Effectiveness of community health agents' actions in situations of social vulnerability

Zanchetta, Margareth Santos; Voet, Susan M.V.; Galhego-Garcia, W; Smolentzov, Vera Maria N.; Talbot, Yves; Riutort, Monica; Galhego, Amine Maria M. F.; Souza, Thiago J. de; Caldas, Rodrigo S.; Costa, Edwaldo; Kamikihara, Márcia M.; Smolentzov, Sérgio

doi:10.1093/her/cyn023

Cited by 14 publications

(20 citation statements)

References 18 publications

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“…Professional interactions will likely improve attitudes of providers reluctant to engage in EBP or transdisciplinary collaboration. 29, 53 As in previous research, experienced providers endorsed EBP more strongly. 21 These providers may be trained to mentor less experienced ones.…”

Section: Discussionmentioning

confidence: 52%

Primary Care and Public Health Services Integration in Brazil’s Unified Health System

Pinto

Wall

et al. 2012

Am J Public Health

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Objectives We examined associations between transdisciplinary collaboration, evidence-based practice, and primary care and public health services integration in Brazil’s Family Health Strategy. We aimed to identify practices that facilitate service integration and evidence-based practice. Methods We collected cross-sectional data from community health workers, nurses, and physicians (n = 262). We used structural equation modeling to assess providers’ service integration and evidence-based practice engagement operationalized as latent factors. Predictors included endorsement of team meetings, access to and consultations with colleagues, familiarity with community, and previous research experience. Results Providers’ familiarity with community and team meetings positively influenced evidence-based practice engagement and service integration. More experienced providers reported more integration and engagement. Physicians reported less integration than did community health workers. Black providers reported less evidence-based practice engagement than did Pardo (mixed races) providers. After accounting for all variables, evidence-based practice engagement and service integration were moderately correlated. Conclusions Age and race of providers, transdisciplinary collaboration, and familiarity with the community are significant variables that should inform design and implementation of provider training. Promising practices that facilitate service integration in Brazil may be used in other countries.

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Section: Discussionmentioning

confidence: 52%

Primary Care and Public Health Services Integration in Brazil’s Unified Health System

Pinto

Wall

et al. 2012

Am J Public Health

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“…CHAs work directly with residents to identify health problems, provide health information, and refer residents to health professionals on the local FHS team. They follow up with clients to ensure successful treatment and to protect, promote, and restore their general health (Zanchetta et al, 2009).…”

Section: Methodsmentioning

confidence: 99%

“…CHAs provide leadership, education about rights, and facilitate communities' and citizens' empowerment (Zanchetta et al, 2009). The CHA interviewers usually have a good relationship with the community residents and have full access to patients' homes.…”

Section: Methodsmentioning

confidence: 99%

Religiosity and Tobacco and Alcohol Use in a Brazilian Shantytown

Lucchetti

Peres

Lucchetti

et al. 2012

Substance Use & Misuse

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“…Clinical officers in Malawi expressed frustration over their salary levels, benefits, workload and status compared to those given to doctors (Bradley & McAuliffe 2009). A study from Brazil reported difficulties in integrating lay health workers into family health teams because of poor communication and low levels of cooperation between lay health workers on one hand, and physicians and nurses on the other (Zanchetta et al 2009). Likewise, it was reported that the Medicina Simplificada Program in Venezuela had difficulties initially in convincing rural physicians to work closely with the lay health workers linked to the programme (Yates 1975).…”

Section: The Organisation and Delivery Of Servicesmentioning

confidence: 99%

Implementing large‐scale programmes to optimise the health workforce in low‐ and middle‐income settings: a multicountry case study synthesis

Gopinathan

Lewin

Glenton

2014

Tropical Med Int Health

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Abstractobjectives To identify factors affecting the implementation of large-scale programmes to optimise the health workforce in low-and middle-income countries.methods We conducted a multicountry case study synthesis. Eligible programmes were identified through consultation with experts and using Internet searches. Programmes were selected purposively to match the inclusion criteria. Programme documents were gathered via Google Scholar and PubMed and from key informants. The SURE Framework -a comprehensive list of factors that may influence the implementation of health system interventions -was used to organise the data. Thematic analysis was used to identify the key issues that emerged from the case studies.results Programmes from Brazil, Ethiopia, India, Iran, Malawi, Venezuela and Zimbabwe were selected. Key system-level factors affecting the implementation of the programmes were related to health worker training and continuing education, management and programme support structures, the organisation and delivery of services, community participation, and the sociopolitical environment.conclusions Existing weaknesses in health systems may undermine the implementation of largescale programmes to optimise the health workforce. Changes in the roles and responsibilities of cadres may also, in turn, impact the health system throughout.

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Effectiveness of community health agents' actions in situations of social vulnerability

Cited by 14 publications

References 18 publications

Primary Care and Public Health Services Integration in Brazil’s Unified Health System

Primary Care and Public Health Services Integration in Brazil’s Unified Health System

Religiosity and Tobacco and Alcohol Use in a Brazilian Shantytown

Implementing large‐scale programmes to optimise the health workforce in low‐ and middle‐income settings: a multicountry case study synthesis

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