Mrigendra P Singh, Harsh Rajvanshi, Praveen K Bharti, Anup R Anvikar, Altaf A Lal
Time series analysis of malaria cases to assess the impact of various interventions over the last three decades and forecasting malaria in India towards the 2030 elimination goals
Malaria journal
community health workers essential frontline health outreach throughout lowincome middleincome countries including programming early childhood immunisation understanding community health workers engaged successful early childhood vaccination among countries showed success immunisation coverage would support evidencebased policy guidance across contexts employed multiple case study design using qualitative research methods conducted research nepal senegal zambia conducted 207 interviews 71 focus group discussions 678 participants national regional district health facility community levels health systems nepal senegal zambia october 2019 april 2021 used thematic analysis investigate contributing factors community health worker programming supported early childhood immunisation within country across contexts implementation vaccination programming relied principally 1 organisation 2 motivation 3 trust community health workers organisation accomplished expanding cadres community health workers carry roles responsibilities related vaccination motivation supported intrinsic extrinsic incentives trust expressed communities due community health worker respect value placed work improvements immunisation coverage facilitated community health worker organisation motivation trust continued projection health worker shortages especially lowincome countries community health workers bridged equity gap access vaccination services enabling wider reach underserved populations although improvements vaccination programming seen three countriesincluding government commitment addressing human resource deficits training remuneration workload inconsistency compensation training duration scope supervision remain major challenges immunisation programming health decisionmakers consider organisation motivation trust community health workers improve implementation immunisation programming