ArticleResearch in nursing & health2022
Are we listening to community health workers? Experiences of the community health worker journey in rural South Africa.
Article in Research in nursing & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed, 35 citations in OpenAlex.
- Most COVID-19 vaccine adverse events detected within 48 hours in Ethiopia: implications for cohort event monitoring efficiency in resource-limited settings.European journal of clinical pharmacology · 2026Article
- Experiences of volunteers: A volunteer-led community strategy for lung cancer awareness and mobilisation in KwaZulu-Natal.African journal of primary health care & family medicine · 2026Article
- Job satisfaction, mental health, and workplace well-being of community health workers: a cross-sectional study.BMC public health · 2025Article
- Assessing the physical activity training needs and preferences of community health workers in South Africa.BMC public health · 2025Article
- Home visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis.African journal of primary health care & family medicine · 2024Article
- Shifting roles of community health workers in the prevention and management of noncommunicable disease during the COVID-19 pandemic: a scoping review.Health policy and planning · 2024Article
- From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward.BMC primary care · 2024Article
- Environmental Risk Assessment in Community Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Understanding health systems challenges in providing Advanced HIV Disease (AHD) care in a hub and spoke model: a qualitative analysis to improve AHD care program in Malawi.BMC health services research · 2024Article
- External relationships as implementation determinants in community-engaged, equity-focused COVID-19 vaccination events.Frontiers in health services · 2024Article
- Rethinking Scale-Up of Rehabilitation for Chronic Disease in Low-Resource Settings: Embracing Complexity for Contextual Impact.Global heart · 2024Article
- The feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa.SSM. Mental health · 2023Article
- Expanding Community Health Worker decision space: learning from a Participatory Action Research training intervention in a rural South African district.Human resources for health · 2023Article
- Implementing a social innovation for community-based peer support for immigrant mothers in Sweden: a mixed-methods process evaluation.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
Abstract
Access to healthcare in developing countries remains a challenge. As a result, task-shifting to community health workers (CHWs) is increasingly used to mitigate healthcare worker shortages. Although there is solid evidence of CHW program effectiveness, less is known about CHWs' experiences of becoming and then working daily as CHWs-information that should play an important role in the design of CHW programs. We examined the experiences of a group of CHWs working in a government-run CHW program in South Africa's rural Eastern Cape Province. Semistructured qualitative interviews (N = 9) and focus groups (N = 2) focusing on motivations for becoming a CHW and experiences of working as CHWs were conducted and thematically analyzed. Three themes were identified: (1) becoming a CHW, (2) facing challenges in the field, and (3) gaining community acceptance through respect and legitimacy. In this study, CHWs were motivated by altruism and a desire to help their community. They faced a range of challenges such as limited training, lack of supervision, equipment shortages, logistical issues, and clinics with limited services. Respect and legitimacy through community acceptance and trust is crucial for effective CHW work. CHWs in this study described how confidentiality and their own persistence facilitated the process of gaining respect and legitimacy. CHWs have a unique knowledge of contexts and requirements for successful programs and greater efforts are needed to include their perspectives to improve and develop programs. Recognition is needed to acknowledge the significant personal input required by CHWs for programs to be successful.
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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.