scholarly journals Assessing the acceptability of village health workers’ roles in improving maternal health care in Gombe State, Nigeria a qualitative exploration from women beneficiaries

PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0240798
Author(s):  
Maryam Al-Mujtaba ◽  
Olukolade Shobo ◽  
Bolanle C. Oyebola ◽  
Benson O. Ohemu ◽  
Isaac Omale ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Workers ◽  
Maternal Health Care ◽  
Village Health Workers ◽  
Qualitative Exploration ◽  
Village Health

Village Health Workers and Primary Health Care

1983 ◽  
Vol 13 (3) ◽  
pp. 105-108 ◽  
Author(s):  
J Patrick Vaughan ◽  
Gill Walt
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health

Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan

2019 ◽  
Vol 31 (5) ◽  
pp. 433-442
Author(s):  
Dolley Tshering ◽  
Phudit Tejativaddhana ◽  
Taweesak Siripornpibul ◽  
Mary Cruickshank ◽  
David Briggs
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Workers ◽  
Social Factor ◽  
Organizational Factors ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Village Health Workers ◽  
Village Health ◽  
Care System

Village health workers (VHWs) are the first contact extending vital health services to unreached and underserved communities in Bhutan. VHWs truly embody the principles of primary health care and are effective catalysts in promoting community health. This study identifies and confirms factors motivating VHWs to remain in the health care system. This is a quantitative study with a cross-sectional survey design. Two-stage cluster sampling was used with VHWs from 12 districts representing 3 regions of Bhutan. Data were collected using pretested semistructured questionnaires. Confirmatory factor analysis was used for data analysis. Findings reveal a 4-factor model of motivations among VHWs that includes social, personal, job related, and organizational factors. Among these, the social factor most significantly motivates VHWs to remain in the health care system. VHW motivation can be further fostered by providing a holistic combination of financial and nonfinancial incentives that recognize intrinsic needs and empower innate altruism.

A Health Education Approach to Training Village Health Workers in Nigeria

1982 ◽  
Vol 3 (2) ◽  
pp. 145-152 ◽  
Author(s):  
William R. Brieger ◽  
Samuel U. Akpovi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Health Education ◽  
Health Workers ◽  
Care Process ◽  
Skill Transfer ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health

Health education plays an important role in the primary health care process, particularly in the training of village health workers. Three educational concepts, training based on community felt needs, trainee involvement and social and cultural realism, are essential in designing these programs. These concepts were applied over a three year period in the training of village health caretakers in Idere town of Oyo State, Nigeria. Volunteer village health workers from ten villages were able to bring about changes in knowledge, behaviour and health status of their fellow villagers indicating that the health education approach fostered skill transfer to the communities.

scholarly journals Effects of Devolution on Maternal Health Care: The Case of Level Four Hospitals in Nairobi City County, Kenya

2019 ◽  
Vol 3 (II) ◽  
pp. 98-116
Author(s):  
Hudson Shilibwa Bulinda ◽  
Felix Kiruthu
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Professionals ◽  
Service Providers ◽  
Health Workers ◽  
Healthcare Services ◽  
National Government ◽  
Maternal Health Care ◽  
Maternal Healthcare ◽  
County Governments

