Abstract
Abstract
Background
There is limited information on community health volunteer (CHV) programmes in urban informal settlements in low- and middle-income countries (LMICs). This is despite such settings accounting for a high burden of disease. Many factors intersect to influence the performance of CHVs working in urban informal settlements in LMICs. This review was conducted to identify both the programme level and contextual factors influencing performance of CHVs working in urban informal settlements in LMICs.
Methods
Four databases were searched for qualitative and mixed method studies focusing on CHVs working in urban and peri-urban informal settlements in LMICs. We focused on CHV programme outcome measures at CHV individual level. A total of 13 studies met the inclusion criteria and were double read to extract relevant data. Thematic coding was conducted, and data synthesized across ten categories of both programme and contextual factors influencing CHV performance. Quality was assessed using both the Critical Appraisal Skills Programme (CASP) and the Mixed Methods Assessment Tool (MMAST); and certainty of evidence evaluated using the Confidence in the Evidence from Reviews of Qualitative research (CERQual) approach.
Results
Key programme-level factors reported to enhance CHV performance in urban informal settlements in LMICs included both financial and non-financial incentives, training, the availability of supplies and resources, health system linkage, family support, and supportive supervision. At the broad contextual level, factors found to negatively influence the performance of CHVs included insecurity in terms of personal safety and the demand for financial and material support by households within the community. These factors interacted to shape CHV performance and impacted on implementation of CHV programmes in urban informal settlements.
Conclusion
This review identified the influence of both programme-level and contextual factors on CHVs working in both urban and peri-urban informal settlements in LMICs. The findings suggest that programmes working in such settings should consider adequate remuneration for CHVs, integrated and holistic training, adequate supplies and resources, adequate health system linkages, family support and supportive supervision. In addition, programmes should also consider CHV personal safety issues and the community expectations.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Public Administration
Reference60 articles.
1. United Nations Statistics Division. SDG indicators [Internet]. 2018 [cited 2021 Feb 10]. Available from: https://unstats.un.org/sdgs/report/2019/goal-11/.
2. Ernst KC, Phillips BS, Duncan B. Slums are not places for children to live. Adv Pediatr. 2013;60(1):53–87. https://doi.org/10.1016/j.yapd.2013.04.005.
3. Africa Population and Health Research Center (APHRC). Population and health dynamics in Nairobi’s informal settlements: report of the Nairobi Cross-sectional Slums Survey (NCSS) 2012 [Internet]. Nairobi; 2014 [cited 2019 Apr 11]. Available from: https://aphrc.org/wp-content/uploads/2014/08/NCSS2-FINAL-Report.pdf.
4. Beguy D, Elung’ata P, Mberu B, Oduor C, Wamukoya M, Nganyi B, et al. HDSS profile: the Nairobi Urban Health and Demographic Surveillance System (NUHDSS). HDSS Profile Int J Epidemiol Adv Access [Internet]. 2015 [cited 2019 Apr 11];1–10. Available from: https://www.indepth-network.org/sites/default/files/content/centres/files/Nairobi%20Urban%20profile.pdf.
5. Ezeh A, Oyebode O, Satterthwaite D, Chen Y-F, Ndugwa R, Sartori J, et al. Series: the health of people who live in slums 1. The history, geography, and sociology of slums and the health problems of people who live in slums. 2016 [cited 2019 Apr 11]; Available from: https://doi.org/10.1016/S0140-6736.
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