2023-09-28 14:46:10 +00:00
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abstract: 'Background: Community health workers (CHWs) have been employed in a
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number of low-and middle-income countries as part of primary health care
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strategies, but the packages vary across and even within countries. The
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experiences and motivations of a multipurpose CHW in providing maternal
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and newborn health have not been well described.
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Objective: This study examined the perceptions of community members and
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experiences of CHWs around promoting maternal and newborn care
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practices, and the self-identified factors that influence the
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performance of CHWs so as to inform future study design and programme
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implementation.
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Design: Data were collected using in-depth interviews with six local
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council leaders, ten health workers/CHW supervisors, and eight mothers.
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We conducted four focus group discussions with CHWs. Respondents
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included 14 urban and 18 rural CHWs. Key themes explored included the
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experience of CHWs according to their various roles, and the
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facilitators and barriers they encounter in their work particular to
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provision of maternal and newborn care. Qualitative data were analysed
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using manifest content analysis methods.
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Results: CHWs were highly appreciated in the community and seen as
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important contributors to maternal and newborn health at grassroots
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level. Factors that positively influence CHWs included being selected by
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and trained in the community; being trained in problem-solving skills;
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being deployed immediately after training with participation of local
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leaders; frequent supervision; and having a strengthened and responsive
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supply of services to which families can be referred. CHWs made use of
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social networks to identify pregnant and newly delivered women, and were
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able to target men and the wider family during health education
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activities. Intrinsic motivators (e.g. community appreciation and the
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prestige of being `a doctor''), monetary (such as a small transport
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allowance), and material incentives (e.g. bicycles, bags) were also
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important to varying degrees.
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Conclusions: There is a continued role for CHWs in improving maternal
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and newborn care and linking families with health services. However, the
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process for building CHW programmes needs to be adapted to the local
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setting, including the process of training, deployment, supervision, and
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motivation within the context of a responsive and available health
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system.'
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affiliation: 'Okuga, M (Corresponding Author), Makerere Univ, Sch Publ Hlth, Dept
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Hlth Policy Planning \& Management, Coll Hlth Sci, Kampala, Uganda.
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Okuga, Monica; Namutamba, Sarah; Namazzi, Gertrude; Waiswa, Peter, Makerere Univ,
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Sch Publ Hlth, Dept Hlth Policy Planning \& Management, Kampala, Uganda.
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Waiswa, Peter, Karolinska Inst, Dept Publ Hlth Sci, Global Hlth, Stockholm, Sweden.
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Waiswa, Peter, Iganga Mayuge Hlth Demog Surveillance Site, Iganga Mayuge, Uganda.'
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article-number: '23968'
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author: Okuga, Monica and Kemigisa, Margaret and Namutamba, Sarah and Namazzi, Gertrude
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and Waiswa, Peter
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author-email: mokugga@yahoo.com
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author_list:
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- family: Okuga
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given: Monica
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- family: Kemigisa
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given: Margaret
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- family: Namutamba
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given: Sarah
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- family: Namazzi
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given: Gertrude
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- family: Waiswa
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given: Peter
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da: '2023-09-28'
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doi: 10.3402/gha.v8.23968
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files: []
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issn: 1654-9880
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journal: GLOBAL HEALTH ACTION
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keywords: 'newborn health; maternal health; community health worker; pregnancy;
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postnatal care; Uganda'
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keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; RURAL UGANDA; ALMA-ATA; SURVIVAL;
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PERCEPTIONS; MANAGEMENT; PROGRAMS; RESOURCE'
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language: English
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number-of-cited-references: '24'
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papis_id: 0d4c99aa6fe83ad7eeeaecf4ce22074e
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ref: Okuga2015engagingcommunity
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times-cited: '36'
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title: Engaging community health workers in maternal and newborn care in eastern Uganda
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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:000377748300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '11'
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volume: '8'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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