Uchenna Benedine Okafor, Iyabo Obasanjo, Daniel Ter Goon
{"title":"改进社区卫生方案:南非东开普省社区卫生工作者的观点。","authors":"Uchenna Benedine Okafor, Iyabo Obasanjo, Daniel Ter Goon","doi":"10.2147/RMHP.S488249","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>One of the challenges CHWs face in their profession is their underrepresentation in program advancement. Despite the importance of community health workers as an adjunct health workforce providing crucial healthcare services to the rural, marginalized, and underserved populations, their opinions on strengthening the CHW program remain understudied in certain geographical contexts. Consequently, this study explores the opinions of community health workers regarding the support systems desirable for their effective delivery of healthcare support services in the Buffalo Municipality City, Eastern Cape Province of South Africa.</p><p><strong>Methods: </strong>In-depth individual, semi-structured interviews (n=10) as well as focus groups interviews (n=13) were conducted with 23 community health workers, using an audio recorder with their permission to record the interviews. Content and thematic data analysis was applied.</p><p><strong>Results: </strong>The CHWs made several suggestions to assist them serve the community better and improve the community health program. These include provision of transportation, constant training workshops to enhance and maintain their skills and knowledge, support to improve communication with clients, provision of work identifiers to earn community's recognition, respect, and trust, and improvement in human and material resources to mitigate the overwhelming workload. In addition, they emphasised the need to address job insecurity by offering them with permanent, salaried positions, as well as the safety concerns posed by violent crimes in the communities they served.</p><p><strong>Conclusion: </strong>The findings of this study have implications for improving the practise of CHW programs, policies, and future research recommendations, emphasising the need to take into considerations, the suggestions of the CHWs in improving the CHW program to enable them to provide effective and optimal healthcare support services to clients and the community. We advocated for the integration of community health workers into the larger healthcare system.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2413-2422"},"PeriodicalIF":2.7000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266077/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improving Community Health Program: Perspective of Community Health Workers in the Eastern Cape, South Africa.\",\"authors\":\"Uchenna Benedine Okafor, Iyabo Obasanjo, Daniel Ter Goon\",\"doi\":\"10.2147/RMHP.S488249\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>One of the challenges CHWs face in their profession is their underrepresentation in program advancement. Despite the importance of community health workers as an adjunct health workforce providing crucial healthcare services to the rural, marginalized, and underserved populations, their opinions on strengthening the CHW program remain understudied in certain geographical contexts. Consequently, this study explores the opinions of community health workers regarding the support systems desirable for their effective delivery of healthcare support services in the Buffalo Municipality City, Eastern Cape Province of South Africa.</p><p><strong>Methods: </strong>In-depth individual, semi-structured interviews (n=10) as well as focus groups interviews (n=13) were conducted with 23 community health workers, using an audio recorder with their permission to record the interviews. Content and thematic data analysis was applied.</p><p><strong>Results: </strong>The CHWs made several suggestions to assist them serve the community better and improve the community health program. These include provision of transportation, constant training workshops to enhance and maintain their skills and knowledge, support to improve communication with clients, provision of work identifiers to earn community's recognition, respect, and trust, and improvement in human and material resources to mitigate the overwhelming workload. In addition, they emphasised the need to address job insecurity by offering them with permanent, salaried positions, as well as the safety concerns posed by violent crimes in the communities they served.</p><p><strong>Conclusion: </strong>The findings of this study have implications for improving the practise of CHW programs, policies, and future research recommendations, emphasising the need to take into considerations, the suggestions of the CHWs in improving the CHW program to enable them to provide effective and optimal healthcare support services to clients and the community. We advocated for the integration of community health workers into the larger healthcare system.</p>\",\"PeriodicalId\":56009,\"journal\":{\"name\":\"Risk Management and Healthcare Policy\",\"volume\":\"18 \",\"pages\":\"2413-2422\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-07-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266077/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Risk Management and Healthcare Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/RMHP.S488249\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S488249","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Improving Community Health Program: Perspective of Community Health Workers in the Eastern Cape, South Africa.
Introduction: One of the challenges CHWs face in their profession is their underrepresentation in program advancement. Despite the importance of community health workers as an adjunct health workforce providing crucial healthcare services to the rural, marginalized, and underserved populations, their opinions on strengthening the CHW program remain understudied in certain geographical contexts. Consequently, this study explores the opinions of community health workers regarding the support systems desirable for their effective delivery of healthcare support services in the Buffalo Municipality City, Eastern Cape Province of South Africa.
Methods: In-depth individual, semi-structured interviews (n=10) as well as focus groups interviews (n=13) were conducted with 23 community health workers, using an audio recorder with their permission to record the interviews. Content and thematic data analysis was applied.
Results: The CHWs made several suggestions to assist them serve the community better and improve the community health program. These include provision of transportation, constant training workshops to enhance and maintain their skills and knowledge, support to improve communication with clients, provision of work identifiers to earn community's recognition, respect, and trust, and improvement in human and material resources to mitigate the overwhelming workload. In addition, they emphasised the need to address job insecurity by offering them with permanent, salaried positions, as well as the safety concerns posed by violent crimes in the communities they served.
Conclusion: The findings of this study have implications for improving the practise of CHW programs, policies, and future research recommendations, emphasising the need to take into considerations, the suggestions of the CHWs in improving the CHW program to enable them to provide effective and optimal healthcare support services to clients and the community. We advocated for the integration of community health workers into the larger healthcare system.
期刊介绍:
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.