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.

scholarly journals Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eunice Mallari ◽  
Gideon Lasco ◽  
Don Jervis Sayman ◽  
Arianna Maever L. Amit ◽  
Dina Balabanova ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Community Health ◽  
Community Health Workers ◽  
Financial Incentives ◽  
Lived Experiences ◽  
Health Workers ◽  
The Philippines ◽  
Community Members ◽  
Cross Sectional ◽  
The Impact

Abstract Background Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the delivery of PHC, launching the Barangay (village) Health Worker (BHW) programme in the early 1980s, yet little is known about the factors that motivate and sustain BHWs’ largely voluntary involvement. This study aims to address this gap by examining the lived experiences and roles of BHWs in urban and rural sites in the Philippines. Methods This cross-sectional qualitative study draws on 23 semi-structured interviews held with BHWs from barangays in Valenzuela City (urban) and Quezon province (rural). A mixed inductive/ deductive approach was taken to generate themes, which were interpreted according to a theoretical framework of community mobilisation to understand how characteristics of the social context in which the BHW programme operates act as facilitators or barriers for community members to volunteer as BHWs. Results Interviewees identified a range of motivating factors to seek and sustain their BHW roles, including a variety of financial and non-financial incentives, gaining technical knowledge and skill, improving the health and wellbeing of community members, and increasing one’s social position. Furthermore, ensuring BHWs have adequate support and resources (e.g. allowances, medicine stocks) to execute their duties, and can contribute to decisions on their role in delivering community health services could increase both community participation and the overall impact of the BHW programme. Conclusions These findings underscore the importance of the symbolic, material and relational factors that influence community members to participate in CHW programmes. The lessons drawn could help to improve the impact and sustainability of similar programmes in other parts of the Philippines and that are currently being developed or strengthened in other LMICs.

scholarly journals Contextual factors affecting the integration of community health workers into the health system in Limpopo Province, South Africa

2019 ◽  
Vol 12 (4) ◽  
pp. 281-286 ◽  
Author(s):  
Geoffrey Jobson ◽  
Nireshni Naidoo ◽  
Nthabiseng Matlakala ◽  
Gert Marincowitz ◽  
Jean Railton ◽  
...  
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Limpopo Province ◽  
Community Members ◽  
Middle Income ◽  
Factors Affecting ◽  
Challenges And Opportunities ◽  
Decision Making Processes

Abstract Background Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa’s latest iteration of the CHW programme and have been introduced as part of the National Department of Health’s Primary Health Care Re-engineering programme. Methods In order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa. Results The CHW programme operates across these contexts, each associated with its own set of challenges and opportunities. Conclusions While these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme’s implementation as part of ongoing decision-making processes.

scholarly journals The levels of Community Involvement in Health (CIH): a case of rural and urban communities in KwaZulu-Natal

Curationis ◽  
2009 ◽  
Vol 32 (1) ◽  
Author(s):  
G.G. Mchunu
Keyword(s):  
Community Health ◽  
Urban Communities ◽  
Citizen Participation ◽  
Community Involvement ◽  
Community Health Centers ◽  
Health Workers ◽  
Community Members ◽  
Rural And Urban ◽  
Kwazulu Natal ◽  
Group Interviews

The study aimed to describe the practice of community involvement in health programmes.The study therefore explored the nature and practice of community involvementin health programmes in the two communities in KwaZulu Natal. Thestudy was guided by the conceptual framework adapted from Amstein’s,( 1969) Ladderof Citizen Participation. This framework shows different levels and steps in communityparticipation. A case study method was used to conduct the study. The twocases were one urban based and one rural based community health centers in theIlembe health district, in Kwa Zulu Natal. A sample of 31 persons participated in thestudy. The sample comprised 8 registered nurses, 2 enrolled nurses 13 communitymembers and 8 community health workers. Data was collected using structured individualinterviews and focus group interviews, and was guided by the case protocol.Community involvement in health largely depended on the type of community, withrural community members being in charge of their health projects and urban communitymembers helping each other as neighbours in times of need.

Geo-Analysis: The Distribution of Community Health Workers in Relation to the HIV Prevalence in Kwazulu-Natal Province, South Africa

2021 ◽  
Author(s):  
Gugulethu Eve Khumalo ◽  
S Ntuli ◽  
E Lutge ◽  
T P Mashamba-Thompson
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Hiv Prevalence ◽  
Policy Framework ◽  
Catchment Population ◽  
Density Mapping ◽  
Kwazulu Natal ◽  
Dot Density ◽  
Gis Software

Abstract Background: The Ward Based Primary Health Care Outreach Team (WBPHCOT) policy framework states that community health workers (CHW)s should be distributed mainly according to poverty lines for each catchment population. We aimed to describe the spatial distribution of CHWs in relation to the HIV prevalence which has been associated with poverty in previous studies.Methods: We utilized geographic information system (GIS) method to visualize the distribution of CHWs in relation to HIV prevalence in KwaZulu-Natal (KZN) districts. Dot density mapping, was used to visualize the random distribution of CHWs in relation to HIV prevalence in the districts. The districts’ HIV prevalence, number of PLWH, CHW: PLWH ratio and poverty scores were mapped using choropleth mapping. MapInfo 17, a GIS software was used to map geospatial presentation of the data.Results: Ten out of 11 KZN districts had more than a required CHW:PLWH ratio of 1:160-267, which indicates a significant shortage of CHWs regardless of the HIV prevalence or poverty scores. Furthermore, our findings showed extensive geospatial heterogeneity with no clear pattern in the distribution CHWs in relation to the HIV prevalence and poverty scores in the districts Conclusion: This finding represents inequalities in the provision of HIV services by the CHWs. It is critical to strengthen response to the HIV epidemic through the well informed and justified distribution of CHWs especially to the poor districts.

