ArticleAfrican journal of primary health care & family medicine2022
Challenges experienced by community health workers and their motivation to attend a self-management programme.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 41 citations in OpenAlex.
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- Measuring community engagement and trust in community health workers in Haiti, Malawi, and Rwanda: a cross-sectional study.Journal of global health · 2026Article
- Return on investment of community health workers in the United States: a systematic review.Lancet regional health. Americas · 2026Article
- Implementation of Health Empowerment Theory-Based Personalized Health Promotion in Village Health Volunteer Risk Group for Non-Communicable Diseases: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Integrating mortality surveillance as a routine component of national essential public health functions: a blueprint for action.BMJ public health · 2026Review
- Effect of exposure to malaria messages on insecticide-treated net use among women and under-five children in Uganda: a propensity score matched analysis.Malaria journal · 2025Article
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- Rehabilitation care workers address environmental factors with persons with disabilities.African journal of disability · 2025Article
- Cultural competence of paediatric doctors: A qualitative study in a rural setting.Journal of the colleges of medicine of South Africa · 2025Article
- A realist perspective on optimizing community health workers' roles and functions to deliver integrated people-centred care.PLOS global public health · 2025Article
- Translation and validation of the Persian version of the Nursing Practice Readiness Scale (NPRS) for new graduate nurses.BMC nursing · 2024Article
- Evaluating barriers to reaching women with public health information in remote communities in Mali.BMC health services research · 2024Article
- Community health worker perspectives: examining current responsibilities and strategies for success.Archives of public health = Archives belges de sante publique · 2024Article
- Perceptions of community health workers on teenage pregnancy in rural Limpopo: A qualitative study.African journal of primary health care & family medicine · 2024Article
- Barriers and Facilitators to Implementing an Evidence-Based Community Health Worker Model.JAMA health forum · 2024Article
- Participatory Health Cadre Model to Improve Exclusive Breastfeeding Coverage with King's Conceptual System.Journal of multidisciplinary healthcare · 2024Article
- Acute spinal cord injury in Africa: exploring the long-term outcomes and future directions of acute spinal cord injury - short communication.Annals of medicine and surgery (2012) · 2023Article
- Article
- A time-motion study of community health workers delivering community-based primary health care in Neno District, Malawi.Human resources for health · 2023Article
- Leveraging community health workers as vaccinators: a case study exploring the role of Malawi's Health Surveillance Assistants in delivering routine immunization services.Human resources for health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health workers (CHWs) are change agents expected to assist in decreasing the global burden of disease in the communities they serve. However, they themselves have health risk behaviours, which predispose them to non-communicable diseases and thus need to be empowered to make better health choices. There is a gap in literature detailing the challenges faced by CHWs in addressing their own health risk behaviours.
aimThis study aimed to explore the challenges experienced by CHWs in carrying out their daily duties and the motivating factors to join a self-management programme.
settingThe study was conducted in a low socio-economic urban area of the Western Cape, South Africa.
methodsThis study used a qualitative exploratory design using in-depth interviews to obtain rich data about the personal and professional challenges that CHWs experience on a daily basis.
resultsFive themes emerged with regard to professional challenges (social conditions, mental health of patients, work environment, patient adherence and communication). This cadre identified ineffective self-management as a personal challenge and two themes emerged as motivation for participating in a self-management programme: empowerment and widening perspective.
conclusionThe challenges raised by the CHWs have a direct impact on their role in communities. This study therefore highlights an urgent need for policymakers and leaders who plan training programmes to take intentional strategic action to address their health challenges and to consider utilising a self-management intervention model to improve their overall health status.
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