Evidence map›Paper›PMID 31693110›Full record

ArticleInternational health2020

Contextual factors affecting the integration of community health workers into the health system in Limpopo Province, South Africa.

Geoffrey Jobson, Nireshni Naidoo, Nthabiseng Matlakala, Gert Marincowitz, Jean Railton, James A McIntyre, Helen E Struthers, Remco P H Peters

Open access · hybridAbstract read
In one paragraph

Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.6field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Perspectives of community and facility stakeholders on community health workers in rural Malawi.African journal of primary health care & family medicine · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Evaluating the cascade of care for hypertension in Sierra Leone.Tropical medicine & international health : TM & IH · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
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 4 institutions in 1 country.

Geoffrey JobsonAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Nireshni NaidooAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Nthabiseng MatlakalaAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Gert MarincowitzProvincial Department of Health, Mafeking, Limpopo, South Africa.
Jean RailtonAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
James A McIntyreAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Helen E StruthersAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Remco P H PetersAnova Health Institute, 12 Sherborne Rd., Park Town, Johannesburg, South Africa.
Anova Health Institute · ZAUniversity of Cape Town · ZAUniversity of Pretoria · ZAUniversity of the Witwatersrand · ZA

Funding

Wits-UNC Partnership: Expanding Capacity in HIV Implementation Science in South AfricaD43TW009774 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PETTIFOR, AUDREY, RAMASWAMY, ROHIT · 2014 to 2023
$3.0M
FIC NIH HHS D43 TW009774PEPFAR
6 · The paper itself

Abstract

backgroundCommunity health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa's latest iteration of the CHW programme and have been introduced as part of the National Department of Health's Primary Health Care Re-engineering programme.

methodsIn order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa.

resultsThe CHW programme operates across these contexts, each associated with its own set of challenges and opportunities.

conclusionsWhile these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme's implementation as part of ongoing decision-making processes.

Indexed as

Cooperative BehaviorCommunity Health WorkersFemaleGovernment ProgramsHIV InfectionsHumansMaleMedical AssistancePrimary Health CareQualitative ResearchQuality of Health CareSouth AfricaTuberculosiscommunity health workersHIVprimary healthcareSouth Africa

Identifiers

PMID31693110
PMCPMC7322200
OpenAlexW2987840849

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.