Factors Shaping Interactions Among Community Health Workers in Rural Ethiopia: Rethinking Workplace Trust and Teamwork

2014 ◽  
Vol 59 (s1) ◽  
pp. S32-S43 ◽  
Author(s):  
Michelle M. Dynes ◽  
Rob Stephenson ◽  
Craig Hadley ◽  
Lynn M. Sibley
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Rural Ethiopia ◽  
Workplace Trust

scholarly journals A network study exploring factors that promote or erode interaction among diverse community health workers in rural Ethiopia

2014 ◽  
Vol 30 (9) ◽  
pp. 1093-1104 ◽  
Author(s):  
Michelle M Dynes ◽  
Craig Hadley ◽  
Rob Stephenson ◽  
Lynn M Sibley
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Rural Ethiopia ◽  
Diverse Community

scholarly journals A multi-site community randomized trial of community health workers to provide counseling and support for patients newly entering HIV care in rural Ethiopia: study design and baseline implementation

2018 ◽  
Vol 19 (3) ◽  
pp. 112-119 ◽  
Author(s):  
Alan R. Lifson ◽  
Sale Workneh ◽  
Abera Hailemichael ◽  
Richard F. MacLehose ◽  
Keith J. Horvath ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Community Health ◽  
Community Health Workers ◽  
Study Design ◽  
Health Workers ◽  
Hiv Care ◽  
Rural Ethiopia

scholarly journals Community health workers’ efforts to build health system trust in marginalised communities: a qualitative study from South Africa

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044065
Author(s):  
Jocelyn Anstey Watkins ◽  
Frances Griffiths ◽  
Jane Goudge
Keyword(s):  
South Africa ◽  
Health System ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Interpersonal Trust ◽  
Institutional Trust ◽  
Employment Conditions ◽  
Workplace Trust ◽  
Structural Poverty

IntroductionCommunity health workers (CHWs) enable marginalised communities, often experiencing structural poverty, to access healthcare. Trust, important in all patient–provider relationships, is difficult to build in such communities, particularly when stigma associated with HIV/AIDS, tuberculosis and now COVID-19, is widespread. CHWs, responsible for bringing people back into care, must repair trust. In South Africa, where a national CHW programme is being rolled out, marginalised communities have high levels of unemployment, domestic violence and injury.ObjectivesIn this complex social environment, we explored CHW workplace trust, interpersonal trust between the patient and CHW, and the institutional trust patients place in the health system.Design, participants, settingWithin the observation phase of a 3-year intervention study, we conducted interviews, focus groups and observations with patients, CHWs, their supervisors and, facility managers in Sedibeng.ResultsCHWs had low levels of workplace trust. They had recently been on strike demanding better pay, employment conditions and recognition of their work. They did not have the equipment to perform their work safely, and some colleagues did not trust, or value, their contribution. There was considerable interpersonal trust between CHWs and patients, however, CHWs’ efforts were hampered by structural poverty, alcohol abuse and no identification documents among long-term migrants. Those supervisors who understood the extent of the poverty supported CHW efforts to help the community. When patients had withdrawn from care, often due to nurses’ insensitive behaviour, the CHWs’ attempts to repair patients’ institutional trust often failed due to the vulnerabilities of the community, and lack of support from the health system.ConclusionStrategies are needed to build workplace trust including supportive supervision for CHWs and better working conditions, and to build interpersonal and institutional trust by ensuring sensitivity to social inequalities and the effects of structural poverty among healthcare providers. Societies need to care for everyone.

Bringing Community Health Workers into the Mainstream of U.S. Health Care

2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Mary Pittman ◽  
Anne Sunderland ◽  
Andrew Broderick ◽  
Kevin Barnett
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers
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