wow-inequalities/02-data/intermediate/wos_sample/ad049c8dd7cdefcf028caf25d23545e0-lorenzetti-lara-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Community health workers (CHWs) in Afghanistan are a critical
care extender for primary health services, including reproductive,
maternal, neonatal, and child health (RMNCH) care. However, volunteer
CHWs face challenges including an ever-expanding number of tasks and
insufficient time to conduct them. We piloted a health video library
(HVL) intervention, a tablet-based tool to improve health promotion and
counseling by CHWs. We qualitatively assessed provider-level
acceptability and operational feasibility. Methods CHWs implemented the
HVL pilot in three rural districts of Balkh, Herat, and Kandahar
provinces. We employed qualitative methods, conducting 47 in-depth
interviews (IDIs) with male and female CHWs and six IDIs with community
health supervisors. We used semi-structured interview guides to explore
provider perceptions of program implementation processes and solicit
feedback on how to improve the HVL intervention to inform scale-up. We
conducted a thematic analysis. Results CHWs reported that the HVL
increased time efficiencies, reduced work burden, and enhanced
professional credibility within their communities. CHWs felt video
content and format were accessible for low literacy clients, but also
identified challenges to operational feasibility. Although tablets were
considered easy-to-use, certain technical issues required continued
support from supervisors and family. Charging tablets was difficult due
to inconsistent electricity access. Although some CHWs reported reaching
most households in their catchment area for visits with the HVL, others
were unable to visit all households due to sizeable populations and
gender-related barriers, including women''s limited mobility. Conclusions
The HVL was acceptable and feasible for integration into existing CHW
duties, indicating it may improve RMNCH counseling, contributing to
increased care-seeking behaviors in Afghanistan. Short-term challenges
with technology and hardware can be addressed through continued training
and provision of solar chargers. Longer-term challenges, including
tablet costs, community coverage, and gender issues, require further
consideration with an emphasis on equitable distribution.'
affiliation: 'Lorenzetti, L (Corresponding Author), FHI 360, Global Hlth Populat \&
Nutr, Durham, NC 27701 USA.
Lorenzetti, Lara; Tharaldson, Jenae; Pradhan, Subarna; Dulli, Lisa S.; Todd, Catherine
S., FHI 360, Global Hlth Populat \& Nutr, Durham, NC 27701 USA.
Rastagar, Sayed Haroon; Ahmadzai, Sharif A. H., FHI 360, HEMAYAT Project, Kabul,
Afghanistan.
Hemat, Shafiqullah, Minist Publ Hlth, Hlth Promot Dept, Kabul, Afghanistan.
Weissman, Amy, FHI 360, Asia Pacific Reg Off, Bangkok, Thailand.'
article-number: '35'
author: Lorenzetti, Lara and Tharaldson, Jenae and Pradhan, Subarna and Rastagar,
Sayed Haroon and Hemat, Shafiqullah and Ahmadzai, Sharif A. H. and Dulli, Lisa S.
and Weissman, Amy and Todd, Catherine S.
author-email: llorenzetti@fhi360.org
author_list:
- family: Lorenzetti
given: Lara
- family: Tharaldson
given: Jenae
- family: Pradhan
given: Subarna
- family: Rastagar
given: Sayed Haroon
- family: Hemat
given: Shafiqullah
- family: Ahmadzai
given: Sharif A. H.
- family: Dulli
given: Lisa S.
- family: Weissman
given: Amy
- family: Todd
given: Catherine S.
da: '2023-09-28'
doi: 10.1186/s12960-020-00477-9
eissn: 1478-4491
files: []
journal: HUMAN RESOURCES FOR HEALTH
keywords: 'Afghanistan; Community health workers; Maternal health; Demand
generation; Social and behavior change; Counseling'
keywords-plus: MIDDLE-INCOME COUNTRIES; CHILD HEALTH; CARE
language: English
month: MAY 19
number: '1'
number-of-cited-references: '27'
orcid-numbers: 'Dulli, Lisa/0000-0002-3987-8932
Lorenzetti, Lara/0000-0003-4758-7390
Hemat, Shafiqullah/0000-0003-4447-6935'
papis_id: 6ef6747bc534d122e249f221e57c04e5
ref: Lorenzetti2020adaptinghealth
researcherid-numbers: 'Dulli, Lisa/IAP-5119-2023
'
times-cited: '2'
title: 'Adapting a health video library for use in Afghanistan: provider-level acceptability
and lessons for strengthening operational feasibility'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000537100500001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '18'
web-of-science-categories: Health Policy \& Services; Industrial Relations \& Labor
year: '2020'