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Community-level integration of health services and community health workers’ agency in Malawi

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  • Ngwira, Chikosa
  • Mayhew, Susannah H.
  • Hutchinson, Eleanor

Abstract

Despite a large literature on integration of health services, there is a dearth of scholarship assessing service integration in its totality at the community level. Similarly, across the wide evidence base on community health workers (CHWs), there is little that analyses the ways in which they interact with both formal and informal structures and how these interactions shape their agency and ultimately the delivery of integrated services. A better understanding of agency in the work of CHWs would help health systems, policy makers and practitioners to better design and support the delivery of community-level integrated health packages to improve health outcomes.

Suggested Citation

  • Ngwira, Chikosa & Mayhew, Susannah H. & Hutchinson, Eleanor, 2021. "Community-level integration of health services and community health workers’ agency in Malawi," Social Science & Medicine, Elsevier, vol. 291(C).
    • Handle: RePEc:eee:socmed:v:291:y:2021:i:c:s0277953621007954
    DOI: 10.1016/j.socscimed.2021.114463
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    References listed on IDEAS

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    1. Judith Green, 2004. "Book Review: Qualitative Methods and Health Policy Research," Sociological Research Online, , vol. 9(4), pages 108-109, November.
    2. Atinga, Roger A. & Agyepong, Irene Akua & Esena, Reuben K., 2018. "Ghana's community-based primary health care: Why women and children are ‘disadvantaged’ by its implementation," Social Science & Medicine, Elsevier, vol. 201(C), pages 27-34.
    3. Ernestina Coast & Nicola Jones & Umutoni Marie Francoise & Workneh Yadete & Roberte Isimbi & Kiya Gezahegne & Letisha Lunin, 2019. "Adolescent Sexual and Reproductive Health in Ethiopia and Rwanda: A Qualitative Exploration of the Role of Social Norms," SAGE Open, , vol. 9(1), pages 21582440198, March.
    4. Hutchinson, Eleanor & Nayiga, Susan & Nabirye, Christine & Taaka, Lilian & Staedke, Sarah G., 2018. "Data value and care value in the practice of health systems: A case study in Uganda," Social Science & Medicine, Elsevier, vol. 211(C), pages 123-130.
    5. Walker, Liz & Gilson, Lucy, 2004. "'We are bitter but we are satisfied': nurses as street-level bureaucrats in South Africa," Social Science & Medicine, Elsevier, vol. 59(6), pages 1251-1261, September.
    6. Bossert, Thomas John & Mitchell, Andrew David, 2011. "Health sector decentralization and local decision-making: Decision space, institutional capacities and accountability in Pakistan," Social Science & Medicine, Elsevier, vol. 72(1), pages 39-48, January.
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