scholarly journals Reactions of community members regarding community health workers’ activities as a measure of the impact of a training program in Amazonas, Brazil

2015 ◽  
Vol 10 (1) ◽  
pp. 7-19 ◽  
Author(s):  
Ryoko Kawasaki ◽  
Toru Sadamori ◽  
Terezinha Ferreira de Almeida ◽  
Megumi Akiyoshi ◽  
Mika Nishihara ◽  
...  
Keyword(s):  
Community Health ◽  
Training Program ◽  
Community Health Workers ◽  
Health Workers ◽  
Community Members ◽  
The Impact

scholarly journals Perspectives and experiences of community health workers in Brazilian primary care centers using m-health tools in home visits with community members

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Julia Schoen ◽  
John William Mallett ◽  
Rebecca Grossman-Kahn ◽  
Alexandra Brentani ◽  
Elizabeth Kaselitz ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Home Visits ◽  
Community Members

scholarly journals Experiences of midwives and community health workers using mHealth to improve services to pregnant women in rural Burkina Faso, Africa

2019 ◽  
Vol 10 (3) ◽  
pp. 57
Author(s):  
Antonia LDC Arnaert ◽  
Norma Ponzoni ◽  
Zoumanan Debe ◽  
Mouoboum Marc Meda ◽  
Noufou Gustave Nana ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Pregnant Women ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Community Health Center ◽  
Structured Interviews ◽  
Center Staff ◽  
Work Related ◽  
Qualitative Descriptive

Objective: This qualitative, descriptive study explored the experiences of midwives and community health workers (CHWs) using mhealth to improve the care provided to pregnant women living in the rural Diapangou region of Burkina Faso, Africa.Methods: Semi-structured interviews were conducted with 4 CHWs and 4 community health center staff. Transcripts were content analyzed.Results: Despite internet connectivity challenges all participants agreed that mhealth allowed them to provide better maternal care. The service enhanced their practice collectively, through facilitating better follow-up care, promoting communication and collaboration, and facilitated management while simplifying administrative tasks. From a managerial perspective, having access to productivity information allowed for effective oversight and supervision of work-related activities. CHWs perceived additional work responsibilities and an opportunity for growth; however, both CHWs and staff recognized that the exposure to technology allowed them to achieve mastery of basic computer skills.Conclusions: The ‘digital divide’ remains a challenge in low resource settings, thus while findings are promising, Burkina Faso will have to wait to reap the full benefits of digital technology until a supportive infrastructure can be put in place.

scholarly journals Community health workers’ involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
David Musoke ◽  
Edwinah Atusingwize ◽  
Deborah Ikhile ◽  
Sarah Nalinya ◽  
Charles Ssemugabo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Community Health ◽  
Community Health Workers ◽  
Prevention And Control ◽  
Health Workers ◽  
Communicable Diseases ◽  
Community Mobilisation ◽  
Community Members ◽  
Non Communicable Diseases ◽  
And Control

Abstract Background Community health workers (CHWs) are an important cadre of the global health workforce as they are involved in providing health services at the community level. However, evidence on the role of CHWs in delivering interventions for non-communicable diseases (NCDs) in Uganda is limited. This study, therefore, assessed the involvement of CHWs in the prevention and control of NCDs in Wakiso District, Uganda with a focus on their knowledge, attitudes and practices, as well as community perceptions. Methods A cross-sectional study using mixed methods was conducted which involved a structured questionnaire among 485 CHWs, and 6 focus group discussions (FGDs) among community members. The study assessed knowledge, perceptions including the importance of the various risk factors, and the current involvement of CHWs in NCDs, including the challenges they faced. Quantitative data were analysed in STATA version 13.0 while thematic analysis was used for the qualitative data. Results The majority of CHWs (75.3%) correctly defined what NCDs are. Among CHWs who knew examples of NCDs (87.4%), the majority mentioned high blood pressure (77.1%), diabetes (73.4%) and cancer (63.0%). Many CHWs said that healthy diet (86.2%), physical activity (77.7%), avoiding smoking/tobacco use (70.9%), and limiting alcohol consumption (63.7%) were very important to prevent NCDs. Although more than half of the CHWs (63.1%) reported being involved in NCDs activities, only 20.9 and 20.6% had participated in community mobilisation and referral of patients respectively. The majority of CHWs (80.1%) who were involved in NCDs prevention and control reported challenges including inadequate knowledge (58.4%), lack of training (37.6%), and negative community perception towards NCDs (35.1%). From the FGDs, community members were concerned that CHWs did not have enough training on NCDs hence lacked enough information. Therefore, the community did not have much confidence in them regarding NCDs, hence rarely consulted them concerning these diseases. Conclusions Despite CHWs having some knowledge on NCDs and their risk factors, their involvement in the prevention and control of the diseases was low. Through enhanced training and community engagement, CHWs can contribute to the prevention and control of NCDs, including health education and community mobilisation.

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