An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique
Sandrine Simon,Kathryn Chu,Marthe Frieden,Baltazar Candrinho,Nathan Ford,Nathan Ford,Helen Schneider,Marc Biot +7 more
TLDR
An integrated community health team approach, established jointly by the Ministry of Health and Médecins Sans Frontières in 2007, has improved accountability, relevance, and geographical access for basic health services.Abstract:
The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. A participant-observer description of the evolution of community health worker support to the health services in Angonia district, Mozambique. An integrated community health team approach, established jointly by the Ministry of Health and Medecins Sans Frontieres in 2007, has improved accountability, relevance, and geographical access for basic health services. The community health team has several advantages over 'disease-specific' community health worker approaches in terms of accountability, acceptability, and expanded access to care.read more
Citations
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Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review
Maryse Kok,Marjolein Dieleman,Miriam Taegtmeyer,Jacqueline E. W. Broerse,Sumit Kane,Hermen Ormel,Mandy M Tijm,Korrie de Koning +7 more
TL;DR: A mix of financial and non-financial incentives, predictable for the CHWs, was found to be an effective strategy to enhance performance, especially of those CHWs with multiple tasks.
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Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review
TL;DR: The provision of HIV treatment and care in sub‐Saharan Africa faces multiple challenges, including weak health systems and attrition of trained health workers, and one potential response to overcome these challenges has been to engage community health workers (CHWs).
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Community Health Workers in Low- and Middle-Income Countries: What Do We Know About Scaling Up and Sustainability?
Sarah Wood Pallas,Dilpreet Minhas,Rafael Pérez-Escamilla,Lauren A. Taylor,Leslie A. Curry,Elizabeth H. Bradley +5 more
TL;DR: Scaling up and sustaining CHW programs in LMICs requires effective program design and management, including adequate training, supervision, motivation, and funding; acceptability of the program to the communities served; and securing support for the program from political leaders and other health care providers.
Journal ArticleDOI
How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature
Maryse Kok,Maryse Kok,Sumit Kane,Olivia Tulloch,Hermen Ormel,Sally Theobald,Marjolein Dieleman,Miriam Taegtmeyer,Jacqueline E. W. Broerse,Korrie de Koning +9 more
TL;DR: This synthesis situates and discusses the influence of context on CHW and programme performance, and can help policy makers and programme managers to develop CHW interventions that adequately address and respond to context to optimise performance.
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Becoming and remaining community health workers: perspectives from Ethiopia and Mozambique.
Kenneth Maes,Ippolytos Kalofonos +1 more
TL;DR: Ethnographic work is needed to engage CHWs in the policy process, help shape new standards for CHW programs based on rooting out social and economic inequities, and develop appropriate solutions to complex CHW policy problems.
References
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Journal ArticleDOI
Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects
TL;DR: It is concluded that there is a significant CHW presence in the South African health system, however, this infrastructure shares many of the managerial challenges associated with previous national CHW programmes, and prospects for sustainability in the light of the new policy context are discussed.
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Short communication: An assessment of the use of malaria rapid tests by village health volunteers in rural Laos.
Mayfong Mayxay,Paul N. Newton,Paul N. Newton,Shunmay Yeung,Shunmay Yeung,Tiengkham Pongvongsa,Samlane Phompida,Rattanaxay Phetsouvanh,Nicholas J. White,Nicholas J. White,Nicholas J. White +10 more
TL;DR: Previously untrained Lao VHVs performed malaria rapid tests reliably with high sensitivity and specificity after minimal training, and may improve the diagnosis of malaria in the rural tropics.
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Community Health Workers and Professional Nurses: Defining the Roles and Understanding the Relationships
Tanya M. Doherty,Minette Coetzee +1 more
TL;DR: The findings of a descriptive research study that explored the relationship between CHWs and nurses working in resource-poor settings in South Africa highlight dimensions of complex interactions occurring between these two main providers of care at the district level.
Primary health care in Mozambique : service delivery in a complex hierarchy
TL;DR: This report presents findings from a nationwide Expenditure Tracing and Service delivery Survey (ETSDS) implemented in Mozambique between August and October 2002, which reveals a number of weaknesses in service delivery.