Table 1 Contested and unexplored challenges affecting CHWs in low- and middle-income countries
Challenges affecting CHWs | Suggested pathways to address the challenges |
|---|---|
Heavy workload and high expectations | Routine assessment of the burden of CHW work Paying attention to remuneration and career recognition of CHWs Giving CHWs opportunities to engage in discussions concerning their work Involving CHWs in planning and evaluation of their activities More recognition of the role of CHWs in health systems |
Religious and cultural practices | Enhancing community involvement in the work of CHWs Discussing with CHWs issues concerning religion and culture in the community Supporting CHWs in working among communities with different cultural and religious beliefs |
Gendered barriers of care | Using a multi-dimensional approach while supporting the work of CHWs in communities Understanding the dynamics of male and female influence in communities Conducting more research on patriarchy and its impact on the performance of CHWs |