scholarly journals Bringing Community Back to Community Health Worker Studies: Community interactions, data collection, and health information flows

2017 ◽  
Vol 13 (3) ◽  
Author(s):  
Eric Ryan Obeysekare ◽  
Khanjan Mehta ◽  
Carleen Maitland
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Information ◽  
Health Workers ◽  
Participant Observation ◽  
Health Resources ◽  
Community Members ◽  
Community Interactions ◽  
Community Based ◽  
Potential Health

Community Health Workers (CHWs) have the potential to be a great resource in the further growth of the fledging healthcare systems that exist in many developing countries. Through their position as community members, CHWs can interact with other individuals in the areas where they live and work and serve as valuable health resources by providing basic health information and referrals up the healthcare chain. However, few studies have examined CHWs from a community-based perspective. This study analyzes the work and relationships of several CHWs working for the Mashavu mHealth venture in Nyeri, Kenya. Through the use of participant observation and interviews, the workflows of these CHWs were investigated with a specific eye towards interactions between CHWs and their communities and how these interactions affect potential health data collection opportunities. This community-based perspective reveals unique insights into the workflows of the CHWs and how technology might be designed to support them.

scholarly journals Towards Promotion of Community rewards to Volunteer Community Health Workers? Lessons from Experiences of Village Health Teams in Luwero, Uganda

2016 ◽  
Vol 1 (2) ◽  
pp. 85 ◽  
Author(s):  
Emmanueil Benon Turinawe ◽  
Jude T. Rwemisisi ◽  
Laban K. Musinguzi ◽  
Marije de Groot ◽  
Denis Muhangi ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Participant Observation ◽  
Community Members ◽  
Dynamic Relationship ◽  
Key Informant ◽  
Depth Interviews ◽  
Village Health ◽  
Village Health Teams

<p><em>In the debate regarding volunteer Community Health Workers (CHWs) some argue that lack of remuneration is exploitation while others caution that any promise to pay volunteers will decrease the volunteer spirit. In this paper we discuss the possibility of community rewards for CHWs. Ethnographic fieldwork that lasted 18 months utilised methods including participant observation, FGDs, in-depth interviews and key informant interviews to gain insight into the dynamic relationship between volunteer CHWs known as Village Health Teams (VHTs) and the community. Contextual transcription was done and data was thematically analysed. Findings show that community members are willing to reward volunteer CHWs with cash, material and symbolic rewards in appreciation for their help. Factors crucial for this gesture included: care and recognition of the VHTs’ work by medical staff, fulfilment of the promises made to the community by government and exemplary behaviour by CHWs. Therefore, effort should be made to facilitate volunteer CHWs to be seen as helpful to their communities. Especially, there needs to be a smooth operation at the intersection between the VHTs, local government and medical structures. Community rewards could be a more sustainable way of motivating CHWs while a solution to health personnel shortage is sought. </em><em></em></p>

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

scholarly journals Community Health Workers Working the Digital Archive: A Case for Looking at Participatory Archiving in Studying Stigma in the Context of HIV and AIDS

2012 ◽  
Vol 17 (1) ◽  
pp. 13-28 ◽  
Author(s):  
Naydene De Lange ◽  
Claudia Mitchell
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Hiv And Aids ◽  
Hiv Stigma ◽  
Digital Archive ◽  
Visual Data ◽  
Community Members ◽  
Work Related ◽  
Kwazulu Natal

Addressing the issue of HIV-stigma is recognised as essential to reducing the spread of HIV and AIDS, enabling community members to access prevention, treatment and care. Often the very people who are able to contribute to solving the problem, are marginalised and do not see ways to insert themselves into dialogues related to combating stigma. Community health workers in rural South Africa are one such group. At the heart of the research discussed in this article is an intervention based on participatory analysis through participatory archiving ( Shilton and Srinivasan 2008 ). Drawing on participatory work with thirteen community health workers in rural KwaZulu-Natal, we use a digital archive containing HIV-stigma visual data - generated five years earlier by youth in the community - to engage the participants in the analysis. Drawing on such participatory work as Jenkins’ participatory cultures framework, we focus on the idea of re-using, re-coding, and re-mixing visual data. One participant stated that “these pictures talk about the real issues faced by our communities”, highlighting the value of resources generated by community members themselves. They also indicate that they “could use [the resources] to teach the cons of stigmatising”. A key concern in work related to visual images (particularly in projects such as ours where a large amount of visual data is produced) is to consider ways of extending its life through the use of community-based digital archives.

A Community-Based Participatory Diabetes Prevention and Management Intervention in Rural India Using Community Health Workers

2012 ◽  
Vol 38 (6) ◽  
pp. 822-834 ◽  
Author(s):  
Padmini Balagopal ◽  
N. Kamalamma ◽  
Thakor G. Patel ◽  
Ranjita Misra ◽  
Ranjita Misra ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Diabetes Prevention ◽  
Health Workers ◽  
Rural India ◽  
Community Based ◽  
Management Intervention

scholarly journals Developing homestay to support community-based tourism

2019 ◽  
Vol 32 (4) ◽  
pp. 390
Author(s):  
Ilham Junaid ◽  
Nur Salam ◽  
Muh. Arfin M. Salim
Keyword(s):  
Qualitative Research ◽  
Local Community ◽  
Participant Observation ◽  
Tourism Industry ◽  
Tourism Destination ◽  
Community Members ◽  
Community Based ◽  
Tour Guides

Wakatobi regency has been chosen as a ten-top priority tourism destination in Indonesia. It provides the opportunity for the local community to obtain benefits through tourism. The aims of this research are 1) to study the expectation of the community related to the management of homestay as accommodation business; 2) to analyse challenges and provide recommendations concerning how to implement community-based tourism on the perspective of community as the organiser of the homestay. Qualitative research conducted in March 2018 by visiting Wakatobi for participant observation and interviews three community members or homestay managers, two tour guides and two people from the tourism industry (accommodation). The research indicates that tourism has encouraged the local community to manage homestay, although there are members of the community require motivation and support to understand the significances of managing homestay and tourism. The management of homestay by the local community links to the implementation of community-based tourism and to optimise the management of homestay; it is necessary to provide sustainable training for the local community as well as to empower people through local tourism organisation. Key attractors such as activities and alternative attractions for the visitors are essential for the management of homestay. Limited numbers of tourists who choose homestay to become the challenge for homestay management, thus, the local community expects that the increasing number of tourists as well as a willingness by tourists to choose homestay as their accommodation. 

scholarly journals HUBUNGAN PERSEPSI IBU BALITA TENTANG POSYANDU DENGAN PEMANFAATAN POSYANDU MAWAR 2 RW 06 KEBAGUSAN JAKARTA SELATAN TAHUN 2015

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Alifa Dinda Septifani ◽  
Apriningsih Apriningsih
Keyword(s):  
Data Collection ◽  
Study Design ◽  
Significant Relationship ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional

Posyandu was one manifestation of Health Efforts on Community Based (UKBM). Based on data Posyandu Mawar 2 in February 2015 there were a decreased number of mothers’s visit from 81.25% to 62.5%, so the researchers wanted to know about association of the mother’s perception with the utilization of The Posyandu. This research used cross sectional study design using total sampling (80 mothers). Data collection was done by direct interviews based on the questionnaire and analyzed using Chi Square. The result there’s a significant association between mother’ss perception of the distance to the utilization of Posyandu RW 06 Posyandu Mawar 2 Kebagusan South Jakarta and there’s no significant relationship between education, employment and the knowledge and mothers’perceptions about the completeness of facilities, the attitude of cadres and the presence of health workers. Suggestions for Posyandu is to increase  of  mother’confident to visit Posyandu

scholarly journals Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature

2020 ◽  
Vol 52 (4) ◽  
pp. 152-159 ◽  
Author(s):  
Gayenell S. Magwood ◽  
Michelle Nichols ◽  
Carolyn Jenkins ◽  
Ayaba Logan ◽  
Suparna Qanungo ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Review Of The Literature ◽  
Community Based Interventions ◽  
Community Based
Sign in / Sign up

Export Citation Format

Share Document