Voices of home-based palliative care community health workers in rural Malawi: A mixed methods study on factors affecting role and sustainability

Wang, Grace H.; Nesbit, Casey; Rankin, Sally H.

doi:10.1080/09699260.2020.1760533

Cited by 8 publications

(24 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The summary characteristics of the studies included in the review are presented in Table 2. Sixteen studies, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] underwent a methodological quality assessment using the MMAT version 2018. 25 Studies excluded from the methodological quality assessment were uncharted methods in the tool, being reports, 39,40 and a dissertation.…”

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

Evidence of Community Health Workers’ delivery of Physical Rehabilitation Services in sub-Saharan Africa: A Scoping Review

Mapulanga,

Kgarosi,

Maluleke

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives: The objective of this scoping review was to map the evidence and scope of physical rehabilitation services delivered by Community Health Workers (CHWs) in SSA. Design: A scoping review Methods: We conducted a comprehensive search of PubMed, Scopus, Cochrane Central and databases within the EBSCOhost platform. We also searched other literature sources including reference lists, conference presentations and publications on organisational websites such as WHO, Ministries of Health, and Non-Governmental Organisations in SSA. Studies from January 1978 to June 2023. The screening was conducted by two reviewers and was guided by the inclusion and exclusion criteria. Thematic analysis of data was done Results: A total of 6996 articles were identified by our search criteria for title screening. Twenty studies met our inclusion criteria. Evidence was found in seven countries namely; South Africa, Malawi, Uganda, Ethiopia, Eritrea, Mauritius and Namibia. Assessments, Case management and patient care, Education, Community liaison and support, Health systems linkage and administration were part of the CHWs' scope of practice. Conclusion: The review presented evidence of CHWs providing physical rehabilitation services from seven countries. The review showed assessments, case management and patient care, education, community liaison and support, health systems linkage and administration as part of the CHWs' scope of practice.

show abstract

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

Evidence of Community Health Workers’ delivery of Physical Rehabilitation Services in sub-Saharan Africa: A Scoping Review

Mapulanga,

Kgarosi,

Maluleke

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…In a South African qualitative study to describe the experiences of community care workers when working as rehabilitation assistants in a randomised controlled trial investigating the effects of a fourmonth home-based rehabilitation intervention on adult people living with HIV, Cobbing et al (2017) reported that the community care workers experienced extreme adverse weather with stiff terrain as they had to access the clients to provide an intervention which was rehabilitation [36]. Similarly, adverse weather was experienced by home-based care providers in palliative care delivering rehabilitative services in Malawi according to Wang et al (2020) [46].…”

Section: Weathermentioning

confidence: 99%

Community health workers’ provision of physical rehabilitation services in sub-Saharan Africa: a scoping review

