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
Health Policy and Planning, Journal Year: 2024, Volume and Issue: 39(7), P. 771 - 781
Published: June 24, 2024
Community Health Workers (CHWs) play a crucial role in the prevention and management of noncommunicable diseases (NCDs). The COVID-19 pandemic triggered implementation crisis-driven responses that involved shifts roles CHWs terms delivering services for people with NCDs. Strategically aligning these health systems is to improve NCD service delivery. aim this review was identify describe COVID-19-triggered shifting are promising We searched Ovid Medline, Embase, CINAHL, Web Science CABI Global relevant articles published between 1 January 2020 22 February 2022. Studies were conducted within context focused on shifted delivery included. used Preferred Reporting Items Systematic reviews Meta-Analyses guidelines report findings. A total 25 from 14 countries included review. identified 12 during COVID-19, which can be categorized three dimensions: 'enhanced' includes additional tasks such as medication delivery; 'extended' at household level remote communities; 'enabled' through use digital technologies. literacy NCDs, access internet connectivity social organizational where work influenced CHWs. In conclusion, have include home community levels, often supported by Given importance adaptation integration into routine activities post-COVID period recommended.
Language: Английский
Citations
2
International Journal of Qualitative Methods, Journal Year: 2024, Volume and Issue: 23
Published: Jan. 1, 2024
Community Health Workers, promotores, and navigators (henceforth, CHWs) emerged as critical members of the public health workforce addressing social, economic, inequities worsened by COVID-19 pandemic. While there is increased appreciation for utilization CHW models, recognition importance tailoring innovating these models during pandemic, few studies have examined processes change which operated pandemic factors that facilitated or constrained equity efforts. This protocol paper describes reflects on research methodology used in our qualitative study focused CHWs. The CATALYST aims to examine roles CHWs served facilitators barriers related strategies. incorporates lived experiences CHWs, low-income communities color whom engaged, institutional representatives policymakers familiar with locally implemented Through a community-based participatory process, this involves an abductive approach data collection analysis. We integrate community member expertise alongside frameworks designing questions process. Additionally, we use analytic combines inductive (drawn from data) deductive codes theoretical practice-based evidence integrated through process) nimbly leverages flexible coding address themes questions. Our collaborative process offers concrete strategies develop protocols partners, inform policy, programmatic, relational changes support amplify promote equity.
Language: Английский
Citations
2
Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11
Published: Aug. 3, 2023
Rohingya refugees in Bangladesh are vulnerable to infectious diseases such as COVID-19 due the crowded living conditions with fragile shelters, and limited water, sanitation hygiene facilities practices. While risk communication community engagement (RCCE) is cornerstone of outbreak control, there evidence available on effectiveness RCCE strategies this setting.The goal study evaluate explore challenges recommendations relation preventive measures context refugee camps Bangladesh.It was a qualitative study. Methods used were (a) observation intervention by 3 clinical supervisors accompanying 25 Community Health Workers (CHWs) (b) 5 focus group discussions engaging 60 representatives. Data analyzed using thematic analysis approach, separately for discussions.The identified number good practices RCCE, including selecting CHWs from local community, female CHWs, dialect, collaborating community/religious leaders. Certain need scaling up, utilization multiple methods interpersonal skills. Some areas improvement, being overburdened tasks, less effort active listening, repeated delivery same messages, inadequate linkage culture, context, resources, empower community. Engaging five critical themes poor practices: religion, language; resources; trust interaction aid workers; methods; gender social inclusion. Religious misinterpretation, cultural barriers, physical lack breach between workers, inconsistent/complex inclusion, stigmatization among some key factors. actions recommended improve strategy.We urge partners make use findings develop robust strategy relevant culture responsive people's concerns needs, inclusive gender, age vulnerabilities.
Language: Английский
Citations
5
BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)
Published: Nov. 9, 2023
Abstract Background During the COVID-19 pandemic, community health workers (CHWs) were required to help their communities respond outbreak in Sierra Leone. The Government of Leone released a policy that provided an interim guidance on specific role CHWs during pandemic including support maintain continuity routine and essential services response. This study explores how adapted roles they received from families, communities, system. Methods A qualitative exploratory was conducted two districts We eight key informant interviews with district level managers leaders four focus group discussions CHWs. Thematic data analysis synthesis guided by at onset supported NVivo 11. Results quickly took frontline which included surveillance, contact tracing, social mobilization, provision psychosocial support. trusted these responsibilities as recognized being knowledgeable about community, able communicate effectively members had experience dealing other outbreaks. Despite release aimed optimize CHW contribution, motivate CHWs, ensure core community-based alongside services, faced many challenges work heavy workload, low financial remuneration, lack mental support, shortages protective equipment, communication transportation allowances. However, generally satisfied quality training supervision received. Support families mixed, some experiencing stigma discrimination. Conclusion played critical Although, government guide crisis, it not fully implemented. resulted overworked under supported. It is important are necessary training, tools take vital managing crises level. Strengthening capacity will only enhance response, but also lay foundation for improved primary care delivery resilience face future emergencies.
