ArticleHealth policy OPEN2022
The impact of the COVID-19 pandemic in the frontline health workforce: Perceptions of vulnerability of Brazil's community health workers.
Article in Health policy OPEN, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- How did health service utilization and delivery change during the COVID-19 pandemic? Frontline healthcare workers' perceptions from the Central African Republic, the Democratic Republic of Congo, and Bangladesh.BMC health services research · 2025Article
- "…considered 'essential workers', so we report to work and serve the community": experiences of community health workers during COVID-19 pandemic in the Eastern Cape, South Africa.BMC health services research · 2024Article
- Responding to COVID-19: an exploration of EU country responses and directions for further research.BMC health services research · 2024Article
- The challenges brought by the COVID-19 pandemic to health systems exposed pre-existing gaps.Health policy OPEN · 2023Article
- Using an intersectionality approach to transform health services for overlooked healthcare users and workers after covid-19.BMJ (Clinical research ed.) · 2023Article
- The Lancet Commission on lessons for the future from the COVID-19 pandemic.Lancet (London, England) · 2022Review
- Top ten public health challenges to track in 2022.Public health challenges · 2022Article
- Assessing the mental effects of COVID-19-related work on depression among community health workers in Vietnam.Human resources for health · 2022Article
- Healthcare Workers' Perceptions and Medically Approved COVID-19 Infection Risk: Understanding the Mental Health Dimension of the Pandemic. A German Hospital Case Study.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic has resulted in calls for an increased integration of community health workers (CHWs) into the health system response. Historically, CHWs can play an important role in ensuring the sustainability of health policy implementation - by addressing social determinants of health and maintaining care for ongoing health problems. Their frontline work, with close contact to populations, places CHWs in a position of increased vulnerability to becoming infected and to being the target of abuse and violence. These vulnerabilities compound underlying problems faced by CHWs, who often come from poor backgrounds, are insufficiently paid and receive inadequate training. Speaking to a scarcity of studies on how CHWs are impacted by the pandemic, this paper conducts a systematic study of CHWs in Brazil. Based on quantitative and qualitative data collected during June and July 2020, it considers perceptions and experiences of CHWs, comparing them with other health professionals. We study the extent to which the pandemic added to existing vulnerabilities and created new problems and imbalances in the work of CHWs. We conclude that COVID-19 led to a deterioration of the working conditions of CHWs, of their relations with other health professionals, and of their ability to carry out their essential work in the public health system.
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