Maternal healthcare is an integral part of the Millennium development goals. However, most developing countries have been experimenting with different types of interventions to increase access and utilization of maternal care services. Health care devolution was greeted with great anticipation in Kenya as a means of bringing services closer to the people. However, since the implementation of the recent devolution reforms, criticism has mounted, with evidence of corruption, poor management, late payment of county staff and considerable disaffection among service providers, especially health professionals. Thus, this study assessed the effects of devolution on maternal health care in Nairobi City County in Kenya.  Particularly, the study examined the situation of maternal healthcare before and after devolution and how devolution as affected provision of maternal healthcare in Nairobi City County. The study also assessed how devolution affected maternal health care programs implementation and the challenges facing the devolved maternal health care in Nairobi City County. The study adopted the systems approach and the decentralization theorem. This study employed a descriptive research design and the population of the study was made up of the 4 level four hospitals in Nairobi County and all the 189 selected medical health workers in the hospitals. A sample of 57 respondents was selected through simple random sampling. Additionally, the study used questionnaires and an interviews guide to collect data. The questionnaires were administered to the sampled medical workers and the interviews schedules were administered to the key informants who comprised of the medical superintendent from every hospital. Quantitative data was collected through the use of the questionnaires was analyzed using descriptive statistics with the aid of the Statistical Package for Social Sciences. Qualitative data was analyzed using content analysis. The study found that the status of maternal healthcare infrastructure under devolution of health services in Nairobi was good. The findings also established that most health workers preferred that the national government should manage maternal health care infrastructure as opposed to county governments. The study further revealed that county governments had not instituted and implemented effective maternal healthcare programs formulated by the national government. Finally, the study concludes the major challenges influencing the implementation of maternal healthcare services include attitude and perception of health professionals, resistance of devolution by health workers, strikes by health workers, shortage of healthcare workers corruption and tribalism, increased pressure on hospital equipment and infrastructure and stock outs of essential commodities in the facilities affect devolved maternal health care. The study recommended that both the county and national government should work together and combine their efforts to enhance the devolved systems of healthcare so that they can enhance maternal healthcare. This is an open-access article published and distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License of United States unless otherwise stated. Access, citation and distribution of this article is allowed with full recognition of the authors and the source.

The Secret Health Care System: Guatemala 1988

1988 ◽  
Vol 9 (3) ◽  
pp. 243-250
Author(s):  
Murray Watnick ◽  
Alvin E. Winder
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Workers ◽  
Health Needs ◽  
The People ◽  
Village Health Workers ◽  
The Creation ◽  
Use Of Health Care ◽  
Village Health ◽  
Care System

There is currently widespread use of health care by undemocratic governments in an effort to control elements of their populations. A number of recently published articles have dealt with this problem. What has not been widely reported is the peoples' response to this situation. This article relates the response of the people of Guatemala and addresses those conditions in Guatemala that reflect the health needs of the people and the government's measures to meet and use these needs for political and military ends. The peoples' response, namely the creation of a clandestine health care system based on the secret training and practice of village health workers is presented. The data were obtained by personal observations, interviews and accounts from recently published periodicals.

scholarly journals Village health workers: First line of contact in the Republic of Ciskei

Curationis ◽  
1985 ◽  
Vol 8 (3) ◽  
Author(s):  
Cecil Rautenbach
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Workers ◽  
First Line ◽  
Long Time ◽  
Village Health Workers ◽  
The Republic ◽  
Village Health

The health care of the majority of the inhabitants of South Africa’s rural areas has given cause for concern for a long time. There are a number of suggested reasons for this.

scholarly journals Quality of maternal health care in Indonesia

2019 ◽  
Vol 2 (1) ◽  
pp. 10-22
Author(s):  
Hanifatur Rosyidah ◽  
Korrie De Koning ◽  
Hermen Ormel
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Workers ◽  
Maternal Mortality Ratio ◽  
Poor Quality ◽  
Maternal Health Care ◽  
Audit And Feedback ◽  
Educational Outreach ◽  
Outreach Visit

Maternal Mortality Ratio (MMR) in Indonesia remains high, 190 per 100,000 live births in 2013. World Bank emphasizes that 60% of maternal death is contributed by poor quality of care. Lack of attitude, competence and compliance of midwives were found in Indonesia, which indicate poor quality of maternal health care. The objective of this study is to analyze factors influencing the quality of maternal health care in Indonesia. The literatures from 2004-2014 were selected and reviewed. The latest framework of 2014 on quality maternal health care by Renfrew et al. was used as a guide. The quality of maternal health care in Indonesia is influenced by lack of midwives’ competence, inadequate supervision and monitoring, lack of drugs and equipment supply, lack of community involvement in health services. In order to address the gaps in quality of maternal health care in Indonesia, six effective interventions are proposed; namely: maternal health audit and feedback, cultural competence, education, educational outreach visit, optimizing the role of lay health workers, group prenatal care and ensure adequate supply of drugs and equipment. The interventions needs to be carried out through a collaborative approach, policy change, pilot study and strengthen activities in implementation level.

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