What are the roles of community health workers? Looking back at the philosophies of primary health care

Niang, Marietou

doi:10.1177/1757975918811087

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…Research has shown that most engagement with the CHW workforce has been around upskilling to improve the health and empowerment in the communities they serve. 58 Much has been documented about CHWs as a liaison between the formal healthcare system 13 and the community and as a vital strategic resource to achieve global health goals, the actual CHWs and their own needs have been grossly overlooked. There is sufficient evidence to inform decision-makers about the factors that motivate CHWs into performing their roles effectively.…”

Section: Discussionmentioning

confidence: 99%

Challenges experienced by community health workers and their motivation to attend a self-management programme

Johnson

Schopp

Waggie

et al. 2022

African Journal of Primary Health Care & Family Medicine

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Background: Community health workers (CHWs) are change agents expected to assist in decreasing the global burden of disease in the communities they serve. However, they themselves have health risk behaviours, which predispose them to non-communicable diseases and thus need to be empowered to make better health choices. There is a gap in literature detailing the challenges faced by CHWs in addressing their own health risk behaviours.Aim: This study aimed to explore the challenges experienced by CHWs in carrying out their daily duties and the motivating factors to join a self-management programme.Setting: The study was conducted in a low socio-economic urban area of the Western Cape, South Africa.Methods: This study used a qualitative exploratory design using in-depth interviews to obtain rich data about the personal and professional challenges that CHWs experience on a daily basis.Results: Five themes emerged with regard to professional challenges (social conditions, mental health of patients, work environment, patient adherence and communication). This cadre identified ineffective self-management as a personal challenge and two themes emerged as motivation for participating in a self-management programme: empowerment and widening perspective.Conclusion: The challenges raised by the CHWs have a direct impact on their role in communities. This study therefore highlights an urgent need for policymakers and leaders who plan training programmes to take intentional strategic action to address their health challenges and to consider utilising a self-management intervention model to improve their overall health status.

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Section: Discussionmentioning

confidence: 99%

Challenges experienced by community health workers and their motivation to attend a self-management programme

Johnson

Schopp

Waggie

et al. 2022

African Journal of Primary Health Care & Family Medicine

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“…However, in the study of the professional role, it is fundamental to know where one starts from and what path one has followed. On an international level, although the origin of PHC is known [ 3 ], there is no evidence of work that has analysed the process by which a new role has been configured, which is essential to design future strategies, given that there is still, a need to clarify this role [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

The evolution of the role of nursing in primary health care using Bourdieu’s concept of habitus. A grounded theory study

et al. 2022

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Aims To analyse the global process by which Spanish nurses have acquired a differentiated role in primary health care and to develop a theory that explains the evolution of this role. Design Grounded Theory was selected, as proposed by Glaser and Strauss, following the theoretical framework of Bourdieu’s habitus. Methods Thirteen in-depth interviews were conducted between 2012 and 2015, using theoretical sampling and seeking maximum variability. The analysis of the data included progressive coding and categorization, constant comparative analysis and memo writing. Results A core category emerged, “Autonomy”, composed of three categories: "Between illusion and ignorance. Genesis of a habitus", "The recognisable and recognised habitus" and "Habitus called into question", showing the genesis of the nursing role in primary health care and the elements that influence the autonomy of the role: the ability to decide their training, assume their own leadership, configure teams and acquire independent skills. “Seeking autonomy” was the substantive theory that emerged from the data. Conclusion The results reveal the elements that strengthen the autonomous professional role and that this role is legitimated when two elements are identified: the acquisition of a habitus, based on practices carried out regularly and the recognition of this habitus by the population and others professionals. Impact The results of this study identify the elements that guide and strengthen the professional role and redefine the concept of autonomy. These are operational findings and could potentially be used to define new strategies for advancing the role of nursing in primary health care.

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“…CHWs' work is important to primary health care [11,12] and was essential in previous crises, such as H1N1 and Zika [2]. Some current papers have pointed out the potentially important work of CHWs in the face of the coronavirus pandemic [9,[13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

How Community Health Workers are facing COVID-19 Pandemic in Brazil: Personal Feelings, Access to Resources and Working Process

Michelle¹,

Lotta²

2020

Arch Fam Med Gen Pract

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What are the roles of community health workers? Looking back at the philosophies of primary health care

Cited by 6 publications

References 8 publications

Challenges experienced by community health workers and their motivation to attend a self-management programme

Challenges experienced by community health workers and their motivation to attend a self-management programme

The evolution of the role of nursing in primary health care using Bourdieu’s concept of habitus. A grounded theory study

How Community Health Workers are facing COVID-19 Pandemic in Brazil: Personal Feelings, Access to Resources and Working Process

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