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Understanding community health workers' activities in a community-based child health promotion project in Kyrgyzstan

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Affiliated Author(s)
손순영
Alternative Author(s)
Shon, Soon Young
Journal Title
Eval Program Plann
ISSN
1873-7870
Issued Date
2023
Keyword
Child healthCommunity health worker (CHW)EmpowermentHealth promotion
Abstract
Background:
Community health workers (CHWs) have strong potential for conducting health initiatives in vulnerable countries. Their continuing activities are essential for positive outcomes. The purpose of this study is to understand CHW activities in Kyrgyzstan migrant villages and their impact on individuals and communities.

Methods:
This study used a mixed-method design. All active CHWs were invited to participate in the survey and the first reflection note regarding their experience and satisfaction with CHW activities. Respondents who agreed to participate in the second reflection notes wrote additional reflection notes. Participatory observational CHW activity report meeting data was collected for additional qualitative analysis. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed thematically.

Results:
CHWs started their activities with altruistic and personal motives, such as social recognition and knowledge acquisition. Job-related satisfaction after the activity tended to be high. After performing home visits and resident participatory events, they experienced intrinsic motivation, resource mobilization efforts, increased autonomy, and social recognition. Although the material rewards were small as volunteers, they recognized their positive impact on individuals and communities and gained pride and happiness.

Conclusions:
CHWs participating in health promotion projects had training and CHW-nurse network activities and were gradually empowered in the process. When considering the sustainability of CHW activities, it is important to increase self-confidence and strengthen social recognition through empowerment.
Department
Dept. of Nursing (간호학)
Publisher
College of Nursing (간호대학)
Type
Article
ISSN
1873-7870
DOI
10.1016/j.evalprogplan.2023.102307
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44973
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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