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Community Health Worker AND Workload

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https://www.readbyqxmd.com/read/30105093/prevalence-incidence-and-predictors-of-volunteer-community-health-worker-attrition-in-kwale-county-kenya
#1
Anthony K Ngugi, Lucy W Nyaga, Amyn Lakhani, Felix Agoi, Margrette Hanselman, George Lugogo, Kala M Mehta
Introduction: In underserved populations, the contribution of community health workers (CHWs) is vital to the healthcare systems. Attrition of these workers causes critical breakdowns in the delivery of essential services to these populations. Literature on reasons for attrition is limited, although some have been identified in studies on sustainability of CHW programmes. These factors are, however, likely to be influenced by context. We measured CHW attrition and its predictors in a rural area in Kenya...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29984356/prevalence-and-factors-associated-with-burnout-among-frontline-primary-health-care-providers-in-low-and-middle-income-countries-a-systematic-review
#2
Sagar Dugani, Henrietta Afari, Lisa R Hirschhorn, Hannah Ratcliffe, Jeremy Veillard, Gayle Martin, Gina Lagomarsino, Lopa Basu, Asaf Bitton
Background: Primary health care (PHC) systems require motivated and well-trained frontline providers, but are increasingly challenged by the growing global shortage of health care workers. Burnout, defined as emotional exhaustion, depersonalization, and low personal achievement, negatively impacts motivation and may further decrease productivity of already limited workforces. The objective of this review was to analyze the prevalence of and factors associated with provider burnout in low and middle-income countries (LMICs)...
June 11, 2018: Gates open research
https://www.readbyqxmd.com/read/29739394/towards-a-framework-for-analyzing-determinants-of-performance-of-community-health-workers-in-malaria-prevention-and-control-a-systematic-review
#3
REVIEW
Helen Mwiinga Chipukuma, Joseph Mumba Zulu, Choolwe Jacobs, Gershom Chongwe, Mumbi Chola, Hikabasa Halwiindi, Jessy Zgambo, Charles Michelo
BACKGROUND: Community health workers (CHWs) are an important human resource in improving coverage of and success to interventions aimed at reducing malaria incidence. Evidence suggests that the performance of CHWs in malaria programs varies in different contexts. However, comprehensive frameworks, based on systematic reviews, to guide the analysis of determinants of performance of CHWs in malaria prevention and control programs are lacking. METHODS: We systematically searched Google Scholar, Science Direct, and PubMed including reference lists that had English language publications...
May 8, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29671770/association-between-sleep-duration-and-perceived-stress-salaried-worker-in-circumstances-of-high-workload
#4
Dong-Woo Choi, Sung-Youn Chun, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
The aim of this study was to find the association between sleep duration and perceived stress in salaried workers according to occupational categories and which lifestyle factors affected those correlations in South Korea. This study used data from the 2015 Community Health Survey (CHS). The self-reported sleep duration was used as the dependent variable in this study. We explored sleep duration and stress awareness among salaried workers, as well as household income and educational level with multiple logistic regression analysis...
April 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29624942/integrating-family-planning-and-hiv-services-at-the-community-level-formative-assessment-with-village-health-teams-in-uganda
#5
Aurélie Brunie, Patricia N W Mucheri, Angela Akol, Mario Chen, Sarah J Mercer, Tricia Petruney
Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized controlled design, we conducted a formative assessment in two districts in Uganda where community health workers, called VHTs, already offered FP. Thirty-six trained VHTs also provided HIV testing and counseling (HTC) during the intervention. We surveyed all 36 VHTs and 256 FP clients, and reviewed service statistics. In the intervention group, VHTs tested 80% of surveyed clients for HIV, including 76% they already saw for FP and 22% who first came to them for HTC before receiving FP...
