BMJ Global Health, Journal Year: 2023, Volume and Issue: 8(10), P. e012727 - e012727
Published: Oct. 1, 2023
The COVID-19 pandemic led to the collapse of Peruvian health system, disrupting healthcare access for indigenous communities in Amazon. Our study analysed how community workers (CHWs) from Amazon expanded their roles mitigate effects pandemic.
Language: Английский
BMJ Global Health, Journal Year: 2024, Volume and Issue: 9(2), P. e014041 - e014041
Published: Feb. 1, 2024
In this analysis, we argue against seeing health system resilience as an inherently positive concept. The rise in the popularity of has led to its increasingly normative framing. We question widely accepted perspective by examining underlying assumptions associated with framing 'good' resilience. Our focus is on risks accepting assumption, which can lead us ignore social nature systems and overlook consequences change if seen a positive, achievable objective. Finally, suggest that concept be detrimental policy research, encourage critical rethinking these so maintain resilience's usefulness for systems.
Language: Английский
Citations
9
Frontiers in Reproductive Health, Journal Year: 2025, Volume and Issue: 6
Published: Jan. 7, 2025
Community health volunteers (CHVs) are fundamental in many systems across the globe. In Kenya, CHVs were essential providing sexual and reproductive (SRH) services during COVID-19 pandemic. The study highlights challenges experienced by community Kenya while SRH utilized a qualitative research design to explore offering Dagoretti North South sub-counties Nairobi Khwisero sub-county western pandemic period. We conducted 17 in-depth interviews, 7 focus group discussions, 1 discussion with CHVs. data was collected different periods: Khwisero, November 2022-August 2023, Nairobi, February-April 2023. study's findings show that several services. included distrust as result of interaction between anti-COVID-19 measures other past present interventions such vaccines for diseases, insufficient personal protective gear equipment (PPEs), limited human financial resources address needs, poor training on response misinformation led vaccine hesitancy, mental strain from stigma burnout. During pandemics, governments should provide adequate CHVs' work they deliver under risky conditions. addition, must be trained about relevant medical epidemics pandemics provided psychosocial support mitigate impact psychological distress.
Language: Английский
Citations
0
BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)
Published: March 24, 2025
In response to increasing COVID-19 community transmission in 2020, the Government of Uganda established National Community Engagement Strategy. As part this strategy, taskforces were recommended pandemic. However, extent which these supported their communities during pandemic is not clear. This study assessed functionality, performance and contribution Uganda. A qualitative was carried out that also involved functionality assessment 5 districts Amuria, Karenga, Kamwenge, Bugiri Pader. Twenty key informant interviews conducted at national, district levels gain insights on taskforces. The data analyzed by thematic analysis using inductive approach with support NVivo version 12 pro (QSR International). created village levels. Composition, surveillance communication functions taskforce best scored. feature multi-disciplinary inter-sectoral composition. Coordination between different particularly village, sub-county had gaps sharing information. Parish level either functional or nonexistent. played roles At level, performed a more coordination role, mainly supporting planning resource mobilization. primarily engaged interpersonal communication, awareness creation, mobilization for interventions including observing standard operating procedures controlling decentralized government These could be strengthened utilized future outbreaks across country.
Language: Английский
Citations
0
SSM - Health Systems, Journal Year: 2025, Volume and Issue: unknown, P. 100068 - 100068
Published: March 1, 2025
Language: Английский
Citations
0
Human Resources for Health, Journal Year: 2023, Volume and Issue: 21(1)
Published: Aug. 18, 2023
While integral to decentralising health reforms, Community Health Workers (CHWs) in South Africa experience many challenges. During COVID-19, CHW roles changed rapidly, shifting from communities clinics. In the contexts of new and re-engineered primary healthcare (PHC), objectives were to: (a) implement a training intervention support local decision-making capability CHWs; (b) assess learning impacts perspectives CHWs.CHWs three rural villages (n = 9) trained rapid Participatory Action Research (PAR) with peers community stakeholders 33). Training equipped CHWs tools techniques convene groups, raise and/or respond concerns, understand concerns different perspectives, facilitate action public services. CHWs' before after gained through semi-structured interviews. Data collected analysed using decision space framework actors' power affect devolved decision-making.CHWs demonstrated significant resilience commitment face COVID-19. They experienced multiple, intersecting challenges including: limited financial, logistical systems support, poor role clarity, precarious employment, low no pay, unstable organisational capacity, fragile accountability mechanisms belittling treatment Together, these restricted seen reflect valuing cadre system. saw as welcome opportunity assert themselves recognised cadre. Regular, spaces for dialogue mutual supported gain skills rework their agency more empowered ways. The improved management capabilities dialogue, which expanded strengthened mobilisation, facilitation analysis skills. Development speaking was especially valued. reported an overall 'tripe-benefit' training: community-acceptance; peer support; recognition by recommended scale-up authority implementation strategy PHC.Lack is coupled opportunities communication trust-building. find amplify voices strategic partnerships, helped build functionality decision-making.
