comprehensive mental health action plan 2013–2020
recommended

World Health Organization WHO (2021) C_WHO

This updated Comprehensive Mental Health Action Plan 2013-2030 builds upon its predecessor and sets out clear actions for Member States, the WHO Secretariat and international, regional and national partners to promote mental health and well-being for all, to prevent mental health conditions for thos... more

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A case study of the role of an Essential Health Benefit in the delivery of integrated health services in Zambia

Luwabelwa, M.; Banda, P; Palale M.; Chama-Chiliba, C. Regional Network for Equity in Health in east and southern Africa (EQUINET) (2017) C1

Regional Network for Equity in Health in east and southern Africa (EQUINET): Disussion Paper 111
The health services delivery system in Zambia is pyramid in structure, with primary healthcare (PHC) services at community level, at the base, followed by first and second level hospitals at distric... more

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Communication Risk in Public Health Emergencies
recommended

World Health Organization (WHO) (2018) C_WHO

A WHO Guideline for Emergency Risk Communication (ERC) policy and practice. Recent public health emergencies, such as the Ebola virus disease outbreak in West Africa (2014–2015), the emergence of the Zika virus syndrome in 2015–2016 and multi-country yellow fever outbreaks in Africa in 2016, h... more

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Handbook for Public Health Emergency Operations Center Operations and Management

African Union; Africa CDC Centres for Disease Control and Prevention (2021) CC

A Public Health EOC (PHEOC) serves as a hub for coordinating the preparation for, response to, and recovery from public health emergencies. The preparation includes planning, such as risk and resource mapping, development of plans and procedures, and training and exercising. The response includes al... more

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A guide to implementing the One Health Joint Plan of Action at national level
recommended

World Health Organization WHO; Food and Agriculture Organization of the United Nations FAO; UN UN Environment Programme UNEP; World Organisation for Animal Health WOAH (2023) C_WHO

The guide to implementing the One Health Joint Plan of Action (OH JPA) at national level provides practical guidance on how countries can adopt and adapt the OH JPA to strengthen and support national One Health action. Building on the OH JPA theory of change, this guide describes three pathways a... more

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Addressing Inequalities in Global Health: UNU IIGH Strategic Plan 2024–2028

United Nations University UNU (2024) C1

The 2019-2023 Strategy for UNU-IIGH, developed in 2018, built on UNU-IIGH’s strategic advantage and position vis-à-vis the UN and global health ecosystem. The Strategy set a goal to advance evidencebased policy on key issues related to sustainable development and health and shifted the Instit... more

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Compendium of WHO and other UN guidance on health and environment
recommended

World Health Organization WHO; UN Environment; UNICEF (2021) C_WHO

Almost 25% of deaths worldwide could be prevented if the actions in the compendium were fully implemented This compendium provides a systematic compilation of published guidance from WHO and other UN organizations on health and environment. Guidance on policies and actions as well as awareness rais... more

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In Control: A Practical Handbook for Professionals Working in Health Emergencies Internationally RKI

Robert Koch Institut RKI (2023) CC

The greatest risk to persons engaging in international medical emergency response is poor preparation. The In Control handbook hopes to provide a remedy. At the time of writing, we are living through the Coronavirus (COVID-19) pandemic, a health emergency that disregards physical borders, brin...gs into focus social inequalities and affects people on every continent. This shared challenge requires unprecedented measures and the collaboration of the brightest minds to support global health protection through this crisis and beyond. Healthcare infrastructures have to be strengthened, public health capacities and processes upgraded, medical countermeasures and vaccinations found and psychosocial side-effects treated. Solidarity is the normative order of the day and the human species has to collaborate to face this invisible threat. Hiding and living in fear is not an option in this interconnected world. We have both a responsibility and an opportunity to make substantial contributions to a safer, healthier and more sustainable future for us all. The existence of this handbook is an impressive example of solidarity. Over 50 authors from more than 15 institutes and organisations have come together voluntarily within a very short time to make their expertise available and enable cross-sectoral thinking. Knowledge is bundled, resources are combined, information gaps are filled. The In Control handbook is not a theoretical treatise of possible dangers, but a collection of subject-matter expertise, written by experts and practitioners who have shaped health topics over the past 20 years in the most diverse corners of the world. The Centre for International Health Protection at the Robert Koch Institute (RKI) is collaborating with its partners and investing heavily in the build-up of operational know-how and capacity to support health crisis response abroad. This is done by preparing and enabling professionals to deploy safely across the world to assist those in need. In Control addresses the multi-faceted challenges of an international deployment. Readers will find not only technical medical information, but also insights into, for example, the fragility of our environment, the cultural differences that influence risk communication or the dilemmas arising from social distancing. Legal principles are highlighted, along with ethical guidance to ensure that our actions and decisions correspond to the highest moral standards. more

Comprehensive mental health action plan 2013–2020 recommended

Communication Risk in Public Health Emergencies recommended

A guide to implementing the One Health Joint Plan of Action at national level recommended

Compendium of WHO and other UN guidance on health and environment recommended

Comprehensive mental health action plan 2013–2020
recommended

Communication Risk in Public Health Emergencies
recommended

A guide to implementing the One Health Joint Plan of Action at national level
recommended

Compendium of WHO and other UN guidance on health and environment
recommended