June 2017: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29564160/thailand-s-national-universal-developmental-screening-programme-for-young-children-action-research-for-improved-follow-up
#6
Joanna Morrison, Issarapa Chunsuwan, Petch Bunnag, Petra C Gronholm, Georgia Lockwood Estrin
Introduction: In low-income and middle-income countries, it is estimated that one in every three preschool-age children are failing to meet cognitive or socioemotional developmental milestones. Thailand has implemented a universal national developmental screening programme (DSPM) for young children to enable detection of developmental disorders and early intervention that can improve child health outcomes. DSPM implementation is being hampered by low attendance at follow-up appointments when children fail the initial screening...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29538415/a-qualitative-study-on-the-experiences-and-perspectives-of-public-sector-patients-in-cape-town-in-managing-the-workload-of-demands-of-hiv-and-type-2-diabetes-multimorbidity
#7
MULTICENTER STUDY
Rangarirai Matima, Katherine Murphy, Naomi S Levitt, Rhonda BeLue, Tolu Oni
BACKGROUND: Current South African health policy for chronic disease management proposes integration of chronic services for better outcomes for chronic conditions; that is based on the Integrated Chronic Disease Model (ICDM). However, scant data exist on how patients with chronic multimorbidities currently experience the (re)-organisation of health services and what their perceived needs are in order to enhance the management of their conditions. METHODS: A qualitative study was conducted in a community health centre treating both HIV and diabetes patients in Cape Town...
2018: PloS One
https://www.readbyqxmd.com/read/29531430/how-multipurpose-health-workers-spend-time-during-work-results-from-a-time-and-motion-study-from-puducherry
#8
Nirmala Saravanan Narayanasamy, Subitha Lakshminarayanan, S Ganesh Kumar, Sitanshu Sekar Kar, Kalaiselvi Selvaraj
Background: A multipurpose health worker (MPHW) is the key functionary and the first contact person in a subcenter. This study explores the workload of MPHWs in the multifarious domains of their activities and also assesses their time utilization pattern. Methods: A time and motion study was conducted among 19 auxiliary nurse midwives (ANMs) and 10 HWs male (M) from six selected primary health centers of Puducherry. Participants self-reported their daily activities on a time measurement sheet for 6 days in a week...
January 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29310644/challenges-and-opportunities-for-healthcare-workers-in-a-rural-district-of-chad
#9
Fabienne N Jaeger, Mahamat Bechir, Moumini Harouna, Daugla D Moto, Jürg Utzinger
BACKGROUND: Trained healthcare workers are an essential resource for effective health systems. However, healthcare workers' perspective on healthcare, the challenges they face to provide quality health services, and opportunities to improve motivation and providing adequate care are rarely investigated in resource-constrained settings of sub-Saharan Africa. METHODS: All reachable nurses of Abou Deia, a primarily rural district in the south-eastern part of Chad, were invited to participate...
January 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29025446/inefficient-procurement-processes-undermine-access-to-medicines-in-the-western-cape-province-of-south-africa
#10
Bvudzai P Magadzire, Kim Ward, Henry M J Leng, David Sanders
BACKGROUND: South Africa (SA) has experienced several stock-outs of life-saving medicines for the treatment of major chronic infectious and non-communicable diseases in the public sector. OBJECTIVE: To identify the causes of stock-outs and to illustrate how they undermine access to medicines (ATM) in the Western Cape Province, SA. METHODS: This qualitative study was conducted with a sample of over 70 key informants (frontline health workers, sub-structure and provincial health service managers)...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29025398/should-community-health-workers-offer-support-healthcare-services-to-survivors-of-sexual-violence-a-systematic-review
#11
REVIEW
Anne Gatuguta, Barbra Katusiime, Janet Seeley, Manuela Colombini, Isaac Mwanzo, Karen Devries
BACKGROUND: Sexual violence is widespread, yet relatively few survivors receive healthcare or complete treatment. In low and middle-income countries, community health workers (CHWs) have the potential to provide support services to large numbers of survivors. The aim of this review was to document the role of CHWs in sexual violence services. We aimed to: 1) describe existing models of CHWs services including characteristics of CHWs, services delivered and populations served; 2) explore acceptability of CHWs' services to survivors and feasibility of delivering such services; and 3) document the benefits and challenges of CHW-provided sexual violence services...
