'Sometimes they fail to keep their faith in us': Community health worker perceptions of structural barriers to quality of care and community utilisation of services in Bangladesh

Maternal and Child Nutrition

Volumn 11, Issue 4, 2015, Pages 1011-1022

  Puett, Chloe ^a   Alderman, Harold ^b   Sadler, Kate ^a   Coates, Jennifer ^a  

^a TUFTS UNIVERSITY   (United States)

^b INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE   (United States)

Author keywords

Barriers to effectiveness; Community case management; Community health workers; Qualitative research; Quality of care; Severe acute malnutrition

Indexed keywords

ARTICLE; BANGLADESH; CASE MANAGEMENT; CHILD CARE; DIARRHEA; DISEASE SEVERITY; FAMILY COUNSELING; HEALTH AUXILIARY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH PERSONNEL ATTITUDE; HEALTH PROGRAM; HUMAN; MALNUTRITION; PATIENT REFERRAL; POVERTY; PRIORITY JOURNAL; PUBLIC HEALTH SERVICE; RESPIRATORY TRACT INFECTION; COMMUNITY CARE; FAMILY SIZE; FEMALE; INFORMATION PROCESSING; PERCEPTION; QUALITATIVE RESEARCH; REPRODUCIBILITY; SOCIOECONOMICS; UTILIZATION;

BANGLADESH; COMMUNITY HEALTH SERVICES; COMMUNITY HEALTH WORKERS; FAMILY CHARACTERISTICS; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HUMANS; PERCEPTION; QUALITATIVE RESEARCH; QUALITY ASSURANCE, HEALTH CARE; REPRODUCIBILITY OF RESULTS; SOCIOECONOMIC FACTORS;

EID: 84942549714     PISSN: 17408695     EISSN: 17408709     Source Type: Journal    
DOI: 10.1111/mcn.12072     Document Type: Article

References (60)

