Selection and performance of village health teams (VHTs) in Uganda: lessons from the natural helper model of health promotion

Human Resources for Health
Emmanueil Benon TurinaweRobert Pool

Abstract

Community health worker (CHW) programmes have received much attention since the 1978 Declaration of Alma-Ata, with many initiatives established in developing countries. However, CHW programmes often suffer high attrition once the initial enthusiasm of volunteers wanes. In 2002, Uganda began implementing a national CHW programme called the village health teams (VHTs), but their performance has been poor in many communities. It is argued that poor community involvement in the selection of the CHWs affects their embeddedness in communities and success. The question of how selection can be implemented creatively to sustain CHW programmes has not been sufficiently explored. In this paper, our aim was to examine the process of the introduction of the VHT strategy in one rural community, including the selection of VHT members and how these processes may have influenced their work in relation to the ideals of the natural helper model of health promotion. As part of a broader research project, an ethnographic study was carried out in Luwero district. Data collection involved participant observation, 12 focus group discussions (FGDs), 14 in-depth interviews with community members and members of the VHTs and four key informant interviews....Continue Reading

References

Aug 1, 1997·Health Education & Behavior : the Official Publication of the Society for Public Health Education·E EngC Harlan
Aug 1, 1997·Health Education & Behavior : the Official Publication of the Society for Public Health Education·E J Jackson, C P Parks
Aug 1, 1997·Health Education & Behavior : the Official Publication of the Society for Public Health Education·J A EarpE Eng
Feb 25, 1998·Health Education & Behavior : the Official Publication of the Society for Public Health Education·E A ParkerR Hollis
Dec 12, 1981·Patient Counselling and Health Education·B A Israel
Feb 24, 2001·Health Education Research·I A TessaroB DeVellis
Jul 1, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Pamela L DavidsonE Richard Brown
Oct 19, 2004·Lancet·Charles Hongoro, Barbara McPake
Oct 30, 2004·American Journal of Public Health·Marcos Cueto
Jan 8, 2005·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Jeannette O AndrewsJanie Heath
Mar 18, 2008·Social Science & Medicine·H Standing, A Mushtaque R Chowdhury
Sep 16, 2008·Lancet·Mikey RosatoAnthony Costello
Jul 23, 2009·Human Resources for Health·Slavea ChankovaGilbert Kombe
Nov 16, 2010·Bulletin of the World Health Organization·Kenneth Maes
May 21, 2011·The Mount Sinai Journal of Medicine, New York·Anne LiuPrabhjot Singh
Sep 2, 2011·Family & Community Health·Andrea CherringtonGiselle Corbie-Smith
Oct 6, 2012·Public Health·T Takasugi, A C K Lee
Apr 2, 2013·Lancet·Prabhjot Singh, Jeffrey D Sachs
May 2, 2013·Social Science & Medicine·Kenneth Maes, Ippolytos Kalofonos
Dec 19, 2013·Bulletin of the World Health Organization·James BuchanCarmen Dolea

❮ Previous
Next ❯

Citations

Feb 19, 2017·Lancet·Nelson K Sewankambo, David K Mafigiri
Apr 5, 2019·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Celia BrownRichard Lilford
Jun 24, 2017·Journal of Developmental Origins of Health and Disease·A J Macnab, R Mukisa
Apr 21, 2017·Frontiers in Public Health·Yusufu KuuleEwan Wilkinson
May 12, 2018·JMIR MHealth and UHealth·Onaedo IlozumbaJacqueline Ew Broerse
Aug 21, 2020·BMJ Global Health·David MusokePeter Waiswa
Nov 3, 2020·American Journal of Surgery·Vennila PadmanabanZiad C Sifri
Aug 28, 2021·International Journal of Environmental Research and Public Health·Aggrey SiyaRebekah C Kading

❮ Previous
Next ❯

Software Mentioned

Nvivo10

Related Concepts

Related Feeds

Antimalarial Agents (ASM)

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Antimalarial Agents

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.