Mapulanga

Kgarosi

Maluleke

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The increase in the prevalence of non-communicable diseases as a result of increasing life expectancy and changing lifestyles from active to sedentary has increased the demand for physical rehabilitation. Due to this increased demand, services are required as close to people as possible through task-shifting physical rehabilitation services thereby strengthening services at primary health care level. We systematically mapped evidence and described the scope of physical rehabilitation services delivered by CHWs, their mode of physical rehabilitation services delivery, and the barriers and facilitators experienced by CHWs in delivering physical rehabilitation services in SSA.Methods We used the framework of Arksey and O'Malley and Levac et al’s to guide this scoping review. We searched PubMed, Scopus, Cochrane Central, and databases within the EBSCOhost platform using a mix of Medical Subject Heading terms and a combination of keywords for relevant literature without applying language restrictions. We included articles presenting evidence on CHWs’ provision of physical rehabilitation services in SSA from January 1978 to December 2022. Two independent reviewers screened articles at the abstract and full-text screening guided by the inclusion or exclusion criteria and the PCC elements. All relevant data were extracted using a google form and organized into themes and a summary of the results was reported narratively. The methodological quality of included studies was assessed using the mixed methods appraisal tool.Results A total of 6996 were identified through database search and other sources of which 29 met the included criteria and were included for data extraction. The included 29 studies were conducted in eight countries with the majority 16/29 from South Africa followed by 5/29 from Malawi, 3/29 from Uganda and 2/29 from Ethiopia. Of the 29 articles, each one was conducted in Eritrea, Kenya, Namibia and Mauritius. The review revealed the scope of practice for CHWs to be palliative care, disability, non-communicable diseases, HIV/AIDS, assistive devices, neurology, community-based rehabilitation, speech and language, and general rehabilitation while the modes of delivery are community-based, home-based, health facilities, community with health facilities and community with home-based. The review also revealed that the barriers experienced by CHWs in the delivery of physical rehabilitation services are transport and distance, societal and community attitudes, supplies, finance, weather, delivery capacity and governance while the facilitators were proximity to the community, personal attitude, knowledge and technology.Conclusion The review shows that CHWs are involved in physical rehabilitation service delivery in sub-Saharan Africa. It is therefore necessary to develop a training model for CHWs in physical rehabilitation services. Moreover, the review shows that there is need for the integration of CHWs into the national healthcare system as a sustainable solution to curb the chronic human resources for health shortage in SSA.

show abstract

“…143 Only 1 study explored the influencing factors of decision making for palliative care, but no conclusion was available because of the study's low quality. 145 Disease diagnosis and treatment for children with cancer were reflected in 3 biomedical and genetic studies [140][141][142] that investigated the potential role of oxidative stress-related enzymes in the diagnosis of Wilms tumor and treatment safety assessment of L-asparaginase and pegylated asparaginase for children with acute lymphocytic leukemia.…”

Section: Nurse Managementmentioning

confidence: 99%

Analysis of Pediatric Oncology Nursing Research in Mainland China, 2008–2018

Luo

Yin²,

et al. 2020

Cancer Nurs

View full text Add to dashboard Cite

Cancer Children Nursing science Literature review Background: Up-to-date research from low-and middle-income countries is needed to inform local pediatric cancer nursing care and share best practices from these settings. Access to all current Chinese-language publications on pediatric oncology nursing research is limited because of a language barrier. Objective: The aim of this study was to document the volume, type of research study, and yearly and geographical distribution of published pediatric oncology nursing research in Mainland China and evaluate their content and quality. Methods: A systematic search was performed for published pediatric oncology research conducted by nurses in Mainland China (2008-2018), using 3 English databases and 3 Chinese databases. Included articles were evaluated using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal for strength and quality of evidence. Results: A total of 133 articles were included: 106 in Chinese and 27 in English. Most studies showed level III evidence (88/133) and were rated as good quality (81/133). The most frequently researched topics were psychosocial care, clinical nursing practice, and psychometric testing, which accounted for 63.2% of all publications. Conclusions: Progress in pediatric oncology nursing research capacity among Mainland China is promising. To gain higher-quality evidence and make existing evidence transferable for nursing practice, optimization of specific research topics is still needed. Implications for Practice: In Mainland China, developing interventions to address the symptoms of children with cancer and caregivers' psychosocial issues based on local nursing research should be prioritized.Some synthesized findings of this review may serve as guidance for the future of pediatric oncology nursing science in similar settings.

show abstract

Voices of home-based palliative care community health workers in rural Malawi: A mixed methods study on factors affecting role and sustainability

Cited by 8 publications

References 15 publications

Evidence of Community Health Workers’ delivery of Physical Rehabilitation Services in sub-Saharan Africa: A Scoping Review

Evidence of Community Health Workers’ delivery of Physical Rehabilitation Services in sub-Saharan Africa: A Scoping Review

Community health workers’ provision of physical rehabilitation services in sub-Saharan Africa: a scoping review

Analysis of Pediatric Oncology Nursing Research in Mainland China, 2008–2018

Contact Info

Product

Resources

About