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