Evidence map›Paper›PMID 29801493›Full record

ArticleInternational journal for equity in health2018

Community health workers and accountability: reflections from an international "think-in".

Marta Schaaf, Jonathan Fox, Stephanie M Topp, Caitlin Warthin, Lynn P Freedman, Rachel Sullivan Robinson, Sundararaman Thiagarajan, Kerry Scott, Thoko Maboe, Margareth Zanchetta and 3 more

Abstract readEditorial
In one paragraph

Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

13 authors.

Marta SchaafAverting Maternal Death and Disability Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave, B3, New York, NY, 10032, USA. mls2014@columbia.edu.ORCID 0000-0002-7616-5966
Jonathan FoxAccountability Research Center, School of International Service, American University, 4400 Massachusetts Ave NW, Washington, DC, 20016, USA.
Stephanie M ToppCollege of Public Health, Medical and Veterinary Sciences, James Cook University, James Cook Dr, Townsville, QLD, 4812, Australia.
Caitlin WarthinAverting Maternal Death and Disability Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave, B3, New York, NY, 10032, USA.
Lynn P FreedmanAverting Maternal Death and Disability Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave, B3, New York, NY, 10032, USA.
Rachel Sullivan RobinsonSchool of International Service, American University, 4400 Massachusetts Ave NW, Washington, DC, 20016, USA.
Sundararaman ThiagarajanSchool of Health Systems Studies, Tata Institute of Social Sciences, VN Purav Marg, Deonar, Mumbai, 400088, India.
Kerry ScottIndependent Consultant, Bangalore, India and Research Associate, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Thoko MaboeQondisa Institute Training for Community Health Care Workers, Monument Road, Duncanville, Vereeniging, 1939, South Africa.
Margareth ZanchettaDaphne Cockwell School of Nursing, Faculty of Community Services, Ryerson University, 350 Victoria St, Office POD 474A, Toronto, ON, M5B 2K3, Canada.
Ana Lorena RuanoCenter for the Study of Equity and Governance in Health Systems, Guatemala and Center for International Health University of Bergen, Bergen, Norway.
Maryse KokKIT | Royal Tropical Institute, P.O. Box 95001, 1090, HA, Amsterdam, The Netherlands.
Svea ClosserMiddlebury College, 301 Munroe Hall, Middlebury, VT, 05753, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community health workers (CHWs) are frequently put forward as a remedy for lack of health system capacity, including challenges associated with health service coverage and with low community engagement in the health system, and expected to enhance or embody health system accountability. During a 'think in', held in June of 2017, a diverse group of practitioners and researchers discussed the topic of CHWs and their possible roles in a larger "accountability ecosystem." This jointly authored commentary resulted from our deliberations. While CHWs are often conceptualized as cogs in a mechanistic health delivery system, at the end of the day, CHWs are people embedded in families, communities, and the health system. CHWs' social position and professional role influence how they are treated and trusted by the health sector and by community members, as well as when, where, and how they can exercise agency and promote accountability. To that end, we put forward several propositions for further conceptual development and research related to the question of CHWs and accountability.

Indexed as

Social ResponsibilityCommunity Health WorkersFemaleHealth Services AccessibilityHumansMalePrimary Health CareQualitative ResearchSocioeconomic FactorsTrustAccountabilityCommunity health workersEquityGlobal healthPower relationsUniversal health coverage

Identifiers

PMID29801493
PMCPMC5970525

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.