Accelerating Health Service and Data Capturing Trough Community Health Workers in Rural Ethiopia - A Pre-requisite to Progress

2012 ◽  
Keyword(s):  
Health Service ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Rural Ethiopia ◽  
Data Capturing

scholarly journals Assessing inequities in community health worker’s interaction and its impact in Uttar Pradesh, India

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Gupta ◽  
S Tomar ◽  
A Dey ◽  
D Chandurkar
Keyword(s):  
Health Service ◽  
Health Outcomes ◽  
Community Health ◽  
Community Health Workers ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Workers ◽  
Uttar Pradesh ◽  
Economic Determinants

Abstract Given the high Neo-natal mortality in the state of Uttar Pradesh, India, an emphasis has been given to community health workers (CHW). CHW provides behavior push to pregnant women for utilizing health services, through the strategies of household contact and messaging. However, the disparity in health outcomes and interaction of CHW is profoundly affected by socio-economic determinants; still, the evidence is limited. This study aims to explore socio-economic inequities in quantity and quality of contacts by the CHW and its differential effect on health service utilization. Multistage sampling design identified live births in the last 12 months across the 25 highest-risk districts of Uttar Pradesh(n = 3703). Regression models described the relation between household demographics and CHW contact & specific messaging and interactions of demographics and CHW contact & messaging in predicting health service utilization ( > = 4 antenatal care (ANC) visits, Institutional delivery and 100 iron folic acid (IFA) consumption). No differential likelihood in contact of CHW and specific messaging is found. Further, association of CHW contacts and specific messaging with health outcomes were significantly affected by socio-economic determinants.2 or more contacts along with specific messaging increased the odds of 4+ ANC to a higher degree among illiterate women compared to literate women(AOR:3.39, 95% CI:2.28-5.04 vs AOR:1.44, 95% CI:1.09-1.92). Similarly, the odds of facility delivery increased to a higher degree among lower wealth women compared to higher wealth women (AOR:3.41, 95% CI:2.47-4.71 vs. AOR:1.53, 95% CI: 1.09-2.15). Specific messaging, along with CHW contacts, have a higher magnitude of effects on the marginalized population. This study provides evidence for adjusting implementation strategies based on socio-economic determinants to achieve equitable health service utilization. However, further research on training of CHW on heterogeneous interaction is recommended Key messages There exists differential effects of quantity and quality of contact by community health workers on health service utilization across the different socio-economic strata. Implementation agencies in the LMIC can reduce health inequity by shifting from coverage-oriented target approach towards more prioritized and focused interaction across socio-economic groups.

scholarly journals Tingkat Pengetahuan Kader tentang Posyandu di Puskesmas Temindung Kota Samarinda

2020 ◽  
Vol 8 (2) ◽  
pp. 119-125
Author(s):  
Fransiska Keron Ola Ola
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Research Subjects ◽  
Public Health Services ◽  
Basic Health ◽  
Service Activities ◽  
Level Of Knowledge

Community health workers are selected by the community from community members who are willing to voluntarily be able to help and have time to organize basic health service activities. The purpose of this study was to determine the level of knowledge community health workers in basic health service the health centers in Temindung, Samarinda.  The research subjects of community health workers were 32 people who were on duty in basic health service activities in 10 basic health service centers in Temindung Samarinda. Measuring the level of knowledge of community health workers using a questionnaire. Percentage analysis to determine the level of knowledge about basic health service. Most community health workers are chosen directly with the essential requirements of being able to read, write and be friendly and voluntarily help and be in their community. Although their knowledge of basic health services is still low with 87.5% of basic health service. Knowledge of community health workers is still low Even though their knowledge is lacking, they still do health services at basic health services once a month. Basic health services are an important part of health services in the community, especially helping health workers in public health services to the community, but so they are expected to get training in basic health services to improve the Indonesian health republic's work program

scholarly journals Acceptability of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

2020 ◽  
Author(s):  
Endang Retno Surjaningrum ◽  
Harry Minas ◽  
Anthony Francis Jorm ◽  
Ritsuko Kakuma
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Service ◽  
Community Health ◽  
Community Health Workers ◽  
Perinatal Depression ◽  
Service Providers ◽  
Health Workers ◽  
Task Sharing ◽  
Potential Health

Abstract Background: Integrated antenatal care in Indonesia has the potential to extend the role of community health workers (CHWs) to include the identification of perinatal depression in the community and referral to primary health care (PHC) centres, which is an example of task-sharing. This study aimed to examine the acceptability of this type of task-sharing in perinatal depression in Surabaya.Methods: Semi-structured interviews were conducted with participants from four PHC stakeholder groups. 62 participants were recruited from PHC centres, villages and integrated health service posts, the district health office, and one hospital. Data were analysed using framework analysis.Results: More than ninety percent of participants accepted or conditionally accepted task-sharing in perinatal depression. Acceptability was influenced by the perceived benefits of task-sharing, the convenience of the service delivery, the existence of cases of perinatal depression perceived by stakeholders, personal characteristics of CHWs, and the scope of their responsibility within existing tasks. Acceptability was limited by stigma of mental health problems, confidentiality, CHWs’ perceived self-capacity, lack of confidence in CHWs’ competencies, and the objectives of task-sharing in depression identification.Conclusion: Results indicate the need to enhance CHWs’ knowledge about perinatal depression and the needs of users, and CHWs’ competencies in identifying depression. Stigma influences potential health service users’ attitudes to mental health services and help-seeking and help-providing behaviours among service providers, and can reduce motivation to use and to provide services.

Sign in / Sign up

Export Citation Format

Share Document