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Sub-Saharan Africa (SSA)

Community health workers’ efforts to build health system trust in marginalised communities: a qualitative study from South Africa

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The authors of this study investigate CHW workplace trust, trust between the patient and the CHW, and trust in the health system within the national CHW program in South Africa. They found that while CHWs had low workplace trust and there is low trust in the healthcare system to provide adequate care, there is significant trust between CHWs and their patients. These results … [Read more...] about Community health workers’ efforts to build health system trust in marginalised communities: a qualitative study from South Africa

How workers respond to social rewards: evidence from community health workers in Uganda

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How does recognition affect CHW performance? The authors of this study explored how a competitive annual award (a social reward) affected CHW performance in Uganda. The researchers found that when one CHW received the award, peer CHW performance decreased. Additionally, the authors found that if a whole CHW branch received an award, neighboring CHW branches showed decreased … [Read more...] about How workers respond to social rewards: evidence from community health workers in Uganda

Effect of community-led delivery of HIV self-testing on HIV testing and antiretroviral therapy initiation in Malawi: A cluster-randomised trial

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HIV infection can go undetected in certain populations of Malawi, increasing disease-burden and continued transmission. Researchers conducted a study to assess the effectiveness and safety of community-led delivery of HIV self-testing (HIVST) to increase antiretroviral therapy (ART) initiation. The authors found that community-led HIVST was a safe and cost effective way to … [Read more...] about Effect of community-led delivery of HIV self-testing on HIV testing and antiretroviral therapy initiation in Malawi: A cluster-randomised trial

Assessing selection procedures and roles of Community Health Volunteers and Community Health Management Committees in Ghana’s Community-based Health Planning and Services program

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In Ghana, community health volunteers (CHVs) and community health management committees (CHMCs) are essential to providing health care and fostering a sense of community ownership. This study sought to understand the criteria used to select these crucial community-based providers. The authors found that  selection processes for CHVs and CHMCs vary widely; they suggest … [Read more...] about Assessing selection procedures and roles of Community Health Volunteers and Community Health Management Committees in Ghana’s Community-based Health Planning and Services program

Gender intentional approaches to enhance health social enterprises in Africa: a qualitative study of constraints and strategies

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Although efforts to reach gender equality can improve health outcomes, research is lacking as to what specific gender barriers exist that perpetuate substandard health outcomes. This qualitative study set out to identify specific gender barriers that create obstacles to achieving improved health in Africa. Researchers found that female community health workers face gender based … [Read more...] about Gender intentional approaches to enhance health social enterprises in Africa: a qualitative study of constraints and strategies

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