ArticleFrontiers in public health2017
Community Health Volunteers in Primary Healthcare in Rural Uganda: Factors Influencing Performance.
Article in Frontiers in public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review.PloS one · 2023Pooled it
- Contribution of women's development army to maternal and child health in Ethiopia: a systematic review of evidence.BMJ open · 2019Pooled it
- Diagnosing Post-Cesarean Surgical Site Infections in Rural Rwanda: Development, Validation, and Field Testing of a Screening Algorithm for Use by Community Health Workers.Surgical infections · 2020Trial
- Systematic adaptation of a visual-aided adolescent nutrition intervention from peri-urban Burkina Faso for rural Uganda using intervention mapping.BMC public health · 2026Article
- Article
- Performance of community health volunteers during the COVID-19 pandemic: assessing the enablers and challenges in Machakos County, Kenya.Primary health care research & development · 2025Article
- The impact of the Lesotho health reform in the re-structuring of the village health workers program.BMC health services research · 2025Article
- Community Perspectives on Optimizing Community Health Volunteer Roles for HIV Prevention Services in Kenya and Uganda.AIDS patient care and STDs · 2025Article
- Do cash or digital payment modalities affect community health worker performance? - a case study of a remote refugee settlement in Western Uganda.Global health action · 2024Article
- Unlocking Success: Determining Predictors of High-Performance among COMBI Community Health Volunteers in Kuala Lumpur and Putrajaya.Iranian journal of public health · 2024Article
- Article
- Establishing community mental health clinics increased the number of patients receiving care in rural Western Uganda.Frontiers in health services · 2023Article
- Does mHealth influence community health worker performance in vulnerable populations? A mixed methods study in a multinational refugee settlement in Uganda.PLOS global public health · 2023Article
- The experiences and challenges of community health volunteers as agents for behaviour change programming in Africa: a scoping review.Global health action · 2022Article
- Community Health Workers Improve HIV Disclosure Among HIV-Affected Sexual Partners in Rural Uganda: A Quasi-Experimental Study.Global health, science and practice · 2022Article
- Public health and hospital-based nursing intersection: Case study of drug-resistant tuberculosis patients.Public health nursing (Boston, Mass.) · 2022Article
- Enhancing Performance and Sustainability of Community Health Worker Programs in Uganda: Lessons and Experiences From Stakeholders.Global health, science and practice · 2021Article
- How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan.International journal of environmental research and public health · 2020Article
- Longitudinal analysis of the capacities of community health workers mobilized for seasonal malaria chemoprevention in Burkina Faso.Malaria journal · 2020Article
- A conceptual framework for measuring community health workforce performance within primary health care systems.Human resources for health · 2019Review
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCommunity health volunteers (CHVs) play an integral role in primary healthcare. Several countries rely on CHV programs as a major element in improving access to care and attaining universal health coverage. However, their performance has been heterogeneous and at times context-specific, and influenced by multiple factors. We describe the socio-demographic and workplace characteristics affecting CHVs' performance in a public health program in rural western Uganda.
methodsThis was a cross-sectional study based on routine program data of CHVs serving the catchment of Bwindi Community Hospital, Kanungu District, South Western Uganda, in 2014 and 2015. Information was collected on individual socio-demographic and workplace characteristics of the CHVs. To assess their work output, we defined study-specific targets in terms of attendance at monthly CHVs' meetings with community health nurses, households followed-up and reported, children screened for malnutrition, immunization coverage, and health facility deliveries. Frequencies and proportions are reported for characteristics and outputs and odds ratios for study-specific factors associated with overall performance.
resultsOf the 508 CHVs, 65% were women, 48% were aged 35 years and below, and 37% took care of more than the recommended 20-30 households. Seventy-eight percent of the CHVs had ≥80% of pregnant women under their care delivering in health units, 71% had ≥95% of the children on schedule for routine immunization, while 27% screened ≥75% of the children under 5 years for malnutrition. More refresher trainings was associated with better overall performance [adjusted odds ratio (aOR): 12.2, 95% confidence interval (CI): 1.6-93.6,
conclusionBeing in-charge of more than the recommended households was associated with reduced performance of CHVs, while more refresher trainings were associated with improved performance. If the CHVs are to remain a strategic pillar in universal health coverage, it is imperative to address those factors known to impact on their performance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.