ArticleBMC primary care2024
'First of all, I need training': a qualitative study evaluating the Fiji community health worker training program.
Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Non-communicable diseases burden and national policy response in Papua New Guinea: a scoping and policy review.BMJ public health · 2026Article
- A knowledge, attitude and practice-based integrative literature review of community health worker training on stroke and cardiovascular diseases in low-and middle-income countries.BMC primary care · 2025Review
- Factors influencing work performance and prospective mobile health applications among village health support groups: a formative study for i-MoMCARE development to enhance maternal, newborn, and child healthcare in Cambodia.Human resources for health · 2025Article
- Exploring the implementation of community health worker program in Fiji: An exploratory qualitative study.PLOS global public health · 2025Article
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6 authors.
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Abstract
backgroundFiji faces a growing burden of diseases and a significant emigration of health workers, heightening the role of community health workers (CHWs) in healthcare delivery. Effective training is crucial for CHWs to enhance their capacity and service quality. This study evaluates CHW training in Fiji, aiming to identify areas for improvement.
methodsA qualitative study was conducted, encompassing a review of national policies on CHW training, six focus group discussions, and interviews with CHWs and their supervisors across Fijian subdivisions. This study was collaboratively designed with Fiji's Ministry of Health and Medical Services (MOHMS). Data was transcribed, coded, and thematically analysed using the Community Health Workers Assessment and Improvement Matrix (CHW-AIM).
findingsWhile CHW training policies in Fiji are well-established, discrepancies exist between the policy and its implementation. Challenges include inconsistent training for new recruits, limited resources, and variability in training content and frequency of training across divisions, especially concerning noncommunicable disease (NCD) training.
interpretationTo enhance the CHW training program in Fiji, a restructuring and standardisation of both pre-service and in-service training is necessary, tailored to the needs of each division. Investment in ongoing capacity building, alongside the development and revision of training guidelines, particularly for managing NCD complications in the community, is crucial. Implementing these changes will enable CHWs in Fiji to be better equipped for providing essential community-based care.
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