1. Abbatt F. (2005) Scaling Up Health and Education Workers: Community Health Workers. DFID Health Systems Resource Centre. London: DFID.
2. Aboud F.E., Moore A.C. & Akhter S. (2008) Effectiveness of a community-based responsive feeding programme in rural Bangladesh: a cluster randomized field trial. Maternal and Child Nutrition 4, 275-286.
3. Ahmed S.M., Hossain M., Chowdhury A.M.R. & Bhuiya A.U. (2011) The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution. Human Resources for Health 9, 3.
4. Alam K., Tasneem S. & Oliveras E. (2012) Performance of female volunteer community health workers in Dhaka urban slums. Social Science and Medicine 75, 511-515.
5. Bang A.T., Bang R.A., Sontakke P. & the SEARCH Team (1994) Management of childhood pneumonia by traditional birth attendants. Bulletin of the World Health Organization 72, 897-905.
6. Bentley M.E., Wasser H.M. & Creed-Kanashiro H.M. (2011) Responsive feeding and child undernutrition in low- and middle-income countries. Journal of Nutrition 141, 502-507.
7. Berman P., Gwatkin D. & Burger S. (1987) Community-based health workers: head start or false start towards health for all? Social Science and Medicine 25, 443-459.
8. Bhattacharyya K., Winch P.J., LeBan K. & Tien M. (2001) Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention and Sustainability. BASICS II: Arlington, VA.
9. Bhutta Z., Lassi Z., Pariyo G. & Huicho L. (2010) Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems. World Health Organization: Geneva.
10. Black M.M. & Aboud F.E. (2011) Responsive feeding is embedded in a theoretical framework of responsive parenting. Journal of Nutrition 141, 490-494.
11. Bronfenbrenner U. (1994) Ecological models of human development. In: International Encyclopedia of Education, vol. 3, 2nd edn. Elsevier: Oxford. Reprinted in: Gauvain, M. & Cole M. (eds) (1993) Readings on the Development of Children, 2nd edn, pp. 37-43. Freeman: New York.
12. Chandani Y., Noel M., Pomeroy A., Andersson S., Pahl M.K. & Timothy W. (2012) Factors affecting availability of essential medicines among community health workers in Ethiopia, Malawi, and Rwanda: solving the last mile puzzle. American Journal of Tropical Medicine and Hygiene 87, 120-126.
13. CHW Technical Taskforce (2011) One Million Community Health Workers: Technical Task Force Report. New York: Earth Institute at Columbia University.
14. Corbin J. & Strauss A.L. (2008) Basics of Qualitative Research. Sage: Los Angeles, CA.
15. Crispin N., Wamae A., Ndirangu M., Wamalwa D., Wangalwa G., Watako P. etal. (2012) Effects of selected socio-demographic characteristics of community health workers on performance of home visits during pregnancy: a cross-sectional study in Busia District, Kenya. Global Journal of Health Science 4, 78.
16. Curtale F., Siwakoti B., Lagrosa C., LaRaja M. & Guerra R. (1995) Improving skills and utilization of community health volunteers in Nepal. Social Science and Medicine 40, 1117-1125.
17. Fereday J. & Muir-Cochrane E. (2008) Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods 5, 80-92.
18. Gilson L., Walt G., Heggenhougen K., Owuor-Omondi L., Perera M., Ross D. etal. (1989) National community health worker programs: how can they be strengthened? Journal of Public Health Policy 10, 518-532.
19. Gopalan S.S., Mohanty S. & Das A. (2012) Assessing community health workers' performance motivation: a mixed-methods approach on India's Accredited Social Health Activists (ASHA) programme. BMJ Open 2, e001557.
20. Hadi A. (2003) Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). Bulletin of the World Health Organization 81, 183-189.
21. Haines A., Sanders D., Lehmann U., Rowe A.K., Lawn J.E., Jan S. etal. (2007) Achieving child survival goals: potential contribution of community health workers. Lancet 369, 2121-2131.
22. Hall J.J. & Taylor R. (2003) Health for all beyond 2000: the demise of the Alma-Ata Declaration and primary health care in developing countries. Medical Journal of Australia 178, 17-20.
23. Haq Z., Iqbal Z. & Rahman A. (2008) Job stress among community health workers: a multi-method study from Pakistan. International Journal of Mental Health Systems 2, 15.
24. Hsieh H.-F. & Shannon S.E. (2005) Three approaches to qualitative content analysis. Qualitative Health Research 15, 1277-1288.
25. Kallandar K., Tomson G., Nsabagasani X., Sabiiti J., Pariyo G. & Peterson S. (2006) Can community health workers and caretakers recognise pneumonia in children? Experiences from western Uganda. Transactions of the Royal Society of Tropical Medicine and Hygiene 100, 956-963.
26. Kelly J.M., Osamba B., Garg R., Hamel M., Lewis J., Rowe S.Y. etal. (2001) Community Health Worker performance in the management of multiple childhood illnesses: Siaya District, Kenya, 1997-2001. American Journal of Public Health 91, 1617-1624.
27. Krueger R. & Casey M.A. (2008) Focus Groups: A Practical Guide for Applied Research. SAGE: Thousand Oaks, CA.
28. Lehmann U. & Sanders D. (2007) Community Health Workers: What Do We Know About Them? The State of the Evidence on Programmes, Activities, Costs and Impact on Health Outcomes of Using Community Health Workers. World Health Organization: Geneva.
29. Lewin S., Munabi-Babigumira S., Glenton C., Daniels K., Bosch-Capblanch X., van Wyk B. etal. (2010) Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases (Review). Cochrane Database of Systematic Reviews (3), Art. No: CD004015.