Language: Английский
Citations
4
PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(3), P. e0003036 - e0003036
Published: March 25, 2024
COVID-19 and other pandemics remain significant threats to population health, particularly in rural settings where health systems are disproportionately weak. There is a lack of evidence on whether trained, equipped, deployed community workers (CHWs) can lead reductions infections deaths. Our objective was measure the effectiveness deploying trained equipped CHWs reducing deaths by comparing outcomes two counties Western Kenya, setting with limited critical care capacity access vaccines oral antivirals. In Siaya, thermometers, pulse oximeters, KN95 masks, visited households convey information about prevention. They screened, isolated, referred cases facilities oxygen capacity. measured digitally recorded vital signs at household level. Kisii county, standard Kenya national protocol implemented. We performed comparative analysis differences CHW skills, activity, using district system (DHIS2) data. Trained Siaya were more skilled oximeters reporting The mean number saturation measurements conducted 24.19 per infection; temperature infection 17.08. significantly visits than (the monthly 146,648.5, deviation 11,066.5 versus 42,644.5 Kisii, 899.5, p value = 0.01). Deploying associated lower risk ratios for deaths: 0.54, 95% CI [0.48–0.61] 0.29, [0.13–0.65], respectively, consistent beneficial effect.
Language: Английский
Citations
1
BMJ Open, Journal Year: 2024, Volume and Issue: 14(3), P. e074920 - e074920
Published: March 1, 2024
Introduction COVID-19 exposed the fragility of health systems, where even most basic services in high-income and low-income middle-income nations could not withstand systems shock due to pandemic. Community workers (CHWs) can contribute improving resilience specifically shocks emergencies avoid disruptions routine service delivery. We aim explore understand ‘individual’ ‘systems-level’ factors that shaped involvement CHWs response. Methods analysis will search five electronic databases (PubMed, Cochrane Library, EMBASE, CINAHL SciELO (Spanish)) conduct citation screening identify studies on CHWs’ response during Two review authors independently screen for inclusion extract data. The software Rayyan be used assist relevant literature. A thematic approach followed analyse synthesise qualitative evidence. quality included critically assessed using Critical Skills Appraisal Programme Tool. use GRADE CERQual(Grading Recommendations, Assessment, Development, Evaluations - Confidence Evidence from Reviews Qualitative Research) assess certainty synthesised findings Ethics dissemination This study conducted published evidence, with no living participants; thus, ethical approval is required. final submitted a peer-reviewed journal. also develop policy brief communicate stakeholders.
Language: Английский
Citations
1
PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(6), P. e0003312 - e0003312
Published: June 21, 2024
Community Health Workers (CHWs) are a key human resource for health particularly in low- and middle-income countries. In many parts of the world, CHWs known to have played an instrumental role controlling COVID-19 pandemic. This study explored involvement response Uganda. A qualitative that involved 10 focus group discussions (FGDs) among was conducted. The carried out 5 districts Amuria, Karenga, Kamwenge, Bugiri Pader. FGD guide used their communities including lived experiences, challenges, coping mechanisms. data were analyzed thematically with support NVivo version 12 pro (QSR International). at frontline prevention interventions households community. raised awareness on measures wearing face masks, hand hygiene, social distancing. They identified suspected cases such as new members entering community, well individuals returning from abroad signs symptoms COVID-19. mobilized community increased vaccination which important reducing misinformation. also supported home-based management mild through isolation patients; provided nutritional guidance patients homes; referred facilities testing management. Both monetary non-monetary incentives response. However, adequacy timing inadequate. Routine services promotion treatment childhood illnesses disrupted during pandemic especially surveillance, risk communication, observance preventing measures. Strategies ensure routine not pandemics needed.
Language: Английский
Citations
1
BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)
Published: July 17, 2024
Abstract Background Community Health Workers (CHWs) play a crucial role in outbreak response, including health education, contact tracing, and referral of cases if adequately trained. A pilot project recently trained 766 CHWs Wakiso district Uganda on epidemic pandemic preparedness response COVID-19. This evaluation was carried out to generate evidence the outcomes that can inform preparations for future outbreaks country. Methods qualitative one year after project. It used three data collection methods: 30 in-depth interviews among CHWs; 15 focus group discussions community members served by 11 key informant stakeholders. The analysed using thematic approach NVivo (version 12). Results Findings from study are presented under four themes. (1) Improved knowledge skills managing epidemics pandemics. distinguished between two terminologies correctly identified signs symptoms associated diseases. reported improved communication, treatment illnesses, report writing which were great importance COVID-19 patients. (2) Enhanced attitudes towards pandemics as showed dedication their work more confidence when performing tasks specifically education prevention measures (3) practices such hand washing, vaccination uptake, wearing masks amongst CHWs. (4) performance resulted increased efficiency able carry mobilization through door-to-door household visits talks radios part response. also prioritize services elderly, support management patients with chronic diseases HIV, TB diabetes delivering drugs. Conclusions These findings demonstrate capacity is enhanced. There need invest routine training contribute
Language: Английский
Citations
1
BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)
Published: July 24, 2024
The Corona Virus Disease 2019 (COVID-19) pandemic overwhelmed health systems and disrupted the delivery of services globally. Community Health Workers (CHWs) play a critical role in linking communities to systems, supporting prevention control diseases many low- middle-income countries. However, their roles, barriers, facilitators response COVID-19 have not been well documented. We described roles CHWs response, including barriers facilitators.
Language: Английский
Citations
1
SSM - Health Systems, Journal Year: 2024, Volume and Issue: 3, P. 100027 - 100027
Published: Sept. 1, 2024
Enhancing the resilience of health systems to expected and unexpected shocks – from Covid-19 impacts climate change is becoming a defining challenge this century worldwide. To date, system research has focused on formal government systems, yet emerging evidence points importance families, communities connected (such as disaster management, water, sanitation, social protection gender disparities) that influence status people, functioning capacities respond shocks. We argue in both community be considered conceptual frameworks, well-established literature diverse disciplines can help frame resilience.
Language: Английский
Citations
1