Evidence map›Paper›PMID 29739394›Full record

SynthesisHuman resources for health2018

Towards a framework for analyzing determinants of performance of community health workers in malaria prevention and control: a systematic review.

Helen Mwiinga Chipukuma, Joseph Mumba Zulu, Choolwe Jacobs, Gershom Chongwe, Mumbi Chola, Hikabasa Halwiindi, Jessy Zgambo, Charles Michelo

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Human resources for health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Helen Mwiinga ChipukumaDepartment of Health Policy Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia. hchipukum@yahoo.co.uk.
Joseph Mumba ZuluDepartment of Health Promotion Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Choolwe JacobsDepartment of Epidemiology and Biostatistics Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Gershom ChongweDepartment of Epidemiology and Biostatistics Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Mumbi CholaDepartment of Epidemiology and Biostatistics Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Hikabasa HalwiindiDepartment of Environmental Health Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Jessy ZgamboDepartment of Epidemiology and Biostatistics Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
Charles MicheloDepartment of Epidemiology and Biostatistics Unit, School of Public Health, University of Zambia, P.O. Box 50110, Lusaka, Zambia.
University of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity health workers (CHWs) are an important human resource in improving coverage of and success to interventions aimed at reducing malaria incidence. Evidence suggests that the performance of CHWs in malaria programs varies in different contexts. However, comprehensive frameworks, based on systematic reviews, to guide the analysis of determinants of performance of CHWs in malaria prevention and control programs are lacking.

methodsWe systematically searched Google Scholar, Science Direct, and PubMed including reference lists that had English language publications. We included 16 full text articles that evaluated CHW performance in malaria control. Search terms were used and studies that had performance as an outcome of interest attributed to community-based interventions done by CHWs were included.

resultsSixteen studies were included in the final review and were mostly on malaria Rapid Diagnosis and Treatment, as well as adherence to referral guidelines. Factors determining performance and effective implementation of CHW malaria programs included health system factors such as nature of training of CHWs; type of supervision including feedback process; availability of stocks, supplies, and job aids; nature of work environment and reporting systems; availability of financial resources and transport systems; types of remuneration; health staff confidence in CHWs; and workload. In addition, community dynamics such as nature of community connectedness and support from the community and utilization of services by the community also influenced performance. Furthermore, community health worker characteristics such marital status, sex, and CHW confidence levels also shaped CHW performance.

conclusionsEffectively analyzing and promoting the performance of CHWs in malaria prevention and control programs may require adopting a framework that considers health systems and community factors as well as community health worker characteristics.

Indexed as

Community Health WorkersDelivery of Health CareProfessional CompetenceWork PerformanceHumansMalariaPersonnel ManagementResidence CharacteristicsAssessmentCommunity health workerEvaluationImplementationMalariaPerformancePolicyUtilization

Identifiers

PMID29739394
PMCPMC5941646
OpenAlexW2807421630

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.