H. Bellas, Bárbara Bulhões, Rodrigo Arcuri, M. Vidal, P. V. D. de Carvalho, Alessandro Jatobá
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Community health workers' non-technical skills for delivering primary healthcare in low-income areas.
BACKGROUND
To overcome the poor conditions of low-income areas in developing countries like Brazil, Community Health Workers (CHWs) are required to exceed the regular set of formal skills they are used to employ.
OBJECTIVE
In this study, we aim at identifying the non-technical skills CHWs must develop to cope with the extraordinary situations that occur in vulnerable communities.
METHODS
41 CHWs based in two primary healthcare clinics in Brazil underwent two rounds of in-depth interviews. The analysis was carried out using the Analytical Hierarchy Process, resulting in the prioritization of social skills according to their calculated importance to house calls.
RESULTS
Among the ten higher-scored skills, we find communication and advocacy skills being of high importance. Civility was found to be the most important attribute, confirming that community action relies strongly on the relationship between health professionals and the community.
CONCLUSION
The results of our study contribute primarily to the improvement of community-based primary care programs as it helps to identify major skills required for community action.
期刊介绍:
Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions.
The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors.
The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective.
The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.