Informations et ressources scientifiques
sur le développement des zones arides et semi-arides

Titre : Development of strategies for registered nurses to facilitate services rendered by community health workers in Hardap, Kavango east and Khomas regions, Namibia

Auteur : Black, Sofia Hanstein

Université de soutenance  : University of Namibia

Grade : Doctor in Nursing Science 2022

Résumé partiel
With the adoption of the community health worker programme, the primary health care directorate of the ministry of health aimed at delivering family and community-centred promotive, preventive, rehabilitative and basic curative services to all citizens of Namibia. The programme’s services focused on preventive and promotive infant and under-five-year-olds’ health care, maternal and neonatal health care, adolescent and youth-friendly health services, human immunodeficiency virus and acquired immunodeficiency syndrome and tuberculosis prevention, social welfare and disability prevention. However, no functional unit with its own ideal structure for monitoring and facilitation of community health workers’ services was established. The latter resulted in the programme experiencing challenges with the planning of facilitation strategies that would enhance the programme’s effects. The overall purpose of the study was to investigate the effectiveness and functionality of facilitation (mentoring, supervision, monitoring, evaluation and training) by the registered nurses to the community health workers deployed by the ministry in the Hardap, Kavango East and Khomas regions of Namibia. It was also to develop strategies for registered nurses to facilitate services rendered by CHWs based on Standard Operating Procedures Guidelines of primary health care. This study was conducted in a quantitative and qualitative nature, thus a mixed methods approach in five phases. Phase1 being a situational analysis, phase 2 conceptual framework development, phase 3 strategy development and phases 4 and 5 comprising testing the implementability and preliminary evaluation of the developed strategies in the Khomas region. The study was conducted within a pragmatist paradigm, which employed the quantitative research approach, exploratory, descriptive, and non experimental designs. At the same time, it was interpretive, employing a qualitative phenomenological, exploratory, contextual and descriptive research approach to understand recipients’ experiences. Four groups of respondents (138 community health workers for the quantitative design, three primary health care supervisors, 10 registered nurses and 64 community health workers for the qualitative design) were used to learn their responses and experiences. Structured questionnaires were completed for the quantitative part, while eight focus group discussions were performed with community health workers

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