Gregory Jérôme|Louise C. Ivers
Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti
Partners In Health|GTx (United States)
background haiti among countries facing serious shortages human resources healthcare rural haiti need daily longterm adherence medication hiv tb initially driving factor recruitment community health workers chw scaleup hiv services role became broader time qualitative study evaluated role chw health system whole hiv nonhivrelated services rural haiti investigated challenges facilitating factors work methods used qualitative methods including focus group discussions group interviews four sites rural haiti data 462 chw analysed themes content according standard ethnographic methods results chw contributed wide range primary health services nonhivrelated activities recognition community status satisfaction contributing wellbeing others remuneration facilitating factors performing work challenges included insufficient materials cope obstacles ground lack diagnostic treatment roles activities high work load desire ongoing training higher salary conclusion chw initially hired hiv care represent important part health system rural haiti hivrelated primary healthcare services chw programmes important potential building capacity health workforce thereby contributing strengthening health system whole attention must paid adequate remuneration training provision materials