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A realist perspective on optimizing community health workers’ roles and functions to deliver integrated people-centred care

October 17, 2025 By

Authors: Usangiphile E Buthelezi, André J van Rensburg, Mosa Moshabela, Sanah Bucibo, Noxolisa Radebe, Zamasomi Luvuno, Tasneem Kathree, Arvin Bhana, Inge Petersen

This study explored how community health workers (CHWs) in rural South Africa deliver care that focuses on people’s needs. It found that trust, legitimacy, and motivation are key to helping CHWs connect with communities and coordinate services. These work best when CHWs have proper supervision, are part of the formal health system, and collaborate with other sectors. However, challenges like low pay, unstable jobs, poor resources, and lack of recognition make their work harder. The study highlights the need for better support, stronger systems, and policies that fully integrate CHWs into healthcare delivery.

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Resource Topic: CHW Role, CHW programs

Resource Type: Qualitative

Year: 2025

Region: Sub-Saharan Africa (SSA)

Country: South Africa

Publisher May Restrict Access: No

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