CHW's are unique in the provision of community based health care in that ideally, they, like the Greek god Janus, are two faced...but in a positive, not a pejorative sense. CHW's should answer both to the community that they serve, and to the health professionals with whom they serve.
... We need a universal definition of the term 'performance based finance' or 'performance based incentives' in order to understand better as to how they enhance the motivation of CHWs.
In India, performance based incentives are demotivating the CHWs.
My understanding (please correct me if I am wrong) is that a performance based payment is made in addition to the salary.
In our setting in Nigeria where Community Health Workers are skilled / trained / certificated workers (in Nigeria the term CHW is interchangeable with Primary Health workers and infact it includes medical officers), the evidence is that in addition to attitude, training, monitoring and other factors listed in this paper, training the non medical doctor CHWs (Junior Community Health Extension Workers (JCHEWs), Community Health Extension Workers (CHEWs), Community Health Officers (CHOs), Nurses, Midwives) to manage patients by working to Guidelines is necessary if good clinical outcomes are t
I get contact with patients who needs Health Care Information. I study their medical complications from primary treatment provider Doctors' note, diagnostic test results including images and finally voice from patient. I consider a medical case history (as best as possible from my little education), I do upload patient de-identified medical case including related document in online open forum through own blog
We have Junior community workers here in Iraq, see our website: https://internationalmedicalcorps.org/2016_04_13_Story_Iraq_Junior_Healt...
This approach works very well, we also have a comic book that will shortly be animated
the kids love it!
Cochrane fully supports the call for making health research from low and middle income countries more accessible... In our philosophy all research should be accessible, no matter by whom it is produced. Therefore, we are working towards the goal of achieving universal open access to new and updated Cochrane Reviews by the end of our current strategic plan, Strategy to 2020. Our plan for reaching this goal includes a process for providing open access immediately upon publication for both new and updated reviews, and later for our substantial archive of published reviews.
Subject: [hifa] How can health research from LMICs be made more accessible? (14) Medical Council of India (2)
The editors of several Indian journals have taken up this matter. It was discussed by a team of them, when we had the conference of the World Association of Medical Editors (WAME) in October last year. Some of them got together and wrote this article
Manuscript processing fees in my opinion is one of the most important factor affecting publication by Researchers in LMIC. In addition, not knowing the avenues to publish one paper is also another important reason...
Most of our young researchers do not know where to publish their paper. I must thank institutions like INASP for providing the necessary support to some of us in this direction.
Many researches that are carried out as dissertations in part fulfilment for medical fellowships do not get published. The reason being that such research was a means to achieve an end - the fellowship.
Many (probably most) are self funded. These researches are probably some of the most rigorous in terms of design and execution. It is thus a great loss that they are not published.
The volume and quality of research that is done in LMICs is seriously constrained by an opportunity gap: even when there is some funding, capacity is low; capacity is low because research infrastructure, support systems and ambience are poor; local mentoring and training are often lacking; local research culture is polluted by research misconduct (not limited to LMICs); persisting local cultural/religious beliefs in superstition, magic and miracles; and increasing Brain Drain of established faculty and younger ones to HICs in search of greener academic and professional pastures