Motivating health workers for the provision of directly observed treatment to TB patients in rural China: does cash incentive work? A qualitative study

2013 ◽  
Vol 28 (4) ◽  
pp. e310-e324 ◽  
Author(s):  
Tao Tao ◽  
Qi Zhao ◽  
Shiwen Jiang ◽  
Liping Ma ◽  
Liya Wan ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Rural China ◽  
Cash Incentive ◽  
Directly Observed Treatment

scholarly journals Community Contribution to Tuberculosis Care in the Krachi West District of Ghana: A Qualitative Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Samuel Agbenyegah Addy ◽  
Eric Osei ◽  
Joyce Komesuor ◽  
Evelyn Acquah ◽  
Prince Justin Anku ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Community Involvement ◽  
Health Workers ◽  
World Health ◽  
Community Members ◽  
Community Health Volunteers ◽  
Directly Observed Treatment ◽  
Community Contribution ◽  
Tuberculosis Care ◽  
Selection Of

Background. Eradicating tuberculosis (TB) is one of the targets of the recently constituted Sustainable Development Goal (SDG) Three. In the light of limitations inherent in prevailing tuberculosis care and the global urgency to improve TB care, decentralising TB care beyond health facilities by harnessing the contribution of communities is essential in ensuring effective tuberculosis care. In this paper, we explored community contribution to TB care in the Krachi West District of Ghana. Methods. In this qualitative study, 24 TB stakeholders made up of 7 health workers, 9 tuberculosis patients, 4 community health volunteers, 2 treatment supporters, and 2 opinion leaders were interviewed. Data collected were analysed manually, but thematically. Statements of the participants were presented as quotes to substantiate issues discussed. Results. Community contribution to TB care was low. Most of the community members were not aware of any community level activity towards tuberculosis care. Though patients were mainly the ones responsible for the selection of their treatment supporters, there were instances where health workers selected supporters for them without their consent. Some treatment supporters were also not given any education concerning their roles in supporting their patients, resulting in some patients defaulting treatment and others taking their medications wrongfully. Conclusion. Our study revealed low community involvement in tuberculosis care in the Krachi West District of Ghana. Community sensitisation on the World Health Organisation’s Directly Observed Treatment Strategy (which Ghana adopted in 1994) to increase community involvement in tuberculosis activities is, therefore, recommended.

scholarly journals Job Satisfaction Analysis in Rural China: A Qualitative Study of Doctors in a Township Hospital

Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Qiwei Chen ◽  
Lan Yang ◽  
Qiming Feng ◽  
Scott S. Tighe
Keyword(s):  
Job Satisfaction ◽  
Rural Communities ◽  
Qualitative Study ◽  
Health Care Services ◽  
Health Workers ◽  
Rural China ◽  
Work Conditions ◽  
Township Hospital ◽  
The Government ◽  
Township Hospitals

Background. Township hospitals in China provide rural communities with basic but much needed critical health care services. The doctors working in these hospitals often feel unsatisfied when considering their work schedules and financial rewards. Method. To explore job satisfaction of health workers in a township hospital, a qualitative study was conducted of 39 doctors from five township hospitals in Guangxi Zhuang Autonomous Region. The goal was to understand the level of job satisfaction of doctors and to make recommendations for improvements. Results. About 75% (28/39) of the doctors expressed negative attitudes related to their work conditions. Slightly more than half (22/39) mentioned they should receive greater compensation for their work and more than one were seriously considering other options. Many participants (35/39) showed their satisfaction about the achievement of serving as a doctor. Conclusion. Their main concerns related to job satisfaction included working conditions, financial rewards, and the doctor’s relationships with patients. Increasing the incomes and fringe benefits of healthcare workers, improving their work conditions, and providing training and continuing education opportunities would help rural clinics retain doctors and eliminate the current unsatisfactory conditions. The findings also highlight the need for the government to increase financial support of township hospitals.

scholarly journals The perception of training and professional development according to nursing students as health workers during COVID-19: A qualitative study

2021 ◽  
pp. 103072
Author(s):  
Olga Canet-Vélez ◽  
Teresa Botigué ◽  
Ana Lavedán Santamaría ◽  
Olga Masot ◽  
Tània Cemeli Sánchez ◽  
...  
Keyword(s):  
Professional Development ◽  
Nursing Students ◽  
Qualitative Study ◽  
Health Workers

“We will never give up”: A qualitative study of ethical challenges Syrian health workers face in situations of extreme violence

Disasters ◽  
2021 ◽  
Author(s):  
Namrita S. Singh ◽  
Brittany Redman ◽  
Grant Broussard ◽  
Matthew DeCamp ◽  
Diana Rayes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Ethical Challenges ◽  
Extreme Violence

scholarly journals Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework

2020 ◽  
Author(s):  
Joshua P Murphy ◽  
Aneesa Moolla ◽  
Sharon Kgowedi ◽  
Constance Mongwenyana ◽  
Sithabile Mngadi ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Policy Implementation ◽  
Community Health ◽  
Resource Constraints ◽  
Health Workers ◽  
Healthcare Providers ◽  
Successful Implementation ◽  
Programme Implementation ◽  
Healthcare Facilities

Abstract South Africa has a long history of community health workers (CHWs). It has been a journey that has required balancing constrained resources and competing priorities. CHWs form a bridge between communities and healthcare service provision within health facilities and act as the cornerstone of South Africa’s Ward-Based Primary Healthcare Outreach Teams. This study aimed to document the CHW policy implementation landscape across six provinces in South Africa and explore the reasons for local adaptation of CHW models and to identify potential barriers and facilitators to implementation of the revised framework to help guide and inform future planning. We conducted a qualitative study among a sample of Department of Health Managers at the National, Provincial and District level, healthcare providers, implementing partners [including non-governmental organizations (NGOs) who worked with CHWs] and CHWs themselves. Data were collected between April 2018 and December 2018. We conducted 65 in-depth interviews (IDIs) with healthcare providers, managers and experts familiar with CHW work and nine focus group discussions (FGDs) with 101 CHWs. We present (i) current models of CHW policy implementation across South Africa, (ii) facilitators, (iii) barriers to CHW programme implementation and (iv) respondents’ recommendations on how the CHW programme can be improved. We chronicled the differences in NGO involvement, the common facilitators of purpose and passion in the CHWs’ work and the multitude of barriers and resource limitations CHWs must work under. We found that models of implementation vary greatly and that adaptability is an important aspect of successful implementation under resource constraints. Our findings largely aligned to existing research but included an evaluation of districts/provinces that had not previously been explored together. CHWs continue to promote health and link their communities to healthcare facilities, in spite of lack of permanent employment, limited resources, such as uniforms, and low wages.

scholarly journals A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program

2017 ◽  
Vol 178 ◽  
pp. 55-65 ◽  
Author(s):  
Sukumar Vellakkal ◽  
Hanimi Reddy ◽  
Adyya Gupta ◽  
Anil Chandran ◽  
Jasmine Fledderjohann ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Institutional Delivery ◽  
Delivery Care ◽  
Incentive Program ◽  
Cash Incentive
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