wow-inequalities/02-data/intermediate/wos_sample/8c70d97d042e512483f3dd25c7ffa976-asweto-collins-otie/info.yaml

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