FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313596992> ?p ?o ?g. }

• W4313596992 abstract "Abstract BACKGROUND While recognised in policy and strategy, in practice, Community Health Workers (CHWs) in South Africa experience many challenges. Since the COVID-19 pandemic, CHW roles have expanded, shifting from communities to clinics. The objective was to assess a community-based training intervention to support functionality and local decision-making of CHWs in rural South Africa, aiding CHWs to undertake new, expanded roles during the COVID-19 pandemic. METHODS: CHWs from three rural villages were recruited and trained in rapid Participatory Action Research (PAR) methods via a series of workshops with community stakeholders. Training was designed to support CHWs to convene community groups, raise and/or respond to health concerns, understand concerns from different perspectives, and facilitate and monitor action in communities, health, and other public services. Narrative data from in-depth interviews with CHWs before and after the intervention were thematically analysed using the decision space framework to examine functionality in devolved decision-making. RESULTS: CHWs reported experiencing multiple, intersecting challenges: lack of financial, logistical and health systems support, poor role clarity, precarious employment, low and no pay, unstable organizational capacity, and fragile accountability mechanisms. CHWs had considerable commitment and resilience in the face of COVID-19 in terms of increased workloads, increased risk of infection and death, low job security and poor remuneration. The training intervention addressed some resourcing issues, increased management capacity, gave CHWs greater role clarity, improved community mobilisation skills and forged new community and facility-based relationships and alliances. Through regular spaces and processes for cooperative learning and collective action, the intervention supported CHWs to rework their agency in more empowered ways with communities, clinic staff and health managers, and among peers. The training thus served as an implementation support strategy for primary healthcare (PHC). CONCLUSION: The analysis revealed fundamental issues of recognition of CHWs as a permanent, central feature in PHC. The training intervention was positively impactful in widening decision space for CHWs, supporting functionality and agency for local decision-making. The intervention has been recommended for scale-up by the local health authority. Further support for and analysis of how to sustain expansion of CHW decision space is warranted." @default.
• W4313596992 created "2023-01-06" @default.
• W4313596992 creator A5024150670 @default.
• W4313596992 creator A5040362182 @default.
• W4313596992 creator A5061260105 @default.
• W4313596992 creator A5066562265 @default.
• W4313596992 creator A5077360162 @default.
• W4313596992 creator A5081349048 @default.
• W4313596992 creator A5089263800 @default.
• W4313596992 date "2023-01-06" @default.
• W4313596992 modified "2023-09-23" @default.
• W4313596992 title "Expanding Community Health Worker decision space: impacts of a Participatory Action Research training intervention in a rural South African district" @default.
• W4313596992 cites W1976770755 @default.
• W4313596992 cites W1982969961 @default.
• W4313596992 cites W1983617101 @default.
• W4313596992 cites W1997020432 @default.
• W4313596992 cites W2051909315 @default.
• W4313596992 cites W2082739729 @default.
• W4313596992 cites W2085465367 @default.
• W4313596992 cites W2110613307 @default.
• W4313596992 cites W2117045082 @default.
• W4313596992 cites W2612875216 @default.
• W4313596992 cites W3007024799 @default.
• W4313596992 cites W3092393555 @default.
• W4313596992 cites W3098489535 @default.
• W4313596992 cites W4243492369 @default.
• W4313596992 cites W4285794520 @default.
• W4313596992 doi "https://doi.org/10.21203/rs.3.rs-2379016/v1" @default.
• W4313596992 hasPublicationYear "2023" @default.
• W4313596992 type Work @default.
• W4313596992 citedByCount "1" @default.
• W4313596992 countsByYear W43135969922023 @default.
• W4313596992 crossrefType "posted-content" @default.
• W4313596992 hasAuthorship W4313596992A5024150670 @default.
• W4313596992 hasAuthorship W4313596992A5040362182 @default.
• W4313596992 hasAuthorship W4313596992A5061260105 @default.
