Factors impacting sustainability of community health worker programming in rural Uganda: a qualitative study.
CHWs programs
Uganda
maternal newborn and child health
sustainability
Journal
African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
entrez:
21
11
2022
pubmed:
22
11
2022
medline:
23
11
2022
Statut:
ppublish
Résumé
Despite significant global progress towards decreased child mortality in past decades, maternal and child mortality continues to be high, especially in sub Saharan Africa. Most of these deaths are preventable with known interventions. Community health workers (CHWs) are well-positioned to promote these life-saving interventions; however, sustaining CHW programs remains a challenge. A sustainability-focused qualitative evaluation, was done between July and August 2018 in 2 rural districts in southwest Uganda. Using semi-structured interview tools, we conducted 6 Focus Group discussions (FGDs) with CHWs and 17 in-depth interviews (IDIs) with various district stakeholders to gain insights into factors affecting sustainability of a district-wide maternal, newborn and child health (MNCH)-oriented CHW intervention. Data was managed using NVivo software (version 12) with themes using thematic analysis. Identified factors impacting CHW program sustainability included 'health system effectiveness' (availability of supplies, medicines and services and availability of facility health providers), CHW program-related factors' (CHW selection and training, CHW recognition), 'community attitudes and beliefs' and 'stakeholder engagement'. To sustain CHW programs in rural Uganda and globally, planners, policymakers and funders should maximize community engagement in establishing CHW networks and strengthen accountability, supply chains and linkages with communities and health facilities.
Sections du résumé
Background
UNASSIGNED
Despite significant global progress towards decreased child mortality in past decades, maternal and child mortality continues to be high, especially in sub Saharan Africa. Most of these deaths are preventable with known interventions. Community health workers (CHWs) are well-positioned to promote these life-saving interventions; however, sustaining CHW programs remains a challenge.
Methods
UNASSIGNED
A sustainability-focused qualitative evaluation, was done between July and August 2018 in 2 rural districts in southwest Uganda. Using semi-structured interview tools, we conducted 6 Focus Group discussions (FGDs) with CHWs and 17 in-depth interviews (IDIs) with various district stakeholders to gain insights into factors affecting sustainability of a district-wide maternal, newborn and child health (MNCH)-oriented CHW intervention. Data was managed using NVivo software (version 12) with themes using thematic analysis.
Results
UNASSIGNED
Identified factors impacting CHW program sustainability included 'health system effectiveness' (availability of supplies, medicines and services and availability of facility health providers), CHW program-related factors' (CHW selection and training, CHW recognition), 'community attitudes and beliefs' and 'stakeholder engagement'.
Conclusion
UNASSIGNED
To sustain CHW programs in rural Uganda and globally, planners, policymakers and funders should maximize community engagement in establishing CHW networks and strengthen accountability, supply chains and linkages with communities and health facilities.
Identifiants
pubmed: 36407393
doi: 10.4314/ahs.v22i2.76
pii: jAFHS.v22.i2.pg668
pmc: PMC9652648
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
668-677Informations de copyright
© 2022 Ashaba S et al.
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