ArticleBMJ global health2023
Breaking the silence on gendered harassment and assault of community health workers: an analysis of ethnographic studies.
Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Geographical coverage and dominant socio-demographic profiles of community health workers in Togo.BMC health services research · 2025Article
- Carrying the Weight of a Broken System: Community Health Worker and Peer Recovery Specialist roles transformed.Progress in community health partnerships : research, education, and action · 2025Article
- The impact of task-sharing scalable mental health interventions on non-specialist providers: a scoping review.Global mental health (Cambridge, England) · 2024Article
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Authors and funding
14 authors.
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Abstract
introductionAcross a variety of settings, women in tenuous financial circumstances are drawn to community health work as a way to advance themselves in the context of limited employment options. Female Community Health Workers (CHWs) are often preferred because they can more easily access mothers and children; at the same time, gender norms are at the heart of many of the challenges and inequities that these workers encounter. Here, we explore how these gender roles and a lack of formal worker protections leave CHWs vulnerable to violence and sexual harassment, common occurrences that are frequently downplayed or silenced.
methodsWe are a group of researchers who work on CHW programmes in a variety of contexts globally. The examples here are drawn from our ethnographic research (participant observation and in-depth interviews).
resultsCHW work creates job opportunities for women in contexts where such opportunities are extremely rare. These jobs can be a lifeline for women with few other options. Yet the threat of violence can be very real: women may face violence from the community, and some experience harassment from supervisors within health programmes.
conclusionTaking gendered harassment and violence seriously in CHW programmes is critical for research and practice. Fulfilling CHWs' vision of health programmes that value them, support them and give them opportunities may be a way for CHW programmes to lead the way in gender-transformative labour practices.
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