October 12, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28993380/factors-related-to-the-development-of-health-promoting-community-activities-in-spanish-primary-healthcare-two-case-control-studies
#12
Sebastià March, Joana Ripoll, Matilde Jordan Martin, Edurne Zabaleta-Del-Olmo, Carmen Belén Benedé Azagra, Lázaro Elizalde Soto, Mª Clara Vidal, María de Lluc Bauzà Amengual, Trinidad Planas Juan, Damiana Maria Pérez Mariano, Micaela Llull Sarralde, Juan Luís Ruiz-Giménez, Rosa Bajo Viñas, Carmen Solano Villarubia, Maria Rodriguez Bajo, Manuela Cordoba Victoria, Marta Badia Capdevila, Elena Serrano Ferrandez, Maria Bosom Diumenjo, Isabel Montaner-Gomis, Buenaventura Bolibar-Ribas, Angel Antoñanzas Lombarte, Samantha Bregel Cotaina, Ana Calvo Tocado, Barbara Olivan Blázquez, Rosa Magallon Botaya, Pilar Marín Palacios, Margarita Echauri Ozcoidi, María Jose Perez-Arauta, Joan Llobera, Maria Ramos
OBJECTIVE: Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. DESIGN: Two case - control studies. SETTING: Performed in primary care of five Spanish regions. SUBJECTS: In the first study, cases were teams that performed health-promoting CAs and controls were those that did not...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28981765/multi-country-analysis-of-the-cost-of-community-health-workers-kits-and-commodities-for-community-based-maternal-and-newborn-care
#13
Diana Barger, Helen Owen, Catherine Pitt, Kate Kerber, Deborah Sitrin, Chrispus Mayora, Tanya Guenther, Emmanuelle Daviaud, Joy E Lawn
Community-based maternal and newborn care with home visits by community health workers (CHWs) are recommended by WHO to complement facility-based care. As part of multi-country economic and systems analyses, we aimed to compare the content and financial costs associated with equipping CHWs or 'home visit kits' from seven studies in Bolivia, Ethiopia, Ghana, Malawi, South Africa, Tanzania and Uganda. We estimated the equivalent annual costs (EACs) of home visit kits per CHW in constant 2015 USD. We estimated EAC at scale in a population of 100 000 assuming four home visits per mother during the pregnancy and postnatal period...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28549434/the-potential-of-task-shifting-in-scaling-up-services-for-prevention-of-mother-to-child-transmission-of-hiv-a-time-and-motion-study-in-dar-es-salaam-tanzania
#14
Helga Naburi, Anna Mia Ekström, Phares Mujinja, Charles Kilewo, Karim Manji, Gunnel Biberfeld, David Sando, Guerino Chalamila, Till Bärnighausen
BACKGROUND: In many African countries, prevention of mother-to-child transmission of HIV (PMTCT) services are predominantly delivered by nurses. Although task-shifting is not yet well established, community health workers (CHWs) are often informally used as part of PMTCT delivery. According to the 2008 World Health Organization (WHO) Task-shifting Guidelines, many PMTCT tasks can be shifted from nurses to CHWs. METHODS: The aim of this time and motion study in Dar es Salaam, Tanzania, was to estimate the potential of task-shifting in PMTCT service delivery to reduce nurses' workload and health system costs...
May 26, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28498193/the-roles-of-expert-mothers-engaged-in-prevention-of-mother-to-child-transmission-pmtct-programs-a-commentary-on-the-inspire-studies-in-malawi-nigeria-and-zimbabwe
#15
MULTICENTER STUDY
Fabian Cataldo, Nadia A Sam-Agudu, Sam Phiri, Bridget Shumba, Llewellyn J Cornelius, Geoff Foster
INTRODUCTION: Several initiatives aiming to improve retention and adherence in Prevention of Mother-to-Child Transmission of HIV (PMTCT) programs include "expert mothers" (EMs) as a central tenet of their interventions. This article compares the role of EMs in 3 implementation research studies examining approaches for improving retention in care among mothers living with HIV. METHODS: We compared and synthesized qualitative data and lessons learned from 3 studies (MoMent in Nigeria, PURE in Malawi, and EPAZ in Zimbabwe) with respect to the involvement of EMs in supporting PMTCT clients...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28407810/does-task-shifting-yield-cost-savings-and-improve-efficiency-for-health-systems-a-systematic-review-of-evidence-from-low-income-and-middle-income-countries
#16
REVIEW
Gabriel Seidman, Rifat Atun
BACKGROUND: Task shifting has become an increasingly popular way to increase access to health services, especially in low-resource settings. Research has demonstrated that task shifting, including the use of community health workers (CHWs) to deliver care, can improve population health. This systematic review investigates whether task shifting in low-income and middle-income countries (LMICs) results in efficiency improvements by achieving cost savings. METHODS: Using the PRISMA guidelines for systematic reviews, we searched PubMed, Embase, CINAHL, and the Health Economic Evaluation Database on March 22, 2016...
