ArticleHealth SA = SA Gesondheid2026
Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia.
Article in Health SA = SA Gesondheid, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Namibian Health Extension Workers Programme (HEWP) plays a crucial role in ensuring equitable access to healthcare, particularly in rural areas. Little research exists on the factors affecting the implementation of HEWP; however, there is an urgent need for these services. Aim: To explore and describe the factors affecting the implementation of the HEWP in Rundu District, Kavango East Region, Namibia. Setting: The study was conducted at the five primary health care clinics in the Rundu District, Kavango East region of Namibia. Methods: An exploratory descriptive qualitative research design was employed. The population consisted of 28 health extension workers (HEWs). Data saturation was reached with 13 participants; two more participants were added, bringing the total to 15, and no new information emerged. Data were collected through semi-structured interviews using an audiotape recorder and field notes before being analysed thematically using Braun and Clarke's six steps of data analysis. Trustworthiness was ensured using Lincoln and Guba's four criteria. Ethical approval was obtained from the School of Nursing Research Committee, with the principles of beneficence, autonomy, justice and non-maleficence being adhered to. Results: Three prominent themes emerged: Organisational and resource-related factors affecting HEWP implementation; HEWs' capacity and engagement; and recommendations to ensure the effective implementation of the HEWP. Conclusion: The findings revealed that there are several barriers that need to be overcome before the desired outcome of HEWP can be successful. Major obstacles to programme implementation include insufficient resources, excessive staff turnover and inadequate training. Contribution: The results of this study can be used to develop targeted interventions and strategies to mitigate the factors encountered during the implementation of the HEWP in Namibia and similar settings.
Indexed as
Identifiers
What OpenQuestion holds
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.