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Ethiopia

Understanding the factors affecting attrition and intention to leave of health extension workers: a mixed methods study in Ethiopia

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Ethiopia’s Health Extension Program (HEP) aims to increase primary health care access through the work of CHWs, known as Health extension workers (HEW). This study aimed to determine the top factors of attrition among HEWs. Through a mixed methods approach, the study determined that factors associated with psychosocial issues, administrative constraints, incentives, lack of … [Read more...] about Understanding the factors affecting attrition and intention to leave of health extension workers: a mixed methods study in Ethiopia

Barriers to the uptake of community-based curative child health services in Ethiopia

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The utilization of services to treat newborns and children has been persistently low in Ethiopia, despite being free services provided by Health Extension Workers (HEWs).   The authors of this study sought to identify barriers to the uptake of neonatal and child health services and potential solutions to inform the Optimizing the Health Extension Project.  Cultural beliefs, … [Read more...] about Barriers to the uptake of community-based curative child health services in Ethiopia

Systematic review of performance-enhancing health worker supervision approaches in low- and middle-income countries

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Through a systematic review, the authors of this study explored approaches to worker supervision that improved CHW performance across low- and middle- income countries. Thirty of the 57 studies that were reviewed focused on CHW programs. The majority of successful approaches utilized some type of digital supervision technologies, such as SmartPhone or mHealth applications. The … [Read more...] about Systematic review of performance-enhancing health worker supervision approaches in low- and middle-income countries

Innovative approach for potential scale-up to jump-start simplified management of sick young infants with possible serious bacterial infection when a referral is not feasible: Findings from implementation research

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While inpatient treatment is a proven method to treating neonatal bacterial infections, inaccessibility to them remains a common cause of death. This study evaluated provision of an antibiotic regimen for young infants with possible serious bacterial infection (PSBI) by CHWs in two districts in Tigray, Ethiopia.  The authors conclude that young infants with PSBI can be managed … [Read more...] about Innovative approach for potential scale-up to jump-start simplified management of sick young infants with possible serious bacterial infection when a referral is not feasible: Findings from implementation research

Article: Health for the People: Past, Current, and Future Contributions of National Community Health Worker Programs to Achieving Global Health Goals

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Despite CHW’s contributions to public health goals, there continues to be a lack of investment in CHW programs. The authors of this paper argue that strengthening and growing national CHW programs are crucial to achieving global health goals like universal health coverage and ending child and maternal deaths by 2030. They suggest that offering comprehensive training for CHWs … [Read more...] about Article: Health for the People: Past, Current, and Future Contributions of National Community Health Worker Programs to Achieving Global Health Goals

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