April 13, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28406273/-we-are-part-of-a-family-benefits-and-limitations-of-community-art-groups-cags-in-thyolo-malawi-a-qualitative-study
#17
Umberto Pellecchia, Saar Baert, Spencer Nundwe, Andy Bwanali, Bote Zamadenga, Carol A Metcalf, Helen Bygrave, Sarah Daho, Liesbet Ohler, Brown Chibwandira, Kennedy Kanyimbo
INTRODUCTION: In 2012 Community ART Groups (CAGs), a community-based model of antiretroviral therapy (ART) delivery were piloted in Thyolo District, Malawi as a way to overcome patient barriers to accessing treatment, and to decrease healthcare workers' workload. CAGs are self-formed groups of patients on ART taking turns to collect ART refills for all group members from the health facility. We conducted a qualitative study to assess the benefits and challenges of CAGs from patients' and healthcare workers' (HCWs) perspectives...
March 28, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/27719673/health-care-provider-knowledge-and-routine-management-of-pre-eclampsia-in-pakistan
#18
Sana Sheikh, Rahat Najam Qureshi, Asif Raza Khowaja, Rehana Salam, Marianne Vidler, Diane Sawchuck, Peter von Dadelszen, Shujat Zaidi, Zulfiqar Bhutta
BACKGROUND: Maternal mortality ratio is 276 per 100,000 live births in Pakistan. Eclampsia is responsible for one in every ten maternal deaths despite the fact that management of this disease is inexpensive and has been available for decades. Many studies have shown that health care providers in low and middle-income countries have limited training to manage patients with eclampsia. Hence, we aimed to explore the knowledge of different cadres of health care providers regarding aetiology, diagnosis and treatment of pre-eclampsia and eclampsia and current management practices...
September 30, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27717388/performance-based-incentives-may-be-appropriate-to-address-challenges-to-delivery-of-prevention-of-vertical-transmission-of-hiv-services-in-rural-mozambique-a-qualitative-investigation
#19
Roseanne C Schuster, Octávio de Sousa, Jacqueline Rivera, Rebecca Olson, Delphine Pinault, Sera L Young
BACKGROUND: Performance-based incentives (PBIs) have garnered global attention as a promising strategy to improve healthcare delivery to vulnerable populations. However, literature gaps in the context in which an intervention is implemented and how the PBIs were developed exist. Therefore, we (1) characterized the barriers and promoters to prevention of vertical transmission of HIV (PVT) service delivery in rural Mozambique, where the vertical transmission rate is 12 %, and (2) assessed the appropriateness for a PBI's intervention and application to PVT...
October 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27423461/male-involvement-in-reproductive-maternal-and-child-health-a-qualitative-study-of-policymaker-and-practitioner-perspectives-in-the-pacific
#20
Jessica Davis, Joseph Vyankandondera, Stanley Luchters, David Simon, Wendy Holmes
BACKGROUND: The importance of involving men in reproductive, maternal and child health programs is increasingly recognised globally. In the Pacific region, most maternal and child health services do not actively engage expectant fathers and fathers of young children and few studies have been conducted on the challenges, benefits and opportunities for involving fathers. This study explores the attitudes and beliefs of maternal and child health policymakers and practitioners regarding the benefits, challenges, risks and approaches to increasing men's involvement in maternal and child health education and clinical services in the Pacific...
July 16, 2016: Reproductive Health
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