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How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

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Authors: Maryse C Kok, Sumit S Kane, Olivia Tulloch, Hermen Ormel, Sally Theobald, Marjolein Dieleman, Miriam Taegtmeyer, Jacqueline EW Broerse and Korrie AM de Koning

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. However, research seldom focuses on the implications of context for CHW or programme performance. Understanding the socio-cultural, economic, and political context in which CHW interventions operate is an important precondition for the design of successful interventions.

The authors conducted a systematic review with a narrative analysis on contextual factors influencing performance of CHWs, to contribute to the evidence-base on how these influence CHW or CHW program performance. The authors make recommendations on the inclusion of context as an important element in CHW programme design and future research.

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Resource Topic: Community Health Workers/Volunteers, Motivation/incentives, Performance management, Policy

Resource Type: Research

Year: 2015

Region: Asia, Latin America and the Caribbean (LAC), Middle East and North Africa (MENA), Sub-Saharan Africa (SSA)

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Publisher May Restrict Access: No

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