Topic | Summary of findings |
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Of central importance | Community embeddedness is associated with CHW retention, motivation, performance, accountability, support, and ultimately the acceptability and uptake of CHWs’ health-related work [14, 15, 19, 23, 34, 35, 37, 40, 43,44,45,46,47,48, 107]. |
Mechanisms to foster community embeddedness | Community embeddedness can be fostered through [15, 19, 48]: • Community members being involved in CHW selection and selecting a locally admired and trusted person • Community having a clear understanding of and reasonable expectations for their CHW • Community monitoring of CHWs • Community ownership of the CHW program • Community involvement in selection of activities and priority-setting of CHW work • Health system backs up the CHWs with supervision, supplies and support, which in turn helps to maintain community trust in CHWs |