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

Chikosa Ngwira, Susannah H. Mayhew and Eleanor Hutchinson

Social Science & Medicine, 2021, vol. 291, issue C

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.

Keywords: Integration; Agency; Community health workers; Health surveillance assistants; Malawi (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1016/j.socscimed.2021.114463

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