Community health workers in Lesotho: Experiences of health promotion activities

African Journal of Primary Health Care & Family Medicine
Thato SeutloaliNomonde Bam

Abstract

Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care. The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho. The study was conducted in four health centres in Berea district, Lesotho. A qualitative study was conducted using an interviewer guide translated from English into Sesotho for four CHW focus group discussions, four individual interviews of key informants and four semi-structured interviews with the health centre nurses. The roles of CHWs in health promotion ranged from offering basic first aid and home-based care to increasing access to health care services by taking patients to the facilities and promoting behaviour change through health education. Their perceived successes included increased access to health care services and reduced mortality rates. CHW challenges involved their demotivation to carry out their work because of lack of or inconsistent fi...Continue Reading

References

Jul 31, 2001·Journal of Health Care for the Poor and Underserved·C P MoutonM S Johnson
Jan 4, 2006·American Journal of Preventive Medicine·J Nell BrownsteinDavid M Levine
Feb 20, 2007·Health Promotion International
Nov 15, 2007·Qualitative Health Research·Helene Starks, Susan Brown Trinidad
Apr 5, 2008·Health Policy and Planning·Helen SchneiderDingie van Rensburg
Aug 1, 2009·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Ilse Blignault, Jan Ritchie
Nov 10, 2009·American Journal of Preventive Medicine·Matthew J O'BrienSteven C Larson
May 21, 2011·The Mount Sinai Journal of Medicine, New York·Anne LiuPrabhjot Singh
Jun 16, 2011·The Journal of Ambulatory Care Management·E Lee RosenthalJill Guernsey De Zapien

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Citations

Sep 26, 2021·Family Medicine and Community Health·Gugulethu Eve KhumaloTivani Phosa Mashamba-Thompson
Dec 28, 2021·Public Health Nursing·Yayoi Hada, Hisako Izumi

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