scholarly journals Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design

2020 ◽  
Author(s):  
Yemane Berhane Tesfau ◽  
Alemayehu Bayray Kahasay ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Araya Abrha Medhanyie ◽  
Hagos Godefay
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Home Visit ◽  
Health Workers ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Health Extension Workers ◽  
Community Based ◽  
Cross Sectional

Abstract Background : In low-income countries like Ethiopia, where families have poor access to or do not utilize services of formal health care systems, community health workers provide postnatal care services through home visits. However, the extent and effectiveness of home-based postnatal visits by community health workers such as the Ethiopian health extension workers (HEWs) are not well explored. This community -based study aimed to determine the coverage, contents of postnatal home visits and associated factors by health extension workers in Northern Ethiopia.Methods : We conducted a community based cross-sectional study in the rural Districts in Northern Ethiopia from August to September 2018. A total of 705 mothers who gave a live birth in the year preceding the survey were selected using multistage random sampling. A structured questionnaire was applied to collect data by interviewing mothers. Data were analyzed using SPSS version 22 statistical software. Association of postnatal home visits with possible explanatory variables was investigated using logistic regression.Results : One hundred two (14.5%) mothers and newborns received PNC home visit within three days after birth from HEW and 170(24.1%) reported postnatal home visits within 42 days. Among the mothers who received postnatal home visits, 6.5% measured their blood pressure, 11.2% measured their temperature, 20% counseled about family planning, 16.5% counseled on newborn danger signs, 11.2% counseled on the skin to skincare of the newborn and 14.1% of their newborns were measured their weight at home. Mothers who received at least one home visit during pregnancy (AOR, 7.58; CI 3.59-15.98), participated in pregnant women forum (AOR, 3.21; CI 1.70-6.05), notified their birth (AOR, 6.15; CI 3.50-10.80) and those member of community health insurance (AOR, 1.88; CI 1.14-3.12) were significantly associated factors with postnatal home visit by a health extension worker.Conclusion : The coverage of postnatal home visits by health extension workers remains low in rural districts of Northern Ethiopia. Existing health systems should consider interventions that improve pregnancy and birth notification strategies and more efforts should be made at improving community-based participation and linkages with community health workers.

scholarly journals Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design

2020 ◽  
Author(s):  
Yemane Berhane Tesfau ◽  
Alemayehu Bayray Kahsay ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Araya Abrha Medhanyie ◽  
Hagos Godefay
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Home Visit ◽  
Health Workers ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Health Extension Workers ◽  
Community Based ◽  
Cross Sectional

Abstract Background : In low-income countries like Ethiopia, where families have poor access to or do not utilize the services of formal health care systems, community health workers provide postnatal care services through home visits. However, the extent and effectiveness of home-based postnatal visits by community health workers such as the Ethiopian health extension workers (HEWs) are not well explored. This community -based study aimed to determine the coverage, contents of postnatal home visits and associated factors by health extension workers in Northern Ethiopia. Methods : We conducted a community based cross-sectional study in the rural Districts in Northern Ethiopia from August to September 2018. A total of 705 mothers who gave a live birth in the year preceding the survey were selected using multistage random sampling. A structured questionnaire was applied to collect data by interviewing the mothers. Data were analyzed using SPSS version 22 statistical software. Association of postnatal home visits with possible explanatory variables was investigated using logistic regression. Results : One hundred and two (14.5%) mothers and newborns received PNC home visit within three days after birth from HEW and 170(24.1%) reported postnatal home visits within 42 days. Among the mothers who received postnatal home visits, 6.5% measured their blood pressure, 11.2% measured their temperature, 20% counseled about family planning, 16.5% counseled on newborn danger signs, 11.2% counseled on the skin to skincare of the newborn and 14.1% of their newborns were measured their weight at home. Mothers who received at least one home visit during pregnancy (AOR, 7.49; CI 3.55-15.80), participated in pregnant women forum (AOR, 3.16; CI 1.67-5.99), notified their birth (AOR, 6.16; CI 3.50-10.84) and those members of community health insurance (AOR, 1.87; CI 1.13-3.10) were factors associated with postnatal home visit by a health extension worker. Conclusion : The coverage of postnatal home visits by health extension workers remains low in rural districts of Northern Ethiopia. The existing health systems should consider interventions that improve pregnancy and birth notification strategies and more efforts should be made at improving community-based participation and linkages with community health workers.

scholarly journals Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh

2020 ◽  
pp. 1-11 ◽  
Author(s):  
Haribondhu Sarma ◽  
Mduduzi NN Mbuya ◽  
Md Tariqujjaman ◽  
Mahfuzur Rahman ◽  
Sufia Askari ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Home Visit ◽  
Health Workers ◽  
Home Visits ◽  
Cross Sectional ◽  
Effective Coverage ◽  
Micronutrient Powder ◽  
Independent Effects

Abstract Objective: We assessed the role of home visits by Shasthya Shebika (SS) – female volunteer community health workers (CHWs) – in improving the distribution of micronutrient powder (MNP), and explored the independent effects of caregiver–provider interaction on coverage variables. Design: We used data from three cross-sectional surveys undertaken at baseline (n 1927), midline (n 1924) and endline (n 1540) as part of an evaluation of a home fortification programme. We defined an exposure group as one that had at least one SS visit to the caregiver’s household in the 12 months preceding the survey considering three outcome variables – message (ever heard), contact (ever used) and effective coverage (regular used) of MNP. We performed multiple logistic regressions to explore the determinants of coverage, employed an ‘interaction term’ and calculated an odds ratio (OR) to assess the modifying effect of SS’s home visits on coverage. Settings: Sixty-eight sub-districts from ten districts of Bangladesh. Participants: Children aged 6–59 months and their caregivers. Results: A home visit from an SS positively impacts message coverage at both midline (ratio of OR 1·70; 95 % CI 1·25, 2·32; P < 0·01) and endline (ratio of OR 3·58; 95 % CI 2·22, 5·78; P < 0·001), and contact coverage both at midline (ratio of OR 1·48; 95 % CI 1·06, 2·07; P = 0·021) and endline (ratio of OR 1·74; 95 % CI 1·23, 2·47; P = 0·002). There was no significant effect of a SS’s home visit on effective coverage. Conclusions: The households visited by BRAC’s volunteer CHWs have better message and contact coverage among the children aged 6–59 months.

scholarly journals Physicians', nurses' and community health workers' knowledge about physical activity in Brazil: A cross-sectional study

2015 ◽  
Vol 2 ◽  
pp. 467-472 ◽  
Author(s):  
Laura Burdick ◽  
Gregore I. Mielke ◽  
Diana C. Parra ◽  
Grace Gomes ◽  
Alex Florindo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Evaluation of the Correlation Between Effort-reward Imbalance and Sleep Quality Among Community Health Workers

2020 ◽  
Author(s):  
Xuexue Deng ◽  
Ronghua Fang ◽  
Yaoting Cai
Keyword(s):  
Sleep Quality ◽  
Sleep Disorders ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Effort Reward Imbalance ◽  
Reward Imbalance ◽  
The Relationship

Abstract Background: A chronic state of imbalance between effort and reward can affect sleep quality. However, few studies have explored the relationship between variables in the ERI model and sleep quality in community health workers in mainland China. We investigated the relationship between effort–reward imbalance and sleep quality in community health workers. Methods: This cross-sectional study was conducted from September to November 2018 and involved 249 registered doctors and 223 registered nurses. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep disorder status of participants. The Effort-Reward Imbalance (ERI) questionnaire was administered to evaluate job-related stress. Multivariate logistic regression was performed to evaluate the factors related to sleep quality. Results: The ERI ratio of 472 health workers was 1.17 ± 0.22, and 273 health workers (57.84%) had PSQI scores >7. There were statistically significant differences in effort scores, overcommitment scores and the total ERI ratio between the health workers with sleep disorders and those without sleep disorders. The ERI ratio was an independent risk factor for sleep quality; age, education, type of work, shift work, and job title were related to the ERI ratio. Conclusions: This study found that sleep disorders were prevalent, work effort was greater than reward and a positive correlation between effort-reward and sleep quality among the health workers community in China. Managers should pay attention to the factors that influence sleep disorders among community health workers, balance the efforts and rewards of work, and reduce the incidence of sleep disorders.

scholarly journals Determinants of Oral Health Behaviour Among Community Health Workers in Kottayam- A Cross-Sectional Study

2021 ◽  
Author(s):  
Najmunnisa K P ◽  
Susan Thomas Thomas ◽  
Mary Shimi S Gomez ◽  
Jesline Merly James ◽  
Vivek Narayan
Keyword(s):  
Oral Health ◽  
Community Health ◽  
Community Health Workers ◽  
Health Behaviour ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Health Education ◽  
Oral Health Behaviour

