2023-09-28 14:46:10 +00:00
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abstract: 'Background: Developing countries have the potential to reach vulnerable
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and underserved populations marginalized by the country''s health care
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systems by way of community health workers (CHWs). It is imperative that
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health care systems focus on improving access to quality continuous
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primary care through the use of CHWs while paying attention to the
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factors that impact on CHWs and their effectiveness.
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Objective: To explore the possible opportunities and challenges of
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integrating CHWs into the health care systems of developing countries.
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Methods: Six databases were examined for quantitative, qualitative, and
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mixed-methods studies that included the integration of CHWs, their
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motivation and supervision, and CHW policy making and implementation in
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developing countries. Thirty-three studies met the inclusion criteria
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and were double read to extract data relevant to the context of CHW
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programs. Thematic coding was conducted and evidence on the main
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categories of contextual factors influencing integration of CHWs into
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the health system was synthesized.
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Results: CHWs are an effective and appropriate element of a health care
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team and can assist in addressing health disparities and social
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determinants of health. Important facilitators of integration of CHWs
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into health care teams are support from other health workers and
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inclusion of CHWs in case management meetings. Sustainable integration
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of CHWs into the health care system requires the formulation and
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implementation of polices that support their work, as well as financial
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and nonfinancial incentives, motivation, collaborative and supportive
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supervision, and a manageable workload.
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Conclusions: For sustainable integration of CHWs into health care
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systems, high-performing health systems with sound governance, adequate
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financing, well-organized service delivery, and adequate supplies and
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equipment are essential. Similarly, competent communities could
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contribute to better CHW performance through sound governance of
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community resources, promotion of inclusiveness and cohesion, engagement
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in participatory decision making, and mobilization of local resources
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for community welfare.'
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affiliation: 'Wang, W (Corresponding Author), Edith Cowan Univ, Sch Med Sci, Global
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Hlth \& Genom, Joondalup, WA 6027, Australia.
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Asweto, Collins Otieno; Alzain, Mohamed Ali; Andrea, Sebastian; Wang, Wei, Capital
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Med Univ, Sch Publ Hlth, Beijing, Peoples R China.
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Asweto, Collins Otieno, Great Lakes Univ Kisumu, Sch Hlth Sci, Kisumu, Kenya.
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Asweto, Collins Otieno; Alzain, Mohamed Ali; Andrea, Sebastian; Wang, Wei, Beijing
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Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China.
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Alzain, Mohamed Ali, Univ Dongola, Fac Med \& Hlth Sci, Community Med Dept, Dongola,
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Sudan.
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Alexander, Rachel; Wang, Wei, Edith Cowan Univ, Sch Med Sci, Syst \& Intervent Res
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Ctr Hlth, Perth, WA, Australia.'
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author: Asweto, Collins Otieno and Alzain, Mohamed Ali and Andrea, Sebastian and Alexander,
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Rachel and Wang, Wei
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author-email: wei.wang@ecu.edu.au
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author_list:
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- family: Asweto
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given: Collins Otieno
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- family: Alzain
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given: Mohamed Ali
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- family: Andrea
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given: Sebastian
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- family: Alexander
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given: Rachel
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- family: Wang
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given: Wei
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da: '2023-09-28'
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doi: 10.15212/FMCH.2016.0102
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eissn: 2009-8774
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files: []
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issn: 2305-6983
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journal: FAMILY MEDICINE AND COMMUNITY HEALTH
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keywords: 'Community health workers; health care systems and policy; supportive
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supervision; developing countries'
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keywords-plus: 'INCOME COUNTRIES; PERFORMANCE; FACILITATORS; SURVIVAL; NEWBORN; PROGRAM;
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AFRICA; MIDDLE'
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language: English
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month: JAN 1
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number: '1'
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number-of-cited-references: '52'
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orcid-numbers: 'Alzain, Mohamed Ali/0000-0002-0085-5805
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'
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pages: 37-45
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papis_id: 7cbf374057c592d2608c8a3ee0ebe875
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ref: Asweto2016integrationcommunity
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researcherid-numbers: 'Alzain, Mohamed Ali/AAF-5957-2019
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Alzain, Mohamed Ali/AAR-8314-2021
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ASWETO, COLLINS/AAK-7261-2021'
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tags:
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- review
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times-cited: '14'
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title: 'Integration of community health workers into health systems in developing
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countries: Opportunities and challenges'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000448223900006
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usage-count-last-180-days: '1'
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usage-count-since-2013: '5'
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volume: '4'
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web-of-science-categories: Primary Health Care
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year: '2016'
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