Emerging from the Shadows: Intrinsic and Extrinsic Factors Facing Community Health Workers in Western Cape, South Africa

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dc.contributor.authorSchopp, Laura
dc.contributor.authorMajee, Wilson
dc.contributor.authorJohnson, Levona
dc.date.accessioned2020-11-05T08:21:43Z
dc.date.available2020-11-05T08:21:43Z
dc.date.issued2020
dc.description.abstractCommunity health workers (CHWs) have been identified as a key component of the health workforce in South Africa. However, the efficacy of CHW programs continues to be limited by a poor understanding of facilitators and barriers to CHW engagement. This study explores intrinsic and extrinsic factors that CHWs face. We conducted in-depth interviews with 20 CHWs in order to understand the challenges they may face as they implement their duties linked to the primary health care strategy in the Western Cape, South Africa. All interviews were audiotaped, transcribed verbatim, coded and analyzed using NVivo 12. Drawing on narratives of CHWs, we illustrate the complex issues surrounding CHW outreach in poor rural communities. The CHWs identified five key areas of challenges with respect to personal health, gender issues, poor community understanding of CHWs roles, environmental challenges and lack of patient adherence. These all hinder the ability of CHWs to meet their personal and familial needs, as well as those of the community members they support. There is a need to address the intrinsic needs of CHWs in order to ensure their emotional and physical well-being, as well as a need to create an awareness of the roles of CHWs.en_US
dc.identifier.citationWilson, Majee. et al (2020). Emerging from the Shadows: Intrinsic and Extrinsic Factors Facing Community Health Workers in Western Cape, South Africa. Int. J. Environ. Res. Public Health 2020, 17, 3199; doi:10.3390/ijerph17093199en_US
dc.identifier.issnhttps://dx.doi.org/10.3390/ijerph17093199
dc.identifier.urihttp://hdl.handle.net/10566/5345
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.subjectCommunity health workersen_US
dc.subjectHealth care servicesen_US
dc.subjectRuralen_US
dc.subjectSouth Africaen_US
dc.subjectWestern Capeen_US
dc.titleEmerging from the Shadows: Intrinsic and Extrinsic Factors Facing Community Health Workers in Western Cape, South Africaen_US
dc.typeArticleen_US

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