TY - JOUR
T1 - An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique
AU - Simon, Sandrine
AU - Chu, Kathryn
AU - Frieden, Marthe
AU - Candrinho, Baltazar
AU - Ford, Nathan
AU - Schneider, Helen
AU - Biot, Marc
N1 - Funding Information:
Between 2005 and 2006, one hundred volunteers from existing community groups were recruited as TB volunteers and given a two-day training and detailed task description (82 were still working in the district in 2008). Their activities included educating the community about TB, referral of TB suspects to the health centres, administration and follow up of treatment in the community and defaulter tracing. Their work was supported through regular supervision and ongoing training given by MoH health workers with MSF support. Material assistance was provided for their work, but they received no financial support.
PY - 2009
Y1 - 2009
N2 - Background. The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. Methods. A participant-observer description of the evolution of community health worker support to the health services in Angánia district, Mozambique. Results. An integrated community health team approach, established jointly by the Ministry of Health and Médecins Sans Frontières in 2007, has improved accountability, relevance, and geographical access for basic health services. Conclusion. The community health team has several advantages over 'disease-specific' community health worker approaches in terms of accountability, acceptability, and expanded access to care.
AB - Background. The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. Methods. A participant-observer description of the evolution of community health worker support to the health services in Angánia district, Mozambique. Results. An integrated community health team approach, established jointly by the Ministry of Health and Médecins Sans Frontières in 2007, has improved accountability, relevance, and geographical access for basic health services. Conclusion. The community health team has several advantages over 'disease-specific' community health worker approaches in terms of accountability, acceptability, and expanded access to care.
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U2 - 10.1186/1472-698X-9-13
DO - 10.1186/1472-698X-9-13
M3 - Article
C2 - 19615049
AN - SCOPUS:69049108829
SN - 1471-2458
VL - 9
JO - BMC International Health and Human Rights
JF - BMC International Health and Human Rights
IS - 1
M1 - 13
ER -