wow-inequalities/02-data/intermediate/wos_sample/ea0d708fafa2047c0a803e9e5c579aca-okuga-monica-and-ke/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Community health workers (CHWs) have been employed in a
number of low-and middle-income countries as part of primary health care
strategies, but the packages vary across and even within countries. The
experiences and motivations of a multipurpose CHW in providing maternal
and newborn health have not been well described.
Objective: This study examined the perceptions of community members and
experiences of CHWs around promoting maternal and newborn care
practices, and the self-identified factors that influence the
performance of CHWs so as to inform future study design and programme
implementation.
Design: Data were collected using in-depth interviews with six local
council leaders, ten health workers/CHW supervisors, and eight mothers.
We conducted four focus group discussions with CHWs. Respondents
included 14 urban and 18 rural CHWs. Key themes explored included the
experience of CHWs according to their various roles, and the
facilitators and barriers they encounter in their work particular to
provision of maternal and newborn care. Qualitative data were analysed
using manifest content analysis methods.
Results: CHWs were highly appreciated in the community and seen as
important contributors to maternal and newborn health at grassroots
level. Factors that positively influence CHWs included being selected by
and trained in the community; being trained in problem-solving skills;
being deployed immediately after training with participation of local
leaders; frequent supervision; and having a strengthened and responsive
supply of services to which families can be referred. CHWs made use of
social networks to identify pregnant and newly delivered women, and were
able to target men and the wider family during health education
activities. Intrinsic motivators (e.g. community appreciation and the
prestige of being `a doctor''), monetary (such as a small transport
allowance), and material incentives (e.g. bicycles, bags) were also
important to varying degrees.
Conclusions: There is a continued role for CHWs in improving maternal
and newborn care and linking families with health services. However, the
process for building CHW programmes needs to be adapted to the local
setting, including the process of training, deployment, supervision, and
motivation within the context of a responsive and available health
system.'
affiliation: 'Okuga, M (Corresponding Author), Makerere Univ, Sch Publ Hlth, Dept
Hlth Policy Planning \& Management, Coll Hlth Sci, Kampala, Uganda.
Okuga, Monica; Namutamba, Sarah; Namazzi, Gertrude; Waiswa, Peter, Makerere Univ,
Sch Publ Hlth, Dept Hlth Policy Planning \& Management, Kampala, Uganda.
Waiswa, Peter, Karolinska Inst, Dept Publ Hlth Sci, Global Hlth, Stockholm, Sweden.
Waiswa, Peter, Iganga Mayuge Hlth Demog Surveillance Site, Iganga Mayuge, Uganda.'
article-number: '23968'
author: Okuga, Monica and Kemigisa, Margaret and Namutamba, Sarah and Namazzi, Gertrude
and Waiswa, Peter
author-email: mokugga@yahoo.com
author_list:
- family: Okuga
given: Monica
- family: Kemigisa
given: Margaret
- family: Namutamba
given: Sarah
- family: Namazzi
given: Gertrude
- family: Waiswa
given: Peter
da: '2023-09-28'
doi: 10.3402/gha.v8.23968
files: []
issn: 1654-9880
journal: GLOBAL HEALTH ACTION
keywords: 'newborn health; maternal health; community health worker; pregnancy;
postnatal care; Uganda'
keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; RURAL UGANDA; ALMA-ATA; SURVIVAL;
PERCEPTIONS; MANAGEMENT; PROGRAMS; RESOURCE'
language: English
number-of-cited-references: '24'
papis_id: 0d4c99aa6fe83ad7eeeaecf4ce22074e
ref: Okuga2015engagingcommunity
times-cited: '36'
title: Engaging community health workers in maternal and newborn care in eastern Uganda
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000377748300001
usage-count-last-180-days: '0'
usage-count-since-2013: '11'
volume: '8'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2015'