Abstract BackgroundBeliefs and attitudes of community health workers affect their oral health behaviour and knowledge which in turn affects their potential to motivate the public to undertake preventive oral health measures. This study was performed to assess knowledge, attitude, and practices as well as determinants of oral health behaviour among community health workers in rural regions of Kerala.MethodsA cross-sectional study was conducted among 123 community healthcare workers at primary health centres in the Ettumanoor block zone, Kottayam. A two-stage cluster sampling method was used. Data regarding knowledge, attitude, and practice of oral health were acquired through self-administered questionnaires and analyzed using SPSS software version 25. Statistical association between responses in different group of health workers were determined by using Chi-square test. Independent t-test and ANOVA were used to test the difference in attitude and knowledge scores. Bivariate and multivariate regression analyses were applied to identify factors associated with the oral health behaviour of community health workers.ResultsAbout 65% of the participants exhibited poor oral health behaviour. A positive attitude has a significant relation with oral health behaviour status of the participants (p=0.003). Community health workers who attended an oral health education program had a better oral health behaviour status when compared to those who had not attended (p=0.006). ConclusionsThe results emphasize that oral health education should be given to all the community health workers to enhance their awareness about preventive oral health care.

scholarly journals Performance of community health workers and associated factors in a rural community in Wakiso district, Uganda

2019 ◽  
Vol 19 (3) ◽  
pp. 2784-2797
Author(s):  
David Musoke ◽  
Rawlance Ndejjo ◽  
Edwinah Atusingwize ◽  
Trasias Mukama ◽  
Charles Ssemugabo ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Rural Community ◽  
Associated Factors ◽  
High Performance ◽  
Health Workers ◽  
Health Service Delivery ◽  
Cross Sectional Study ◽  
Essential Medicines ◽  
Cross Sectional

Background: Community health workers (CHWs) continue to play a crucial role in supporting health service delivery globally. Several CHW programmes around the world face vast challenges which affect their performance.Objectives: This study assessed the performance of CHWs and associated factors in a rural community in Wakiso district, Uganda.Methods: This was a cross-sectional study that employed a structured questionnaire to collect quantitative data from 201 CHWs in Wakiso district. The main study variable was CHW performance based on various roles carried out by CHWs. Multivariable logistic regression in STATA was used to establish the predictors of CHW performance.Results: Only 40 (19.9%) of the CHWs had a high performance which was associated with having attended additional / refresher trainings [AOR=12.79 (95% CI: 1.02-159.26)], and having attained secondary level education and above [AOR=3.93 (95% CI: 1.17-13.24)]. CHWs who were married [AOR=0.29 (95% CI: 0.09-0.94)] were less likely to perform highly. Among CHWs who had received essential medicines for treatment of childhood illnesses, the majority 90.3% (112/124) had experienced stock-outs in the 6 months preceding the study. Despite the majority of CHWs, 198 (98.5%), stating that being motivated was very important in their work, only 91 (45%) said that they were motivated.Conclusion: Additional / refresher trainings are necessary to enhance performance of CHWs. In addition, level of education should be considered while selecting CHWs. The health system challenges of low motivation of CHWs as well as stock-out of medicines need to be addressed to support their work.Keywords: Community health workers, performance, motivation, satisfaction, stock-outs, village health teams, Uganda.

scholarly journals The Practice of Home Visiting by Community Health Nurses as a Primary Healthcare Intervention in a Low-Income Rural Setting: A Descriptive Cross-Sectional Study in the Adaklu District of the Volta Region, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Kennedy Diema Konlan ◽  
Nathaniel Kossi Vivor ◽  
Isaac Gegefe ◽  
Imoro A. Abdul-Rasheed ◽  
Bertha Esinam Kornyo ◽  
...  
Keyword(s):  
Community Health ◽  
Home Visit ◽  
Home Visiting ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Health Nurses ◽  
Household Members ◽  
Volta Region

Background. Home visit is an integral component of Ghana’s PHC delivery system. It is preventive and promotes health practice where health professionals render care to clients in their own environment and provide appropriate healthcare needs and social support services. This study describes the home visit practices in a rural district in the Volta Region of Ghana. Methodology. This descriptive cross-sectional study used 375 households and 11 community health nurses in the Adaklu district. Multistage sampling techniques were used to select 10 communities and study respondents using probability sampling methods. A pretested self-designed questionnaire and an interview guide for household members and community health nurses, respectively, were used for data collection. Quantitative data collected were coded, cleaned, and analysed using Statistical Package for Social Sciences into descriptive statistics, while qualitative data were analysed using the NVivo software. Thematic analysis was engaged that embraces three interrelated stages, namely, data reduction, data display, and data conclusion. Results. Home visit is a routine responsibility of all CHNs. The factors that influence home visiting were community members’ education and attitude, supervision challenges, lack of incentives and lack of basic logistics, uncooperative attitude, community inaccessibility, financial constraint, and limited number of staff. Household members (62.3%) indicated that health workers did not adequately attend to minor ailments as 78% benefited from the service and wished more activities could be added to the home visiting package (24.5%). Conclusion. There should be tailored training of CHNs on home visits skills so that they could expand the scope of services that can be provided. Also, community-based health workers such as community health volunteers, traditional birth attendants, and community clinic attendants can also be trained to identify and address health problems in the homes.

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