ArticleThe International journal of health planning and management2018
Challenges facing community health workers in Brazil's Family Health Strategy: A qualitative study.
Article in The International journal of health planning and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Examining Interprofessional teams structures and processes in the implementation of a primary care intervention (Health TAPESTRY) for older adults using normalization process theory.BMC family practice · 2020Trial
- Reciprocal innovation to improve access to primary healthcare in Belgium: adaptation and development of a community health worker intervention.BMC health services research · 2026Article
- A digital adaptation of the WHO's Self-Help Plus psychological intervention to alleviate stress among community health workers: a mixed-methods evaluation of the SAMBHAV program in rural India.Health policy and planning · 2026Article
- Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players.International journal of environmental research and public health · 2025Article
- Barriers and Facilitators to Integrating Depression Treatment Within a TB Program and Primary Care in Brazil.Health promotion practice · 2024Article
- Evaluation of the implementation of a community health worker-led COVID-19 contact tracing intervention in Chiapas, Mexico, from March 2020 to December 2021.BMC health services research · 2024Observational
- Recruitment and selection of community health workers in Iran; a thematic analysis.BMC public health · 2023Article
- Community Health Worker Use of Smart Devices for Health Promotion: Scoping Review.JMIR mHealth and uHealth · 2023Article
- Community health workers' perspectives on integrating into school settings to support student health.Frontiers in 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
- Challenges experienced by community health workers and their motivation to attend a self-management programme.African journal of primary health care & family medicine · 2022Article
- Contested notions of challenges affecting Community Health Workers in low- and middle-income countries informed by the Silences Framework.Human resources for health · 2022Article
- Maternal and child surveillance in peri-urban communities: Perceptions of women and community health workers from Pakistan.PLOS global public health · 2022Article
- Factors associated with home visits by volunteer community health workers to implement a home-fortification intervention in Bangladesh: a multilevel analysis.Public health nutrition · 2021Article
- The community health worker as service extender, cultural broker and social change agent: a critical interpretive synthesis of roles, intent and accountability.BMJ global health · 2020Article
- Improving post-partum family planning services provided by female community health volunteers in Nepal: a mixed methods study.BMC health services research · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
Community health worker (CHW) programs are implemented in many low- and middle-income countries such as Brazil to increase access to and quality of care for underserved populations; CHW programs have been found to improve certain indicators of health, but few studies have investigated the daily work of CHWs, their perspectives on what both helps and hinders them from fulfilling their roles, and ways that their effectiveness and job satisfaction could be increased. To examine these questions, we observed clinic visits, CHW home visits, and conducted semistructured interviews with CHWs in 7 primary care centers in Brazil-2 in Salvador, Bahia, and 5 in São Paulo, SP-in which CHWs are incorporated into the work of all primary care health teams. In addition to enhancing communication between the medical system and the community, CHWs consider their key roles to be helping persuade community members to seek medical care and increasing health professionals' awareness of the social conditions affecting their patients' health. Key obstacles that CHWs face include failure to be fully integrated into the primary care team, inability to follow-up on identified health needs due to limited resources, as well as community members' lack of understanding of their work and undervaluing of preventative medicine. Increased training, better incorporation of CHWs into clinic flow and decision making, and establishing a clear community awareness of the roles and value of CHWs will help increase the motivation and effectiveness of CHWs in Brazil.
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