A5042220180- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Primary Care and Health Outcomes
- Global Public Health Policies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Health Policy Implementation Science
- Poverty, Education, and Child Welfare
- Child Nutrition and Water Access
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Community Health and Development
- Public Health Policies and Education
- Healthcare Quality and Satisfaction
- Migration, Health and Trauma
- Healthcare Policy and Management
- Reproductive Health and Technologies
- Geriatric Care and Nursing Homes
- Demographic Trends and Gender Preferences
- Genital Health and Disease
- Evaluation and Performance Assessment
- Female Genital Mutilation/Cutting Issues
- Health and Conflict Studies
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- Feminism, Gender, and Sexuality Studies
University of the Western Cape
2025
Malawi-Liverpool-Wellcome Trust Clinical Research Programme
2024
University of Liverpool
2024
Liverpool School of Tropical Medicine
2024
Royal Tropical Institute
2015-2024
University of Malawi
2022-2023
Addis Ababa University
2022
University of Zambia
2022
University of Indonesia
2022
Community health workers (CHWs) are increasingly recognized as an integral component of the workforce needed to achieve public goals in low- and middle-income countries (LMICs). Many factors intersect influence CHW performance. A systematic review with a narrative analysis was conducted identify contextual influencing performance CHWs. We searched six databases for quantitative, qualitative, mixed-methods studies that included CHWs working promotional, preventive or curative primary care...
Optimising community health worker (CHW) programmes requires evidence-based policies on their education, deployment, and management. This guideline aims to inform efforts by planners, policy makers, managers improve CHW as part of an integrated approach strengthen primary care systems. The development this followed the standard WHO developing global guidelines. We conducted one overview reviews, 15 systematic reviews (each a specific question), survey stakeholders' views acceptability...
Community health workers (CHWs) have a unique position between communities and the sector. The strength of CHWs' relationships with both sides influences their motivation performance. This qualitative comparative study aimed at understanding similarities differences in how CHWs, sector were shaped different Sub-Saharan African settings. demonstrates complex interplay on trust actors Mechanisms influencing feelings (dis)connectedness, (un)familiarity serving same goals, perceptions received...
Health extension workers (HEWs) in Ethiopia have a unique position, connecting communities to the health sector. This intermediary position requires strong interpersonal relationships with actors both community and sector, order enhance HEW performance. study aimed understand how between HEWs, sector were shaped, inform policy on optimizing performance providing maternal services. We conducted qualitative six districts Sidama zone, which included focus group discussions (FGDs) women men from...
The recent publication of the WHO guideline on support to optimise community health worker (CHW) programmes illustrates renewed attention for need strengthen performance CHWs. Performance partly depends motivation, which in turn is influenced by incentives. This paper aims critically analyse use incentives and their link with improving CHW motivation. We undertook a comparative analysis linkages between motivation based existing datasets qualitative studies six countries. These had used...
In 2015 the maternal mortality ratio for Ethiopia was 353 per 100,000 live births. Large numbers of women do not use health services. This study aimed to identify factors influencing services at primary care unit (PHCU) level in rural communities Sidama zone, south order design quality improvement interventions. We conducted a qualitative six woredas 2013: 14 focus group discussions (FGDs) and 44 in-depth interviews with purposefully selected community members (women, male, traditional birth...
Supportive supervision is an important element of community health worker (CHW) programmes and believed to improve CHW motivation performance. A group intervention, which included training mentorship supervisors, was implemented in Ethiopia, Kenya, Malawi Mozambique. In three the countries, this combined with individual and/or peer supervision. mixed-methods implementation study conducted assess effect intervention on CHWs' perceptions motivation-related outcomes. total, 153 in-depth...
Teenage pregnancy and child marriage are prevalent in Zambia complexly interrelated issues with common causes effects. The aim of this study was to explore factors the social cultural environment shaping young people's sexual behaviour, specific attention teenage Eastern Zambia. conducted selected wards Petauke, Chadiza Katete districts, using an exploratory mixed-method design including a household survey, focus group discussions in-depth interviews. participants included 1,434 females...
With a maternal mortality ratio of 789 per 100,000 live births, and contraceptive prevalence rate 4.7%, South Sudan has one the worst reproductive health situations in world. Understanding social norms around sexuality reproduction, across different ethnic groups, is key to developing implementing locally appropriate public responses. A qualitative study was conducted state Western Bahr el Ghazal (WBeG) explore shaping decisions about family planning among Fertit community. Data were...
Effective referral systems from the community to health care facility are essential save lives and ensure quality a continuum of care. The effectiveness in Mozambique depends on multiple factors that involve three main stakeholders: clients/community members; workers (CHWs); facility-based workers. Each stakeholder is dependent other could form either barrier or facilitator within complex system Mozambique. This qualitative study, aiming explore barriers enablers lens adaptive systems,...
Community health workers (CHWs) in Mozambique (known as Agentes Polivalentes Elementares (APEs)) are key actors providing services rural communities. Supervision of CHWs has been shown to improve their work, although details how it is implemented scarce. In Mozambique, APE supervision structures and scope work clearly outlined policy rely on supervisors at the facility reference. The aim this study was understand which aspects impact motivation programme implementation.Qualitative research...
Objective To assess the cost-effectiveness of community-based practitioner programmes in Ethiopia, Indonesia and Kenya.Methods Incremental ratios for three were estimated from a government perspective.Cost data collected 2012.Life years gained based on coverage reproductive, maternal, neonatal child health services.For Ethiopia Kenya, estimates before after implementation programme obtained empirical studies.For Indonesia, service interventions was routine data.We used Lives Saved Tool to...
There is increasing global interest in how best to support the role of community health workers (CHWs) building bridges between communities and sector. CHWs’ intermediary position means that interpersonal relationships are an important factor shaping CHW performance. This study aimed obtain in-depth insight into facilitators barriers surveillance assistants (HSAs) actors sector hard-to-reach settings two districts Malawi, order inform policy practice on optimizing HSA The followed a...
Background: Motivation of health workers is a critical component performance and shaped by multiple factors. This study explored factors that influence motivation surveillance assistants (HSAs) in Malawi, with the aim identifying interventions can be applied to enhance HSAs.Methods: A qualitative capturing perspectives purposively selected participants was conducted two districts: Salima Mchinji. Participants included HSAs, managers, various community members. Data were collected through...