• W4313596992 hasAuthorship W4313596992A5066562265 @default.
• W4313596992 hasAuthorship W4313596992A5077360162 @default.
• W4313596992 hasAuthorship W4313596992A5081349048 @default.
• W4313596992 hasAuthorship W4313596992A5089263800 @default.
• W4313596992 hasBestOaLocation W43135969921 @default.
• W4313596992 hasConcept C127413603 @default.
• W4313596992 hasConcept C138816342 @default.
• W4313596992 hasConcept C140988679 @default.
• W4313596992 hasConcept C144133560 @default.
• W4313596992 hasConcept C152124472 @default.
• W4313596992 hasConcept C15744967 @default.
• W4313596992 hasConcept C159110408 @default.
• W4313596992 hasConcept C162324750 @default.
• W4313596992 hasConcept C17744445 @default.
• W4313596992 hasConcept C185592680 @default.
• W4313596992 hasConcept C199539241 @default.
• W4313596992 hasConcept C200601418 @default.
• W4313596992 hasConcept C2775951005 @default.
• W4313596992 hasConcept C2776007630 @default.
• W4313596992 hasConcept C2777146004 @default.
• W4313596992 hasConcept C2779488668 @default.
• W4313596992 hasConcept C2780665704 @default.
• W4313596992 hasConcept C39549134 @default.
• W4313596992 hasConcept C50522688 @default.
• W4313596992 hasConcept C55493867 @default.
• W4313596992 hasConcept C71924100 @default.
• W4313596992 hasConceptScore W4313596992C127413603 @default.
• W4313596992 hasConceptScore W4313596992C138816342 @default.
• W4313596992 hasConceptScore W4313596992C140988679 @default.
• W4313596992 hasConceptScore W4313596992C144133560 @default.
• W4313596992 hasConceptScore W4313596992C152124472 @default.
• W4313596992 hasConceptScore W4313596992C15744967 @default.
• W4313596992 hasConceptScore W4313596992C159110408 @default.
• W4313596992 hasConceptScore W4313596992C162324750 @default.
• W4313596992 hasConceptScore W4313596992C17744445 @default.
• W4313596992 hasConceptScore W4313596992C185592680 @default.
• W4313596992 hasConceptScore W4313596992C199539241 @default.
• W4313596992 hasConceptScore W4313596992C200601418 @default.
• W4313596992 hasConceptScore W4313596992C2775951005 @default.
• W4313596992 hasConceptScore W4313596992C2776007630 @default.
• W4313596992 hasConceptScore W4313596992C2777146004 @default.
• W4313596992 hasConceptScore W4313596992C2779488668 @default.
• W4313596992 hasConceptScore W4313596992C2780665704 @default.
• W4313596992 hasConceptScore W4313596992C39549134 @default.
• W4313596992 hasConceptScore W4313596992C50522688 @default.
• W4313596992 hasConceptScore W4313596992C55493867 @default.
• W4313596992 hasConceptScore W4313596992C71924100 @default.
• W4313596992 hasLocation W43135969921 @default.
• W4313596992 hasOpenAccess W4313596992 @default.
• W4313596992 hasPrimaryLocation W43135969921 @default.
• W4313596992 hasRelatedWork W1989227941 @default.
• W4313596992 hasRelatedWork W2097877779 @default.
• W4313596992 hasRelatedWork W2133494610 @default.
• W4313596992 hasRelatedWork W2295696939 @default.
• W4313596992 hasRelatedWork W2748952813 @default.
• W4313596992 hasRelatedWork W2899084033 @default.
• W4313596992 hasRelatedWork W2983091100 @default.
• W4313596992 hasRelatedWork W4238770494 @default.
• W4313596992 hasRelatedWork W4286666152 @default.
• W4313596992 hasRelatedWork W76681314 @default.
• W4313596992 isParatext "false" @default.
• W4313596992 isRetracted "false" @default.
• W4313596992 workType "article" @default.