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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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Turn Down The Heat

The World Bank (2012) CC

Why a 4°C warmer world must be avoided

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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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Nigeria: National Quality Assurance Policy For Medicines and Other Health Products

Federal Ministry of Health, Nigeria (2015) C1

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Prevención y manejo de la COVID-19 en los servicios de cuidados de larga duración

Organización Mundial de la Salud OMS (2020) C_WHO

Reseña normativa 24 de Julio de 2020 La pandemia de COVID-19 ha afectado de manera desproporcionada a las personas de edad y especialmente a aquellas que viven en los centros de atención de larga estancia. En muchos países, los datos demuestran que más del 40% de las muertes relacionadas con... more

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Immunization Essentials a practical Field Guide

USAID USAID (2004) CC

This guide provides a comprehensive overview of essential information related to immunization, including technical information about vaccines, a review of immunization program management best practices, guidance on the delivery of immunization services, monitoring and evaluation, disease surveillanc... more

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WHO Expert Consultation on Rabies. 3rd report

Abela-Ridder, B. World Health Organisation (WHO) (2018) C_WHO

WHO TRS N°1012. Key updates include: (i) surveillance strategies, including cross-sectoral linking of systems and suitable diagnostics; (ii) the latest recommendations on human and animal immunization; (iii) palliative care in lowresource settings; (iv) risk assessment to guide management of bite... more

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Essential prevention and care interventions for adults and adolescents living with HIV in resource-limited settings

World Health Organization WHO (2008) C_WHO

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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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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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Integrated Management of Acute Malnutrition National Guidelines

Islamic Republic of Afghanistan Ministry of Public Health General Directorate of Preventive Medicine Public Nutrition Directorate (2018) C1

Integrated Management of Acute Malnutrition National Guidelines

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Ecosystem services and agriculture: tradeoffs and synergies

The Royal Society Publishing (2010) C2

Phil. Trans. R. Soc. B (2010) 365, 2959–2971; doi:10.1098/rstb.2010.0143. Agricultural ecosystems provide humans with food, forage, bioenergy and pharmaceuticals and are essential to human wellbeing. These systems rely on ecosystem services provided by natural ecosystems, including pollination, b... more

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Ukraine Situation: UNHCR Revised Supplementary Appeal 2022

United Nations High Commissioner for Refugees UNHCR (2022) CC

Given that the emergency has exceeded the worst-case scenario, this revised supplementary appeal for the Ukraine situation outlines UNHCR’s additional requirements of $1.246 billion for March to December 2022.

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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

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The Covid-19 Pandemic and Conflict Dynamics in Syria

Asseburg, M.; H. Azizi, G. Dalay and M. Pieper Stiftung Wissenschaft und Politik (2020) CC

Neither a Turning Point Nor an Overall Determinant Nine years into the (civil) war, Syria is in an extraordinarily poor position to confront the Covid-19 pandemic. Instead of the pandemic leading towards the uniting of local, regional, and international actors involved in Syria around a common purp... more

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Lesotho: National HIV & AIDS Strategic Plan (2006-2011)

National AIDS Commission (NAC), Kingdom of Lesotho (2006)

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The National HIV and AIDS Monitoring and Evaluation Plan 2011-2016: The Nigeria National Response Information Management System (NNRIMS) Operational Plan II

National Agency for the Control of AIDS (NACA) (2011) C1

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Waste Management during the COVID-19 Pandemic: from response to recovery

UNEP (2020) CC

A new publication - Waste Management during the COVID-19 Pandemic: from response to recovery - reviews current practices for managing waste from healthcare facilities, households and quarantine locations accommodating people with confirmed or suspected cases of COVID-19. Jointly produced by UNEP, th... more

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National Consolidated Guideline for Treating and Preventing HIV in Nepal

Government of Nepal Ministry of Health and Population Department of Health Services, National Tuberculosis Center (2014) C_WHO

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IMPROVING HEALTH CARE FINANCING IN ETHIOPIA - An Evidence Brief for Policy

Technology Transfer and Research Translation Directorate of the Ethiopian Public Health Institute (2014) C1