Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review

Kok, Maryse; Dieleman, Marjolein; Taegtmeyer, Miriam; Broerse, Jacqueline E W; Kane, Sumit; Ormel, Hermen; Tijm, Mandy M; Koning, Korrie A M de

doi:10.1093/heapol/czu126

Cited by 404 publications

(633 citation statements)

References 140 publications

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“…(16,17) It was clarified that the workers living with more than four people was associated with lower quality of life in the Physical Functioning, Physical role functioning, General Health perception, Vitality and Emotional role functioning, showing that the largest number of people in the household enables household work overload, negatively influencing health. (18,19) The exercise of Community Health Worker function for more than 10 years had lower scores of quality of life in the domains investigating physical functioning, physical role functioning, bodily pain and emotional role functioning. Thus, it is suggested that they are subjected to unfavorable working conditions, such as major goals to meet, living and working in the same place, allowing physical and emotional commitment of these workers.…”

Section: Discussionmentioning

confidence: 99%

Fatores que influenciam na qualidade de vida dos agentes comunitários de saúde

et al. 2016

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Objective: To investigate the quality of life of community health workers and associate the results with socioeconomic variables. Methods: Cross-sectional study conducted with 153 Community Health Workers of the Brazilian Northeast region active workers in December 2014. We used self-report instrument composed of sociodemographic profile and the 36-Item Short Form Health Survey (SF-36) questionnaire. To determine the domains of the SF-36, mean and standard deviation, the Mann-Whitney test was used, with a 0.05 significance level. Results: Most agents were women (80.4%) aged 42 years (±8.01); 64.1% who worked in that position for at least 10 years. The Bodily Pain and General Health Perception domains were the most affected ones. In the first domain, the low rates of means were associated with women over forty years old, less than twelve years of study and more than ten years as a Community Health Worker. In the second domain, the lowest mean levels were associated with women living with more than four people in the household. Conclusion: We detected a loss in quality of life of community health workers, demonstrating low means in the investigated areas, with lower scores for Pain and General Health Perceptions. Several socioeconomic factors interfere with the health and quality of life of workers, as being female, aged over 40, low education level, higher family composition and greater working time.

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Section: Discussionmentioning

confidence: 99%

Fatores que influenciam na qualidade de vida dos agentes comunitários de saúde

et al. 2016

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“…These activities strengthened the performance of the community volunteers, leading to capacity development and motivation to serve as volunteers throughout the study. Comprehensive training with frequent supervision and continuous education improved the performance of the community health workers and increased their motivation to serve the local community 13,14 .…”

Section: Discussionmentioning

confidence: 99%

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Maung¹,

Sein

Hlaing

et al. 2017

Rural Remote Health

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Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach Rural and Remote Health 17: 4130. (Online) 2017 Available: http://www.rrh.org.au A B S T R A C TIntroduction: Malaria is prevalent in more than 80% of townships in Myanmar. The National Malaria Control Programme (NMCP) has been implementing community-based malaria control programs nationwide. However, these programs are mostly developed and directed by health authorities, while communities are passively involved. This study aimed to increase community participation in malaria control and promote community malaria control knowledge and practice in rural Myanmar. Methods: A community-based study, which employed a mixed method approach, collecting data quantitatively and qualitatively, was conducted in two rural villages. The study implemented an active community participation program (ACPP) using the participatory learning approach in a village (ACPP village) but only routine malaria control was given in another village (non-ACPP village). All households with 142 and 96 household representatives from ACPP and non-ACPP villages participated in baseline and endline surveys. The ACPP was evaluated by process and outcome indicators. A spider gram analysis using five process indicators was applied to evaluate the process of the ACPP. Community participation status in malaria control activities and level of community malaria knowledge and practice were determined as outcomes of the ACPP. Results: The spider gram analysis showed that three indicators (needs assessment and planning, leadership and resource mobilization) gained a score of 4, the organization indicator a score of 5 and the management and evaluation indicator a score of 3. The outcome indicators of the program at 6 months showed that the community participation in malaria control activities in the © CN Maung, TT Sein, T Hlaing, K Okanurak, T Silawan, J Kaewkungwal, 2017. A A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 ACPP village had significantly increased (6.9% to 49.3%) (p<0.001). The program promoted community malaria control knowledge and practice in the ACPP village. The mean scores of knowledge, perception, preventive behavior and treatment-seeking behavior were increased significantly, from 3.0 to 5.9 (p<0.001), 20.1 to 21.0 (p<0.001), 3.4 to 4.2 (p<0.001) and 3.1 to 5.6 (p<0.001), respectively. However, no significant change of outcome indicators was found in the non-ACPP village.Conclusions: The ACPP implemented by community volunteers using the participatory learning approach was feasible in community-based malaria control. This study suggests several features in the ACPP model that may be useful strategies for the implementation of the current NMCP programs in similar rural settings; however, the effect of the ACPP over a longer period to ascertain the impact of such community participation has yet to be further studied.

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“…14,15 Using this unifying framework approach, 16 the Indonesia REACHOUT team developed topic guides for the study IDIs and FGDs. These were developed for the various types of informants, with some differences in topics based on whether they were community members, health care providers or policy makers (Table 3).…”

Section: Data Collectionmentioning

confidence: 99%

Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training

Tumbelaka¹,

Limato²,

Nasir³

et al. 2018

Int J Community Med Public Health

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Background: Maternal health promotion is a task allocated to the kader (community health volunteers) in the community integrated health services called Posyandu. Yet, they are inadequately trained to perform this task. We present an analysis of the kader as maternal health promoters after their health promotion training with use of counselling card. Methods: Between March-April 2015, 14 participatory workshops were conducted and 188 kader in four villages in Ciranjang sub-district were trained. Data were collected through in-depth interviews and focus group discussions from community members, health care providers and policy makers in the four villages. A total of 44 interviews were conducted prior to health promotion training and 48 interviews post- training. In 46 Posyandu, kader were observed during their practice of health promotion within 3 consecutive months of post training. Data was transcribed and analysed in NVivo 10. Results: Most kader acknowledged that health promotion training improved their knowledge of maternal health and counselling skills and changed their attitude towards pregnant women at the Posyandu. They could confidently negotiate health messages and importance of health facility delivery with antenatal women. The kader also found the counselling cards helped pregnant women understand the health messages more clearly. The participatory training method involving role play and direct discussions boost kader confidence to deliver health promotion. As a result, the kader gained community appreciation which enhanced their motivation about their job. Conclusions: Appropriate health promotion training, provided the kader with adequate knowledge and skills to become resourceful maternal health promoters in the community.

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Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review

Cited by 404 publications

References 140 publications

Fatores que influenciam na qualidade de vida dos agentes comunitários de saúde

Fatores que influenciam na qualidade de vida dos agentes comunitários de saúde

Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach

Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training

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