Community Health Workers' Experiences in Strengthening the Uptake of Childhood Immunization and Malaria Prevention Services in Urban Sierra Leone
Rattachement africain : us, Sierra Leone. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Introduction: Community health workers (CHWs) play an integral role in Sierra Leone's health systems strengthening efforts. Our goal was to understand CHWs' experiences of providing immunization and malaria prevention services in urban settings and explore opportunities to optimize their contributions to these services. Methods: In 2018, we conducted an exploratory qualitative assessment in the Western Area Urban district, which covers most of the capital city of Freetown. We purposively selected diverse health facilities (i.e., type, ownership, setting) and recruited CHWs through their supervisors. We conducted eight focus group discussions (FGD) with CHWs, which were audio-recorded. The topics explored included participants' background, responsibilities and priorities of urban CHWs, sources of motivation at work, barriers to CHWs' immunization and malaria prevention activities, and strategies used to address these barriers. The local research team transcribed and translated FGDs into English; then we used qualitative content analysis to identify themes. Results: Four themes emerged from the qualitative content analysis: (1) pride, compassion, recognition, and personal benefits are important motivating factors to keep working as CHWs; (2) diverse health responsibilities and competing priorities result in overburdening of CHWs; (3) health system- and community-level barriers negatively affect CHWs' activities and motivation; (4) CHWs use context-specific strategies to address challenges in their work but require further support. Conclusion: Focused support for CHWs is needed to optimize their contributions to immunization and malaria prevention activities. Such interventions should be coupled with systems-level efforts to address the structural barriers that negatively affect CHWs' overall work and motivation, such as the shortage of work supplies and the lack of promised financial support.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Community Health Workers' Experiences in Strengthening the Uptake of Childhood Immunization and Malaria Prevention Services in Urban Sierra Leone
- Date Crossref
- 02/12/2021
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Centers for Disease Control and Prevention pays non établi dans la noticeOrganisme public
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National Center for Immunization and Respiratory Diseases pays non établi dans la noticeStructure de recherche
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ICAP Global Health pays non établi dans la noticeÉtablissement de santé
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Columbia University Freetown, Sierra Leone (pays nommé en fin d’affiliation)Université ou école supérieure
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University of Sierra Leone Sierra Leone (code pays fourni par la source)Université ou école supérieure
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Ministry of Health and Sanitation Child Health and Immunization Program Freetown, Sierra Leone (code pays fourni par la source)Organisme public
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Immunization Systems Branch pays non établi dans la noticeInstitution
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Mailman School of Public Health Department of Epidemiology pays non établi dans la noticeUniversité ou école supérieure
Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases et ICAP Global Health, avec 5 autres affiliations. Pays d’affiliation : Sierra Leone.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.