Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services
| Autor: | Humphreys Nsona, Jennifer Bryce, Kate E. Gilroy, Jennifer A. Callaghan-Koru, Asha George, Adnan A. Hyder, Angella Mtimuni |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Malawi
United Nations Attitude of Health Personnel Child Health Services Developing country World Health Organization Health Services Accessibility Nursing Virology Medicine Humans Community Health Services Human resources Child Health policy Qualitative Research Community Health Workers business.industry Workload Articles Focus Groups Focus group Infectious Diseases Human resource management Mandate Parasitology business Case Management Qualitative research |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene |
| ISSN: | 1476-1645 0002-9637 |
| Popis: | Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. Its success depends in part on how the strategy is perceived by those responsible for its implementation. This study uses qualitative methods to explore health workers' and managers' perceptions about CCM provided by health surveillance assistants (HSAs) during the program's first year in Malawi. Managers and HSAs agreed that CCM contributed beneficially by expanding access to the underserved and reducing caseloads at health facilities. Managers differed among themselves in their endorsements of CCM, most offered constrained endorsement, and a few had stronger justifications for CCM. In addition, HSAs uniformly wanted continued expansion of their clinical role, while managers preferred to view CCM as a limited mandate. The HSAs also reported motivating factors and frustrations related to system constraints and community pressures related to CCM. The impact of CCM on motivation and workload of HSAs is noted and deserves further attention. |
| Databáze: | OpenAIRE |
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