ArticleGlobal health, science and practice2021
Enhancing Performance and Sustainability of Community Health Worker Programs in Uganda: Lessons and Experiences From Stakeholders.
Article in Global health, science and practice, 2021. 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.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Enhancing Healthcare Services Quality in a Resource-Limited Country: Perspectives From Cambodia.Health science reports · 2026Article
- Creation of a Collaborative Model for Community Health Promotion Through Empowerment Among Community Health Workers in Japan: A Descriptive Qualitative Study.Nursing & health sciences · 2026Article
- Reimagining primary health care: a historical and contemporary scoping review of community-based primary health care models and innovations.Preventive medicine reports · 2026Review
- Stakeholder perspectives on telemedicine acceptance and experiences in Uganda: A qualitative study.PLOS global public health · 2026Article
- Financial motivation models for community health workers in low- and middle-income countries: a scoping review.Global health action · 2025Article
- Three decades of community health workers in primary healthcare delivery in Rwanda: evolution, impact and policy lessons.BMJ global health · 2025Article
- 'Empowerment' as a proximal implementation outcome for task shifting with informal cadres: findings from a qualitative study with traditional healers in rural Uganda.Implementation science communications · 2025Article
- 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
- Article
- Community Perspectives on Optimizing Community Health Volunteer Roles for HIV Prevention Services in Kenya and Uganda.AIDS patient care and STDs · 2025Article
- From decolonizing global health to neo-colonization by local elites: From the frying pan into the fire.PLOS global public health · 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
- Community health worker perspectives: examining current responsibilities and strategies for success.Archives of public health = Archives belges de sante publique · 2024Article
- Community health workers' perspectives on integrating into school settings to support student health.Frontiers in public health · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health worker (CHW) programs in Uganda have contributed to improved health outcomes in recent years. However, opportunities for engaging the various stakeholders supporting CHW programs have been limited. This article presents workshop findings where several stakeholders shared their lessons and experiences that can enhance performance and sustainability of CHW programs in Uganda.
methodsWe collected qualitative data from stakeholders from government, private, and community organizations, as well as CHWs, involved in CHW programs in Uganda during a 1-day workshop. The workshop involved plenary presentations and group discussions on critical aspects of CHW programs. All proceedings from the workshop were audio-recorded, transcribed, and analyzed by thematic content analysis.
resultsFour major themes emerged from the workshop: lessons learned in implementing CHW programs, challenges affecting CHW programs, performance of CHWs, and ensuring sustainability of CHW programs. Key lessons learned related to 3 main subthemes: capacity building and use of technology, supervision and motivation, and stakeholder engagement and collaboration. Challenges affecting CHW programs identified included poor coordination, fragmented data collection systems, high program expectations, inadequate support mechanisms, and high dropout rates. Mechanisms for improving the performance of CHWs emphasized the need to: strengthen recruitment, training, and retention strategies; improve motivation; streamline coordination mechanisms; and develop and strengthen community health policies. The sustainability of CHW programs requires institutionalization; sustainable funding; economic empowerment of CHWs; local ownership; and a strengthened research agenda.
conclusionTo improve the performance and sustainability of CHWs programs, stakeholders such as policy makers and implementing partners need to consider CHW needs, existing structures and policies, as well as local support.
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