Language: Английский
Citations
10
BMJ, Journal Year: 2023, Volume and Issue: unknown, P. e072243 - e072243
Published: June 7, 2023
Gender equality and PandeMic
Language: Английский
Citations
9
Global Health Action, Journal Year: 2024, Volume and Issue: 17(1)
Published: Jan. 5, 2024
Background Rural community health workers [CHWs] play a critical role in improving outcomes during non-pandemic times, but evidence on their effectiveness the COVID-19 pandemic is limited. There need to focus rural CHWs and systems as they have limited material human resources rendering them more vulnerable than urban severe disruptions pandemics.
Language: Английский
Citations
3
PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(3), P. e0002226 - e0002226
Published: March 20, 2024
In low and middle-income countries, community health workers (CHWs) play a critical role in delivering primary healthcare (PHC) services. However, they often receive stipends, function without resources have little bargaining power with which to demand better working conditions. Using qualitative case study methodology, we studied CHWs’ conditions of employment, their struggle for recognition as workers, activities establish labour representation South Africa. Seven CHW teams located semi-urban rural areas Gauteng Mpumalanga Provinces were studied. We conducted 43 in-depth interviews, 10 focus groups 6 observations gather data from CHWs representatives, supervisors PHC facility staff. The was analysed using thematic analysis method. the sites, poorly resourced received meagre remuneration, employment outsourced, benefits protection. As result these challenges, sites established task team represent them. They held meetings caused disruptions facilities. After numerous unsuccessful attempts negotiate improved joined union order participate local Bargaining Council. Though not successful getting government provide permanent negotiated an increase stipend. ended, during height COVID-19 2020, when need motivated effective became more apparent decision makers, semi-urban-based remuneration. protests raised awareness plight CHWs, joining formal enabled them modest salary increase. it emergency created by world-wide pandemic that forced decision-makers acknowledge reliance on this community-based cadre.
Language: Английский
Citations
3
PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(8), P. e0003428 - e0003428
Published: Aug. 1, 2024
Motivating Community Health Workers (CHWs)—many of whom are volunteers—is crucial for achieving Universal Healthcare Coverage (UHC) Primary (PHC) in resource-poor areas. In rural Nepal, PHC is mostly delivered by female CHWs, locally known as Female Volunteers (FCHVs), but little about them. This paper explores experiential factors influencing FCHVs’ motivations, including how motivation intersects with women’s livelihoods and consider what this means Nepal globally. We conducted qualitative research the hill Terai (flatland bordering India) areas Nepal. Data were purposively collected through 31 semi-structured interviews (20 volunteers, 11 paid local health workers) three focus group discussions additional 15 volunteers. All audio-recorded, transcribed verbatim Nepali translated into English. coded using NVivo10, analysed thematically at individual, organisational community levels. motivations to volunteer was affected several ways. At individual level, participants wanted committed voluntary work, yet opportunity costs volunteering, out-of-pocket expenditure inadequate family support strained many women who already overburdened. perceived lack appreciation efforts members, saw volunteers workers, undermined FCHVs volunteer. Finally, organizational a bureaucratic emphasis on recording reporting, respect from workers their work. Our illustrates some poorest backgrounds can be highly motivated volunteer, social economic across levels motivation, security livelihoods, thus wider achieve PHC. Financial investments needed compensate FCHVs, so that they remain deliver global goals
Language: Английский
Citations
3
BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)
Published: June 7, 2024
Abstract Background Community health workers (CHWs) had important roles mitigating the impact of COVID-19 pandemic in vulnerable communities. We described how CHWs supported dissemination information and services during early response. Methods Online article searches were conducted across five scientific databases, with review reference lists hand searched to identify grey/unpublished literature. Articles included if they reported on a program that engaged aimed prevent/control COVID-19. Results Nineteen relevant programs identified from 18 articles. widely response, especially low- middle-income countries CHWs’ ability effectively disseminate information/services was enabled by community trust understanding needs. often underfunded required work difficult conditions. Pre-existing incorporating rapidly adapted new challenges brought pandemic. Conclusions recommend establishing employ communities at-risk misinformation poor outcomes non-pandemic times. are well-placed deliver interventions should an infectious disease outbreak arise. Having pre-existing trusted relationships between members may help protect groups, including when outbreaks occur.
Language: Английский
Citations
2