Performance Evaluation of Community Health Workers: Case Study in the Amazon of Peru.
A shortage in human resources for health is a growing crisis that has led to an inability to provide adequate health services to impoverished populations. By “task-shifting”, health systems can delegate certain activities, such as health promotion and referral, to trained community members to help f...
| Publicado en: | Journal of Community Health Vol. 43; no. 5; pp. 908 - 920 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Nature
Oct2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=131532920&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 131532920 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Oct2018 vid: 43 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 131532920 10.1007/s10900-018-0503-3 ppf: 908 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P size: 888KB tig: atl: Performance Evaluation of Community Health Workers: Case Study in the Amazon of Peru. aug: au: Westgard, Christopher Naraine, Renuka Paucar Villacorta, Diego Mauricio affil: Department of Research, Elementos, Peru, Lima, Peru Dalla Lana School of Public Health, University of Toronto, Toronto, Canada Department of Sociology, Universidad Nacional Mayor de San Marcos, Lima, Peru su: South America Caregivers Child development Children's health Communities Health Information resources Job performance Health literacy Evaluation of human services programs Community health workers Medical appointments Quality assurance Research methodology evaluation sug: subj: Caregivers Child development Children's health Communities Health Information resources Job performance Health literacy Evaluation of human services programs South America Community health workers Medical appointments Quality assurance Research methodology evaluation keyword: Child health Community health Health systems Human resources for health Implementation science Child health Community health Health systems Human resources for health Implementation science ab: A shortage in human resources for health is a growing crisis that has led to an inability to provide adequate health services to impoverished populations. By “task-shifting”, health systems can delegate certain activities, such as health promotion and referral, to trained community members to help fill the human resource gap. An effective community health agent program can improve maternal and child health and overall effectiveness of rural health systems. Such a program is most effective when the community health agents receive supervision and evaluation of their performance. There is a shortage of literature that provides instruction and example on how to conduct a performance evaluation in the developing world to improve maternal and child health outcomes. The current study provides a case study of a performance evaluation in the Amazon region of Peru and how the findings can be used to make program adjustments. A set of instruments to measure the performance of CHWs was adapted from the literature and then implemented in the field. The instruments were used to measure the quality of home visits by the CHWs, their knowledge of the health topics, and structural activities. Three communities with an active CHW program in Loreto, Peru were chosen to receive the evaluation. All CHWs in the communities were evaluated. The scores from the evaluation were compared internally to identify strengths and weaknesses of the program and within the population of CHWs. The evaluation was completed on 52 home visits and 27 CHWs in three communities. The CHWs were found to be most effective at creating good relationships with caregivers and delivering health messages, and least effective at interacting with the child during the home visit and using material to deliver health messages. The evaluation instruments were well suited for the CHW program that utilizes home visits to teach about child health and development. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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