This study in rural China looked at the role of village doctors in how health services are managed and delivered. Using field observations and interviews, the researchers found that these doctors do more than provide care; they also act as links between government health policies and local communities. They balance three roles: implementing government rules, caring for … [Read more...] about Where state, market, and community meet: Village doctors and the governance of rural health in China
health systems
Repositioning Community Health Workers as Boundary Spanners: A Realist-Informed Theory of Change for Integrated People-Centred Care in South Africa
This study found that community health workers in South Africa already help connect communities with health services, social support programs, and local leaders, even though this role is often not officially recognized. The researchers argue that community health workers should be better supported and included in health system planning because they can help coordinate services … [Read more...] about Repositioning Community Health Workers as Boundary Spanners: A Realist-Informed Theory of Change for Integrated People-Centred Care in South Africa
Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation
This study explored how community health workers help make health care more people-centered in South Africa. It found that trust, motivation, and feeling valued and supported are key factors that help community health workers perform well. These factors work together, and when health system strategies are aligned and supportive, community health workers can provide better care … [Read more...] about Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation
Power, surveillance, and the limits of resistance: The role of community health workers in India’s health system
This study looked at the working conditions of community health workers in India and how the health system relies on them. It found that these workers often have many responsibilities but little power, face low and unstable pay, and are closely monitored. These conditions limit their ability to make decisions or push back, even as they play a key role in keeping the health … [Read more...] about Power, surveillance, and the limits of resistance: The role of community health workers in India’s health system
“We’re Worse off Now Than During COVID”: Community Health Workers’ Perspectives on Intensifying Immigration Enforcement as Cascading Crisis
This study looked at how COVID-19 and immigration enforcement together affected the health of Latino immigrant communities, based on the experiences of community health workers. It found that fear, distrust, and reduced access to services continued even after the pandemic, making it harder for people to seek care. Community health workers helped build trust and adapt support, … [Read more...] about “We’re Worse off Now Than During COVID”: Community Health Workers’ Perspectives on Intensifying Immigration Enforcement as Cascading Crisis