ArticleHuman resources for health2022
Contested notions of challenges affecting Community Health Workers in low- and middle-income countries informed by the Silences Framework.
Article in Human resources for health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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.
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.
Who cites it
26 citing papers in PubMed, 46 citations in OpenAlex.
- Challenges of home visit practice and perceived solutions for improvement in Ghanaian context: perspectives of healthcare professional and community informants.Health research policy and systems · 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
- Implementing community case management of malaria: Stakeholder insights on advancing equitable access in Kilifi County.PLOS global public health · 2026Article
- Factors associated with access channels and satisfaction with health science popularization among health lifestyle instructors.Frontiers in public health · 2026Article
- Avoidable pitfalls on the path to health financing self-reliance in low-income and middle-income countries.BMJ global health · 2025Review
- Understanding the drivers of effective supportive supervision: a realist evaluation of community health worker programs in Madhya Pradesh, India.BMC health services research · 2025Article
- Bridging the gap between community health workers' digital health acceptance and actual usage in Uganda: Exploring key external factors based on technology acceptance model.PLOS digital health · 2025Article
- Digital Health Interventions for Depression and Anxiety in Low- and Middle-Income Countries: Rapid Scoping Review.JMIR mental health · 2025Article
- Article
- Bringing Child Health Closer to Families: Lessons From a Family MUAC Intervention in Urban and Rural South Africa.Maternal & child nutrition · 2025Article
- A qualitative study to explore mother's experiences of a family MUAC project in two provinces in South Africa.BMC nutrition · 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
- "You go an extra mile": a qualitative study of community health worker perspectives in a health promotion intervention in urban South Africa.BMC health services research · 2024Article
- Community Health Workers' Targeting of Women For Health and Nutrition Home Visits in Rural Tanzania: A Mixed-Methods Study.Current developments in nutrition · 2024Article
- Article
- Availability of antimalarial medicines and inventory management at the community level: a case study of Bugesera district in Rwanda.BMC health services research · 2024Article
- Health systems resilience in fragile and conflict-affected settings: a systematic scoping review.Conflict and health · 2024Article
- Types, reporting and acceptability of community-based interventions for stillbirth prevention in sub-Saharan Africa (SSA): a systematic review.EClinicalMedicine · 2023Article
- A time-motion study of community health workers delivering community-based primary health care in Neno District, Malawi.Human resources for health · 2023Article
- Role satisfaction among community volunteers working in mass COVID-19 vaccination clinics, Waterloo Region, Canada.BMC public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite increasing evidence of the challenges affecting Community Health Workers (CHWs) such as those related to training, supportive supervision and remuneration, there is a need to explore concerns and challenges from the perspective of CHWs themselves. This commentary highlights some of the contested and unexplored notions of challenges affecting CHWs in low- and middle-income countries (LMICs) informed by the Silences Framework. This framework defines experiences that are under-explored, misunderstood or difficult to share because of the often invisible power relations within communities, but also in setting the research agenda. These challenges include the heavy workload imposed by several stakeholders, dealing with religious and cultural practices, and gendered barriers of care. The workload of CHWs is a major source of stress and anxiety as they have to balance both government and other stakeholders' agendas to deliver interventions with their own need to provide for their families for those whose work is unpaid. The tensions of CHWs carrying out their work among members of the community whose religious or cultural beliefs are different from theirs also needs to be considered. Gender issues are an impediment to the work of CHWs, particularly with community members of the opposite sex around sensitive health issues. Lastly, CHWs have found themselves victims of domestic suspicion while fulfilling their duties in communities, such as when seen having conversations with spouses of other individuals in the community. Solutions to these challenges need to be co-produced with CHWs to both to strengthen their relationship with the communities they serve and shape more sustainable interventions for delivery of healthcare in LMICs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.