On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru

Brown, Angela D.; Malca, Rosa; Zumaran, Adriana; Miranda, J. Jaime

doi:10.1186/1478-4491-4-11

Cited by 19 publications

(27 citation statements)

References 21 publications

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“…While this may be true for MCH interventions [22], the role of male CHWs, especially in the control of epidemics in the past has been substantive across countries [14, 16]. This result could be because males are main bread winners for most households thus may not effectively work in voluntary roles given the economic demand.…”

Section: Discussionmentioning

confidence: 99%

Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study

Bagonza

Kibira

Rutebemberwa

2014

Malar J

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BackgroundLay community health workers (CHWs) have been widely used to provide curative interventions in communities that have traditionally lacked access to health care. Optimal performance of CHWs managing children with malaria, pneumonia and diarrhoea in communities is desired if a reduction in childhood morbidity and mortality is to be achieved. This study assessed factors influencing performance of CHWs managing malaria, pneumonia and diarrhoea under the Integrated Community Case Management (iCCM) programme in Wakiso district, central Uganda.MethodsA cross sectional study was conducted among 336 CHWs. Data was collected using interviews and record reviews. Performance was measured using composite scores based on the core activities of CHWs under the iCCM programme. These core activities included: treating children under five years, referring severely sick children including newborns, home visits, counseling caregivers on home care, record keeping and community sensitization. Descriptive and inferential statistics using odds ratios were done to determine factors influencing performance of CHWs.ResultsOf the 336 respondents, 242 (72%) were females and the overall level of good performance was 21.7% (95% CI, 17.3-26.1%). Factors significantly associated with performance were: sex (females) (AOR 2.65; 95% CI, 1.29 -5.43), community support (AOR 2.29; 95% CI, 1.27-4.14), receiving feedback from health facilities (AOR 4.90; 95% CI, 2.52-9.51) and having drugs in the previous three months (AOR 2.99; 95% CI, 1.64-5.42).ConclusionOnly one in every five CHWs performed optimally under the iCCM programme. Strategies to improve drug supply, community support and feedback provision from the formal health system are necessary to improve the performance of CHWs.

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Section: Discussionmentioning

confidence: 99%

Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study

Bagonza

Kibira

Rutebemberwa

2014

Malar J

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“…8 In response to high maternal mortality, the plight of indigenous women with problems during labour and the lack of contact with the government health system, an intervention study that introduced culturally appropriate delivery services was initiated in Santillana (Huanta province) in 1999.…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation of birthing services in rural Ayacucho, Peru

Gabrysch

Lema

Bedriñana

et al. 2009

Bull World Health Org

Self Cite

112

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Problem Maternal mortality is particularly high among poor, indigenous women in rural Peru, and the use of facility care is low, partly due to cultural insensitivities of the health care system. Approach A culturally appropriate delivery care model was developed in poor and isolated rural communities, and implemented between 1999 and 2001 in cooperation with the Quechua indigenous communities and health professionals. Data on birth location and attendance in one health centre have been collected up to 2007. Local setting The international nongovernmental organization, Health Unlimited, and its Peruvian partner organization, Salud Sín Límites Perú, conducted the project in Santillana district in Ayacucho. Relevant changes The model involves features such as a rope and bench for vertical delivery position, inclusion of family and traditional birth attendants in the delivery process and use of the Quechua language. The proportion of births delivered in the health facility increased from 6% in 1999 to 83% in 2007 with high satisfaction levels. Lessons learned Implementing a model of skilled delivery attendance that integrates modern medical and traditional Andean elements is feasible and sustainable. Indigenous women with little formal education do use delivery services if their needs are met. This contradicts common victim-blaming attitudes that ascribe high levels of home births to "cultural preferences" or "ignorance".Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español.

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“…Many programs therefore require some level of literacy from volunteers. However, level required differ from one program to the other (Ehigiegba et al, 2014;Brown et al, 2006). It is expected that with improved education the CDDs will be better at hygiene and sanitation.…”

Section: Discussionmentioning

confidence: 99%

“…The higher proportion of females used in present study was incidental. Several other studies among CDDs and volunteers have shown greater tendencies of using females as volunteers in programmes (Ehigiegba et al, 2014;Bang et al, 2005;Brown et al, 2006;Douthwaite and Ward, 2005). Indeed in an iron and folic acid supplementation program in Nepal only women were used as volunteers (WHO, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…This was cross sectional study done in February, 2014 and involved 297 community directed distributors from 3 rural communities (Ozubulu, Ihiala and Osumenyi) in Anambra Central senatorial zone in South Eastern Nigeria with population of about 158,885 people (Brown et al, 2006). The community directed distributors were selected by their various communities on volunteer basis.…”

Section: Methodsmentioning

confidence: 99%

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Profiling of community directed distributors on key household practices in resource-poor setting: A case study of Anambra State, Southeast Nigeria

Modebe¹,

Arinze-Onyia²,

Aguwa³

et al. 2015

J. Public Health Epidemiol.

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Improving malaria control, hygiene and sanitation in households is a challenge in the health system. Hence, several countries have used community directed distributors (CDDs) to assist in delivering health information and services. Despite their use there is little attempt to profile this group of workers. This was a cross sectional study conducted in 2014 involving 297 CDDs from 3 rural communities in Anambra Central Senatorial Zone of Anambra State. A structured questionnaire was used to obtain information from the respondents during their training in various town halls. Most (44.4%) of CDDs fell within the age range of 29 to 38 years. Only 2.0% of the respondents had no formal education. Major source of water to the household is from water vendors (39.1%) and it takes 87.2% of them less than 30 min to get water. Flush toilet system is mostly used (49.2%) while 9.4% have no toilet facility in the house. Almost 8% throw garbage into the street while majority either burn, bury or take the garbage to public dump site or disposal bin. About 71 and 16.5% wash hands with soap after using the toilet and before eating, respectively. Also 74% of the respondents make use of mosquito net while 64% take child for treatment outside home. Key household practices among CDDs on sewage and refuse disposal and personal hygiene are sub-optimal. Hence, project managers should consider the profile of those selected to be CDDs and establish training programs to improve their habits.

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On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru

Cited by 19 publications

References 21 publications

Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study

Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study

Cultural adaptation of birthing services in rural Ayacucho, Peru

Profiling of community directed distributors on key household practices in resource-poor setting: A case study of Anambra State, Southeast Nigeria

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