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  1. Article ; Online: Examining health-care volunteerism in a food- and financially-insecure world

    Kenneth Maes

    Bulletin of the World Health Organization, Vol 88, Iss 11, Pp 867-

    2010  Volume 869

    Keywords Public aspects of medicine ; RA1-1270 ; Medicine ; R ; DOAJ:Public Health ; DOAJ:Health Sciences
    Language English
    Publishing date 2010-11-01T00:00:00Z
    Publisher World Health Organization
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Volunteers in Ethiopia’s women’s development army are more deprived and distressed than their neighbors

    Kenneth Maes / Svea Closser / Yihenew Tesfaye / Yasmine Gilbert / Roza Abesha

    BMC Public Health, Vol 18, Iss 1, Pp 1-

    cross-sectional survey data from rural Ethiopia

    2018  Volume 11

    Abstract: Abstract Background Many Community Health Workers (CHWs) experience the same socioeconomic and health needs as their neighbors, given that they are by definition part of their communities. Yet very few studies aim to measure and characterize experiences ... ...

    Abstract Abstract Background Many Community Health Workers (CHWs) experience the same socioeconomic and health needs as their neighbors, given that they are by definition part of their communities. Yet very few studies aim to measure and characterize experiences of deprivation, poverty, and wellbeing among community health workers. This study quantitatively examines deprivation and wellbeing in Ethiopia’s Women’s Development Army (WDA), a massive unpaid community health workforce intended to improve population health and modernize the country. Methods We conducted a survey of 422 volunteer WDA leaders and community members in rural Amhara state, part of a mixed-methods ethnographic study of the experiences of women in the WDA. The survey asked a variety of questions about respondents’ demographics, education, assets, and access to government services. We also used survey measures to evaluate respondents’ levels of household food and water security, stressful life events, social support, work burden, and psychological distress. Results Volunteer WDA leaders and community members alike tend to have very low levels of schooling and household assets, and to be heavily burdened with daily work in several domains. Large proportions are food and water insecure, many are in debt, and many experience stretches of time with no money at all. Our survey also revealed differences between volunteer WDA leaders and other women that warrant attention. Leaders are less likely to be married and more likely to be divorced or separated. Leaders are also more likely to experience some aspects of food insecurity and report greater levels of psychological distress and more stressful life events. They also report slightly less social support than other women. Conclusions In rural Amhara, women who seek out and/or are sought and recruited for leader roles in the WDA are a population living in precarity. In several domains, they experience even more hardship than their neighbors. These findings highlight a need for careful attention and further ...
    Keywords Community health workers ; Ethiopia ; Food insecurity ; Water insecurity ; Mental health ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2018-02-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The Community Health Worker (CHW) Common Indicators Project

    Keara Rodela / Noelle Wiggins / Kenneth Maes / Teresa Campos-Dominguez / Victoria Adewumi / Pennie Jewell / Susan Mayfield-Johnson

    Frontiers in Public Health, Vol

    Engaging CHWs in Measurement to Sustain the Profession

    2021  Volume 9

    Abstract: Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across ... ...

    Abstract Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of evaluation and research. This manuscript details the current work being done by the CI Project, demonstrating how CHWs are able to contribute to the integrity, sustainability, and viability of CHW programs through the collaborative development and adoption of a set of common process and outcome constructs and indicators for CHW practice and CHW program implementation.
    Keywords community health workers ; measurement ; popular education ; participatory evaluation ; community based participatory research ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-06-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: In pursuit of ‘safe’ water

    Sabrina Rasheed / Sera L Young / Zeina Jamaluddine / Hugo Melgar-Quiñonez / Amber Wutich / Ellis Adams / Mallika Alexander / Mobolanle Balogun / Genny Carrillo / Kelly Chapman / Stroma Cole / Hassan Eini-zinab / Jorge Escobar-vargas / Hala Ghattas / Ashley Hagaman / Kenneth Maes / Jyoti Mathad / Javier Moran / Nasrin Omidvar /
    Luisa Samayoa-figueroa / Sonali Srivastava / Chad Staddon / Andrea Sullivan / Yihenew Tesfaye / Alex Trowell / Desire Tshala-katumbay / Raymond Tutu / Justin Stoler / Alexandra Brewis / Divya Krishnakumar / Jonathan Maupin / Vidya Venkataramanan / Jo-Anne L Geere / Benjamin Thomae / Paul R Hunter / Jam Farooq Ahmed / Michael J. Boivin / Shalean M. Collins / Matthew C. Freeman / Monet Ghorbani / Wendy E. Jepson / Joshua D. Miller / Milton Marin Morales / Patrick M. Owuor / Asher Y. Rosinger / Marianne V. Santoso / Roseanne C. Schuster / Mahdieh Sheikhi / Nathaly Triviño

    BMJ Global Health, Vol 5, Iss

    the burden of personal injury from water fetching in 21 low-income and middle-income countries

    2020  Volume 10

    Abstract: Introduction Water fetching for household needs can cause injury, but documentation of the burden of harm globally has been limited. We described the frequency, characteristics and correlates of water-fetching injuries in 24 sites in 21 low-income and ... ...

    Abstract Introduction Water fetching for household needs can cause injury, but documentation of the burden of harm globally has been limited. We described the frequency, characteristics and correlates of water-fetching injuries in 24 sites in 21 low-income and middle-income countries in Asia, Africa and Latin America and the Caribbean.Methods In a survey of 6291 randomly selected households, respondents reported whether and how they had experienced water-fetching injuries. Responses were coded for injury type, mechanism, bodily location and physical context. We then identified correlates of injury using a multilevel, mixed-effects logistic regression model.Results Thirteen per cent of respondents reported at least one water-fetching injury. Of 879 injuries, fractures and dislocations were the most commonly specified type (29.2%), and falls were the most commonly specified mechanism (76.4%). Where specified, 61.1% of injuries occurred to the lower limbs, and dangerous terrain (69.4%) was the most frequently reported context. Significant correlates included being female (aOR=1.50, 95% CI 1.15 to 1.96); rural (aOR=4.80, 95% CI 2.83 to 8.15) or periurban residence (aOR=2.75, 95% CI 1.64 to 4.60); higher household water insecurity scores (aOR=1.09, 95% CI 1.07 to 1.10) and reliance on surface water (aOR=1.97, 95% CI 1.21 to 3.22) or off-premise water sources that required queueing (aOR=1.72, 95% CI 1.19 to 2.49).Conclusion These data suggest that water-fetching injuries are an underappreciated and largely unmeasured public health challenge. We offer guidelines for comprehensive data collection on injuries to better capture the true burden of inadequate water access. Such data can guide the design of interventions to reduce injury risk and promote equitable water access solutions.
    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Subject code 333
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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