Evidence of community health workers’ delivery of physical rehabilitation services in sub-Saharan Africa : a scoping review

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dc.contributor.author Mapulanga, Miriam
dc.contributor.author Kgarosi, Kabelo
dc.contributor.author Maluleke, Kuhlula
dc.contributor.author Hlongwa, Mbuzeleni
dc.contributor.author Dlungwane, Thembelihle
dc.date.accessioned 2024-10-09T06:53:40Z
dc.date.available 2024-10-09T06:53:40Z
dc.date.issued 2024-05
dc.description DATA AVAILABITY STATEMENT: All data relevant to the study are included in the article or uploaded as supplementary information. en_US
dc.description.abstract OBJECTIVES: To map the evidence and scope of physical rehabilitation services delivered by community health workers (CHWs) in sub-Saharan Africa (SSA). DESIGN: Scoping review DATA SOURCES: PubMed, Scopus, Cochrane Central and databases within the EBSCOhost platform. We also searched other literature sources including reference lists, conference presentations and organisational websites such as WHO, Ministries of Health and non-governmental organisations in SSA. ELIGIBILIY CRITERIA FPR SELECTION OF STUDIES: Articles presenting evidence on CHWs’ delivery of physical rehabilitation services in SSA from September 1978 to June 2023. DATA EXTRACTION AND SYNTHESIS: Screening was conducted by two reviewers and was guided by the inclusion criteria. Thematic content analysis of data was employed. The results are presented according to the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for scoping reviews. RESULTS: A total of 6996 articles were identified through various databases, with only 20 studies qualifying for data extraction. Evidence was presented by Eritrea, Ethiopia, Malawi, Mauritius, Namibia, South Africa and Uganda. Assessments, case management, health education, community liaison with support, health systems linkage and administration were the CHWs’ scope of practice identified. The review identified home-based, community-based, community and facility-based, home and community-based and facility-based as modes of delivery. The barriers experienced are resources, societal and community attitudes, governance, geographical barriers and delivery capacity, while proximity to the community, positive job attitude and support with collaboration facilitated service delivery. CONCLUSION: Training and integrating CHWs in national health care systems, with careful selection of existing CHWs, would minimise the barriers faced. en_US
dc.description.department School of Health Systems and Public Health (SHSPH) en_US
dc.description.sdg SDG-03:Good heatlh and well-being en_US
dc.description.uri https://bmjopen.bmj.com/ en_US
dc.identifier.citation Mapulanga, M., Kgarosi, K., Maluleke, K., et al. Evidence of community health workers’ delivery of physical rehabilitation services in sub-Saharan Africa: a scoping review. BMJ Open 2024;14:e079738. doi:10.1136/bmjopen-2023-079738. en_US
dc.identifier.issn 2044-6055 (online)
dc.identifier.other 10.1136/bmjopen-2023-079738
dc.identifier.uri http://hdl.handle.net/2263/98554
dc.language.iso en en_US
dc.publisher BMJ Publishing Group en_US
dc.rights © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. en_US
dc.subject Community health workers (CHWs) en_US
dc.subject Physical rehabilitation services en_US
dc.subject Sub-Saharan Africa (SSA) en_US
dc.subject Barriers and facilitators en_US
dc.subject SDG-03: Good health and well-being en_US
dc.title Evidence of community health workers’ delivery of physical rehabilitation services in sub-Saharan Africa : a scoping review en_US
dc.type Article en_US


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