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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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WHO recommendations on antenatal care for a positive pregnancy experience

World Health Organization WHO (2016) C_WHO

This document is intended for a wide audience including national and local policymakers, implementers and managers of national and local maternal and child health programmes, non-governmental and other organizations and professional societies involved in the planning and management of maternal and c... more

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Revised Common Protocol for Uniform Evaluation of Public Health Pesticides including Bio-larvicides for use in Vector Control

Indian Council of Medical Research (ICMR); National Vector Borne Disease Control Programme (NVBDCP); National Centre for Disease Control (NCDC) (2014) C1

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Resumen ejecutivo guía de práctica clínica manejo de la infección por Sars-CoV 2

Ministerio de Salud Chile (2021) C2

Resumen ejecutivo guía de práctica clínica manejo de la infección por Sars-CoV 2

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Mineurs

Stop TB Partnership; UNOPS; END TB (2016) C1

Rapport sur les populations clés.

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Exercise Development Guide for Validating Influenza Pandemic Preparedness Plans

World Health Organization WHO; Western Pacific Region (2006) C_WHO

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Efficacy and effectiveness of an rVSV-vectored vaccine expressing Ebola surface glycoprotein: interim results from the Guinea ring vaccination cluster-randomised trial

Ana Maria Henao-Restrepo, Ira M Longini, Matthias Egger, et al. (2015)

the Lancet : Published Online July 31, 2015 http://dx.doi.org/10.1016/S0140-6736(15)61117-5

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Plan national de dévloppement sanitaire 2011 -2020

Ministère de la Santé, Burkina Faso (2011) C2

Au plan conceptuel, le PNDS 2011-2020 est l’instrument de mise en œuvre de la Politique nationale de santé (PNS). Dans cette perspective, il est organisé autour des huit orientations prioritaires retenues dans la Politique nationale de santé. Chacune de ces orientations stratégiques est tra... more

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Coverage, Timelines, and Determinants of Incomplete Immunization in Bangladesh

Sheikh, Nurnabi; Sultana, Marufa et al. (2018) CC

Trop. Med. Infect. Dis. 2018, 3, 72;
The study identified some key determinants of untimely and incomplete childhood vaccinations in the context of Bangladesh. The findings will contribute to the improvement of age-specific vaccination and support policy makers in taking the necessary control ... more

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WHO implementation tool for pre-exposure prophylaxis of HIV infection - Module 1

World Health Organization (WHO) World Health Organization (WHO) (2017) C_WHO

Module 1 Clinical July 2017 Module 1: Clinical. This module is for clinicians, including physicians, nurses and clinical officers. It gives an overview of how to provide PrEP safely and effectively, including: screening for substantial risk of HIV; performing appropriate testing before initi... more

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Facilitator's Training Guide for a Stigma-Free Health Facility

R. Kidd; S. Clay; M. Stockton; et al. USAID From the American People; PEPFAR; Health Policy Project (2015) C2

Policy June 2015 Training Menus, Facilitation Tips, and Participatory Training Modules

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National Family Health Survey (NFHS-4), India, 2019-21: Gujarat

Ministry of Health and Family Welfare, India ICF International (2021) C2

Final Report

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Covid-19 vaccines: safety surveillance manual

World Health Organization WHO (2020) C_WHO

22 December 2020 The COVID-19 vaccine safety guidance manual has been developed upon recommendation and guidance of GACVS members, as well as by experts incorporating current and available information critical to all stakeholders when COVID-19 vaccines will be introduced. For ease of use, the man... more

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Norms, standards and processes underpinning WHO vector control policy recommendations

World Health Organization WHO WHO (2020) C_WHO

This document outlines the evaluation process that WHO undertakes to assess novel tools and strategies targeted at VBDs. Its aim is to articulate the linkage between the generation of evidence that demonstrates public health impact of novel interventions, and the development of policy recommendation... more