改进社区卫生方案:南非东开普省社区卫生工作者的观点。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-07-12 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S488249
Uchenna Benedine Okafor, Iyabo Obasanjo, Daniel Ter Goon
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引用次数: 0

摘要

简介:chw在他们的职业中面临的挑战之一是他们在项目进展中的代表性不足。尽管社区卫生工作者作为辅助卫生人力的重要性,为农村、边缘化和服务不足的人群提供关键的卫生保健服务,但在某些地理背景下,他们对加强卫生保健计划的意见仍未得到充分研究。因此,本研究探讨了社区卫生工作者对南非东开普省布法罗市有效提供卫生保健支持服务所需的支持系统的意见。方法:对23名社区卫生工作者进行深入的个人访谈、半结构化访谈(n=10)和焦点小组访谈(n=13),在征得其同意的情况下,使用录音机对访谈进行录音。应用内容和专题数据分析。结果:社区卫生工作者提出了几点建议,以帮助他们更好地服务社区,完善社区卫生项目。这些措施包括提供交通工具、持续培训讲习班以提高和保持他们的技能和知识、支持改善与客户的沟通、提供工作标识以赢得社区的认可、尊重和信任,以及改善人力和物质资源以减轻繁重的工作量。此外,他们强调有必要通过向他们提供长期的带薪职位来解决工作不安全问题,并解决他们所服务社区的暴力犯罪所造成的安全问题。结论:本研究结果对改善健康照护计划的实践、政策和未来的研究建议具有启示意义,强调在改善健康照护计划时需要考虑健康照护员的建议,使他们能够为客户和社区提供有效和最佳的健康照护服务。我们提倡将社区卫生工作者纳入更大的卫生保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
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.
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