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Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines
BACKGROUND: Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the delivery of PHC, launching the Barangay (village) Health Worker (BHW) programm...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488850/ https://www.ncbi.nlm.nih.gov/pubmed/32917203 http://dx.doi.org/10.1186/s12913-020-05699-0 |
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author | Mallari, Eunice Lasco, Gideon Sayman, Don Jervis Amit, Arianna Maever L. Balabanova, Dina McKee, Martin Mendoza, Jhaki Palileo-Villanueva, Lia Renedo, Alicia Seguin, Maureen Palafox, Benjamin |
author_facet | Mallari, Eunice Lasco, Gideon Sayman, Don Jervis Amit, Arianna Maever L. Balabanova, Dina McKee, Martin Mendoza, Jhaki Palileo-Villanueva, Lia Renedo, Alicia Seguin, Maureen Palafox, Benjamin |
author_sort | Mallari, Eunice |
collection | PubMed |
description | BACKGROUND: Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the delivery of PHC, launching the Barangay (village) Health Worker (BHW) programme in the early 1980s, yet little is known about the factors that motivate and sustain BHWs’ largely voluntary involvement. This study aims to address this gap by examining the lived experiences and roles of BHWs in urban and rural sites in the Philippines. METHODS: This cross-sectional qualitative study draws on 23 semi-structured interviews held with BHWs from barangays in Valenzuela City (urban) and Quezon province (rural). A mixed inductive/ deductive approach was taken to generate themes, which were interpreted according to a theoretical framework of community mobilisation to understand how characteristics of the social context in which the BHW programme operates act as facilitators or barriers for community members to volunteer as BHWs. RESULTS: Interviewees identified a range of motivating factors to seek and sustain their BHW roles, including a variety of financial and non-financial incentives, gaining technical knowledge and skill, improving the health and wellbeing of community members, and increasing one’s social position. Furthermore, ensuring BHWs have adequate support and resources (e.g. allowances, medicine stocks) to execute their duties, and can contribute to decisions on their role in delivering community health services could increase both community participation and the overall impact of the BHW programme. CONCLUSIONS: These findings underscore the importance of the symbolic, material and relational factors that influence community members to participate in CHW programmes. The lessons drawn could help to improve the impact and sustainability of similar programmes in other parts of the Philippines and that are currently being developed or strengthened in other LMICs. |
format | Online Article Text |
id | pubmed-7488850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74888502020-09-16 Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines Mallari, Eunice Lasco, Gideon Sayman, Don Jervis Amit, Arianna Maever L. Balabanova, Dina McKee, Martin Mendoza, Jhaki Palileo-Villanueva, Lia Renedo, Alicia Seguin, Maureen Palafox, Benjamin BMC Health Serv Res Research Article BACKGROUND: Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the delivery of PHC, launching the Barangay (village) Health Worker (BHW) programme in the early 1980s, yet little is known about the factors that motivate and sustain BHWs’ largely voluntary involvement. This study aims to address this gap by examining the lived experiences and roles of BHWs in urban and rural sites in the Philippines. METHODS: This cross-sectional qualitative study draws on 23 semi-structured interviews held with BHWs from barangays in Valenzuela City (urban) and Quezon province (rural). A mixed inductive/ deductive approach was taken to generate themes, which were interpreted according to a theoretical framework of community mobilisation to understand how characteristics of the social context in which the BHW programme operates act as facilitators or barriers for community members to volunteer as BHWs. RESULTS: Interviewees identified a range of motivating factors to seek and sustain their BHW roles, including a variety of financial and non-financial incentives, gaining technical knowledge and skill, improving the health and wellbeing of community members, and increasing one’s social position. Furthermore, ensuring BHWs have adequate support and resources (e.g. allowances, medicine stocks) to execute their duties, and can contribute to decisions on their role in delivering community health services could increase both community participation and the overall impact of the BHW programme. CONCLUSIONS: These findings underscore the importance of the symbolic, material and relational factors that influence community members to participate in CHW programmes. The lessons drawn could help to improve the impact and sustainability of similar programmes in other parts of the Philippines and that are currently being developed or strengthened in other LMICs. BioMed Central 2020-09-11 /pmc/articles/PMC7488850/ /pubmed/32917203 http://dx.doi.org/10.1186/s12913-020-05699-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Mallari, Eunice Lasco, Gideon Sayman, Don Jervis Amit, Arianna Maever L. Balabanova, Dina McKee, Martin Mendoza, Jhaki Palileo-Villanueva, Lia Renedo, Alicia Seguin, Maureen Palafox, Benjamin Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title | Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title_full | Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title_fullStr | Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title_full_unstemmed | Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title_short | Connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines |
title_sort | connecting communities to primary care: a qualitative study on the roles, motivations and lived experiences of community health workers in the philippines |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488850/ https://www.ncbi.nlm.nih.gov/pubmed/32917203 http://dx.doi.org/10.1186/s12913-020-05699-0 |
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