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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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IOM central Asia and Russian Federation Strategic Preparedness and Response Plan: Coronavirus Disease 2019 (February - December 2020)

reliefweb; International Organization for Migration IOM (2020) C2

Migrants in Central Asia and the Russian Federation, have been among the most severely impacted by the COVID-19 pandemic. In the short term, IOM aims at providing support to migrants who are stranded in countries of destination. In addition, IOM will focus its efforts on addressing data gaps, enhan... more

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COVID-19 and Women’s Human Rights: Guidance -What is the Impact of COIVD-19 on Gender-based Violence?

Reliefweb; OCHA Services; United Nations of Human Rights (Office of the High Commissioner); COVID-19 Response (2020) CC

Putting Human Rights at the Heart of the Response Topic in Focus: COVID-19 and Women’s Human Rights 15 April 2020 Stay-at-home restrictions and other measures restricting the movement of people contribute to an increase in genderbased violence, a finding confirmed by media reports, official ... more

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Kangaroo mother care - Implementation strategy for scale-up adaptable to different country contexts

World Health Organisation (WHO) (2023) C_WHO

The KMC implementation strategy targets a broad audience. These include policy-makers and programme managers at national, regional and local levels, government and nongovernmental organizations working in the area of maternal and newborn care, global and national professional associations, public an... more

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Preparedness for cyclones, tropical storms, tornadoes, floods and earthquakes during the COVID-19 pandemic

World Health Organisation (WHO) (2023) C_WHO

The WHO health advisory provides guidance to countries on adapting all existing preparedness and response plans and procedures for natural hazards such as cyclones, tropical storms, tornadoes, floods, earthquakes and potential outbreaks of other diseases to their existing COVID-19 strategic prepared... more

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Unprecedented economic attack on Sub-Sahara African economies: coronavirus: How severe is the perceived slump?

Nichiimunya N. Environment Systems & Decisions (2020) CC

This paper is motivated by the global spread of the coronavirus referred to as COVID-19 and its efect on Sub-Saharan African (SSA) economies. The International Monetary Fund (IMF) has alluded to the COVID-19 not only afecting the global health but also trade and tourism, commodity prices, and fnanci... more

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Helping young children who have experienced trauma: policies and strategies for early care and education

Jessica Dym Bartlett, Sheila Smith, Elizabeth Bringewatt Child Trends (2017) C1

In this report, we describe early childhood trauma and its effects, offer promising strategies for ECE programs and systems to help young children who have experienced trauma, and present recommendations for state policymakers and other stakeholders looking to support trauma-informed ECE for this vu... more

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Interim guidance for Red Cross and Red Crescent staff and volunteers working with older people during COVID -19 response

IFRC (2020) CC

The purpose of this document is to provide information to Red Cross Red Crescent staff and volunteers on how to engage with, inform and support older people to support older people in facing new challenges linked to COVID-19.

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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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Baby-Friendly Hospital Initiative: revised, updated and expanded for Integrated Care - Section 2: Strengthening and Sustaining the Baby-Friendly Hospital Initiative: A Course for Decision-Makers

WHO, UNICEF (2009) C_WHO

The Baby-friendly Hospital Initiative (BFHI) is a global effort launched by WHO and UNICEF to implement practices that protect, promote and support breastfeeding. It was launched in 1991 in response to the Innocenti Declaration. The global BFHI materials have been revised, updated and expanded for i... more

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Myanmar: Peace Talks Belied by Ongoing Conflict in Rakhine and Chin States

Elliott Bynum ACLED (2018) CC

Over the past few months, battles between the Myanmar military and the Arakan Army (AA) have increased in Rakhine and Chin states. Initially during the Union Solidarity and Development Party (USDP) administration, and now during the National League for Democracy (NLD) administration, ethnic armed or... more

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My future its my choice

UNICEF; Namibian Ministry of Basic Education; Culture and the Namibian Ministry of Youth and Sports; United Nations Children Fund (UNICEF-Namibia); University of Maryland School of Medicine; et al. (1999)

Extra Curricular Life Skills Training Manual For Adolescents 13 to 18 Years of Age “Protecting Our Peers From HIV Infection” The Youth Health and Development Programme Government of the Republic of Namibia and UNICEF Programme of Cooperation 1997-2001 November 1999

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Facilitator’s guide: communicating with health workers about COVID-19 vaccination

World Health Organization WHO (2021) C_WHO

This guide is designed to accompany the training module, Communicating with health workers about COVID-19 vaccination. It provides detailed explanations, resources and guidance to accompany the slides in the training module and support those implementing the training. It is intended for training fac... more

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Senegal: Statistical Profile on Female Genital Mutilation/Cutting

UN Children's Fund UNICEF (2016) C_UNICEF

Female genital mutilation/cutting (FGM/C) refers to “all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs for non-medical reasons.”1 FGM/C is a violation of girls’ and women’s human rights and is condemned by many int... more

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Accelerating access to hepatitis C diagnostics and treatment

World Health Organization WHO (2021) C2

Overcoming barriers in low- and middle-income countries For the first time, this year’s report includes information on hepatitis C diagnostics. With a focus on selected countries with diverse HCV epidemics, the report provides updates on the various dimensions of access to HCV diagnostics and pha... more

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The State of the World’s Children 2021: On My Mind: promoting, protecting and caring for children’s mental health. Latin America and Caribbean Regional Brief

UN Children's Fund UNICEF (2021) C_UNICEF

According to the latest available estimates, more than 1 in 7 adolescents aged 10–19 is estimated to live with a diagnosed mental disorder globally. Almost 46,000 adolescents die from suicide each year, among the top five causes of death for their age group. Meanwhile, wide gaps persist between me... more

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Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition
recommended

World Health Organization WHO (2017) C_WHO

Updates for the integrated management of childhood illness (IMCI) - Guideline. As part of its response to the global epidemic of obesity, WHO has issued guidelines to support primary healthcare workers identify and manage children who are overweight or obese. Specifically, all infants and children ... more

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COVID-19 responses around the world: A teaching resource for ages 9-14

Oxfam (2021) C1

This resource will help learners to: discuss their thoughts and feelings about COVID-19 investigate some of the incredible ways in which people have been responding to this crisis understand the difference between information, disinformation and misinformation consider their own ... more

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Evaluation of Ebola response - Uganda

Sigridur B.Thormar IFRC (2013)

The main aim of this assessment was to evaluate the PSS response of URCS to these VHF, against the needs of beneficiaries and communities focused on the areas of most ‘added value’ of the URCS; community engagement mobilisation and support, documenting any unintended outcomes and best practice r... more

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Guidelines for Care of Critically Ill Adult Patients with COVID-19 in the Americas. Summary, version 3

Pan American Health Organisation PAHO (2021) C_WHO

This publication provides recommendations for the management of critically ill adult patients with COVID-19 being treated in intensive care units (ICUs) in the Americas. These clinical practice guidelines provide evidence-informed recommendations for identifying markers and mortality risk factors in... more

Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition recommended

Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition
recommended