30. Liu A., Sullivan S., Khan M., Sachs S. & Singh P. (2011) Community health workers in global health: scale and scalability. Mount Sinai Journal of Medicine, New York 78, 419-435.
31. Miles M.B. & Huberman A.M. (1994) Qualitative Data Analysis: An Expanded Sourcebook, 2nd edn. SAGE Publications, Inc.: Newbury Park, CA.
32. Mumtaz Z., Salway S., Waseem M. & Umer N. (2003) Gender-based barriers to primary health care provision in Pakistan: the experience of female providers. Health Policy and Planning 18, 261-269.
33. Murphy E. (2005) Promoting Healthy Behavior. Health Bulletin. Population Reference Bureau: Washington, DC.
34. Paine P. & Wright M. (1989) With free health services, why does the Brazilian working class delay in seeing the doctor? Tropical Doctor 19, 120-123.
35. Pelto G.H., Levitt E. & Thairu L. (2003) Improving feeding practices: current patterns, common constraints, and the design of interventions. Food and Nutrition Bulletin 24, 45-82.
36. Pinto R.M., Da Silva S.B. & Soriano R. (2012a) Community Health Workers in Brazil's Unified Health System: a framework of their praxis and contributions to patient health behaviors. Social Science and Medicine 74, 940-947.
37. Pinto R.M., Wall M., Yu G., Penido C. & Schmidt C. (2012b) Primary care and public health services integration in Brazil's Family Health Strategy. American Journal of Public Health 102, 69-76.
38. Puett C., Coates J., Alderman H., Sadruddin S. & Sadler K. (2012) Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? Food and Nutrition Bulletin 33, 273-287.
39. Puett C., Coates J., Alderman H. & Sadler K. (2013) Quality of care for severe acute malnutrition delivered by community health workers in southern Bangladesh. Maternal and Child Nutrition 9, 130-142.
40. Reed B.A., Habicht J. & Niameogo C. (1996) The effects of maternal education on child nutritional status depend on socio-environmental conditions. International Journal of Epidemiology 25, 585-592.
41. Robinson S.A. & Larsen D.E. (1990) The relative influence of the community and the health system on work performance: a case study of community health workers in Colombia. Social Science and Medicine 30, 1041-1048.
42. Rosato M., Laverack G., Howard Grabman L., Tripathy P., Nair N., Mwansambo C. etal. (2008) Community participation: lessons for maternal, newborn, and child health. Alma-Ata: rebirth and revision 5. Lancet 372, 962-971.
43. Rowe S.Y., Kelly J.M., Olewe M.A., Kleinbaum D.G., McGowan J.E.J., McFarland D.A. etal. (2007) Effect of multiple interventions on community health workers' adherence to clinical guidelines in Siaya District, Kenya. Transactions of the Royal Society of Tropical Medicine and Hygiene 101, 188-202.
44. Sadler K., Puett C., Mothabbir G. & Myatt M. (2011) Community Case Management of Severe Acute Malnutrition in Southern Bangladesh. Feinstein International Center, Tufts University: Medford.
45. Saldaña J. (2009) The Coding Manual for Qualitative Researchers. Sage: London.
46. Sauerborn R., Nougtara A. & Diesfeld H. (1989a) Low utilization of community health workers: results from a household interview survey in Burkina Faso. Social Science and Medicine 29, 1163-1174.
47. Sauerborn R., Nougtara A., Sorgho G., Bidiga J., Tiebelesse L. & Diesfeld H. (1989b) Assessment of MCH Services in the district of Solenzo, Burkina Faso. II. Acceptability. Journal of Tropical Pediatrics 35, 10-13.
48. Schneider H., Hlophe H. & van Rensburg D. (2008) Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects. Health Policy and Planning 23, 179-187.
49. Standing H. & Chowdhury A.M.R. (2008) Producing effective knowledge agents in a pluralistic environment: what future for community health workers? Social Science and Medicine 66, 2096-2107.
50. Stekelenburg J., Kyanamina S.S. & Wolffers I. (2003) Poor performance of community health workers in Kalabo District, Zambia. Health Policy 65, 109-118.
51. Travis P., Bennett S., Haines A., Pang T., Bhutta Z., Hyder A.A. etal. (2004) Overcoming health-systems constraints to achieve the Millennium Development Goals. Lancet 364, 900-906.
52. UNICEF (2004) What Works for Children in South Asia: Community Health Workers. Kathmandu: UNICEF.
53. Walt G., Perera M. & Heggenhougen K. (1989) Are large-scale volunteer community health worker programmes feasible? The case of Sri Lanka. Social Science and Medicine 29, 599-608.
54. WHO (1981) Global Strategy for Health for All by the Year 2000. Geneva: WHO.
55. WHO (1987) The Community Health Worker. WHO: Geneva.
56. WHO (2006) The World Health Report 2006: Working together for health. World Health Organization: Geneva.
57. WHO (2012) Caring for the Newborn at Home: A Training Course for Community Health Workers. Geneva: World Health Organization.
58. Winch P.J., Gilroy K., Wolfheim C., Starbuck E., Young M., Walker L. etal. (2005) Intervention models for the management of children with signs of pneumonia or malaria by community health workers. Health Policy and Planning 20, 199-212.
59. World Bank (2005) The Bangladesh Integrated Nutrition Project: Effectiveness and Lessons Bangladesh Development Series. World Bank: Dhaka.
60. Zeitz P., Harrison L., Lopez M. & Cornale G. (1993) Community health worker competency in managing acute respiratory infections of childhood in Bolivia. Bulletin of the Pan American Health Organization 27, 109-119.