Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: an equity analysis

Human Resources for Health
Celso Soares GiveMiriam Taegtmeyer

Abstract

Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20 % of community health workers' (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80 % on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs. This exploratory qualitative study captured the perspectives of a range of participants including women caring for children under 5 years (service clients), community leaders, service providers (APEs) and their supervisors. Participants in the Moamba and Manhiça districts, located in Maputo Province (Mozambique), were selected purposively. In total, 29 in-depth interviews and 9 focus group discussions were conducted in the local language and/or Portuguese. A framework approach was used for analysis, assisted by NVivo10 software. Our analysis revealed that health equity is viewed as linked to the quality and coverage of the APE programme. Demand and supply factors i...Continue Reading

References

Jan 1, 1992·International Journal of Health Services : Planning, Administration, Evaluation·M Whitehead
Feb 26, 2004·Health Policy and Planning·Tim Ensor, Stephanie Cooper
May 18, 2004·Social Science & Medicine·Servando Z Hinojosa
Dec 21, 2006·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Orielle Solar, Alec Irwin
Dec 25, 2007·Cadernos de saúde pública·Owen O'Donnell
May 2, 2013·Social Science & Medicine·Kenneth Maes, Ippolytos Kalofonos
Dec 19, 2013·Bulletin of the World Health Organization·Kate TulenkoSanjay Zodpey

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Citations

Feb 23, 2017·Global Health Action·Abimbola OlaniranNynke van den Broek
Dec 10, 2017·Annals of Global Health·Halimatou AlaofèJohn Ehiri
Mar 2, 2019·Human Resources for Health·Salésio MacuácuaUNKNOWN CLIP Working Group
Apr 30, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Bianca BrijnathJon Adams

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Software Mentioned

Nvivo

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