Measuring community engagement and trust in community health workers in Haiti, Malawi, and Rwanda
A cross-sectional study
Dados Bibliográficos
Background: Community health workers (CHWs) increase the accessibility of institutional health systems by building trust in communities. We assessed community members' trust in CHWs in Haiti, Malawi, and Rwanda. We explored whether potentially modifiable factors, including sex concordance between community members and CHWs and time spent by CHWs engaging with their community, are associated with increased trust in CHWs. Methods: test and explored the association between sex and sex concordance, CHW engagement, and trust, by country using clustering-adjusted regression models. Results: Many community members in Haiti (51.1%), Rwanda (47.2%), and Malawi (5.8%) reported no interaction with their CHW in the past six months (P < 0.001). Among those who had interacted at least once, the cumulative self-engagement duration (in hours) was highest in Malawi (mean (x̄) = 3.3 hours), followed by Rwanda (x̄ = 1.2) and Haiti (x̄ = 1.1). Trust in CHWs was also the highest in Malawi (x̄ = 3.6), followed by Rwanda (x̄ = 3.5) and Haiti (x̄ = 3.4). While neither sex nor sex concordance were significantly associated with self-engagement duration or trust, longer cumulative durations of self- and community-engagement were significantly associated with increased trust for all countries. Conclusions: Increased duration of engagement with CHWs was associated with increased trust. However, many community members reported no meaningful engagement with their CHWs in the past six months. This finding underscores the importance of empowering CHWs to engage with community members.
Community engagement · Community health · Community health workers · Community participation · Concordance · Duration (music) · Community Health and Development · Diabetes Management and Education · Global Maternal and Child Health
Costs and cost-effectiveness of community health workers
Community Health Workers in Low-, Middle-, and High-Income Countries
Community health workers for universal health-care coverage
A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health
Measuring client trust in community health workers
Community health workers in humanitarian settings
The role of community health workers in influencing social connectedness using the household model
Community health workers, recipients’ experiences and constraints to care in South Africa – a pathway to trust
Instructive roles and supportive relationships
Features and Impact of Trust-Based Relationships Between Community Health Workers and Low-Resource Perinatal Women with Chronic Health Conditions
How do you measure trust in the health system? A systematic review of the literature
Distrusting community health workers with confidential health information
Community Health Workers in Low- and Middle-Income Countries
Trust and the development of health care as a social institution
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |