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Community health workers’ efforts to build health system trust in marginalised communities : a qualitative study from South Africa
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Anstey Watkins, Jocelyn, Griffiths, Frances and Goudge, Jane (2021) Community health workers’ efforts to build health system trust in marginalised communities : a qualitative study from South Africa. BMJ Open, 11 (5). e044065. doi:10.1136/bmjopen-2020-044065 ISSN 2044-6055.
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Official URL: https://doi.org/10.1136/bmjopen-2020-044065
Abstract
Introduction: Community health workers (CHWs) enable marginalised communities, often experiencing structural poverty, to access healthcare. Trust, important in all patient–provider relationships, is difficult to build in such communities, particularly when stigma associated with HIV/AIDS, tuberculosis and now COVID-19, is widespread. CHWs, responsible for bringing people back into care, must repair trust. In South Africa, where a national CHW programme is being rolled out, marginalised communities have high levels of unemployment, domestic violence and injury.
Objectives: In this complex social environment, we explored CHW workplace trust, interpersonal trust between the patient and CHW, and the institutional trust patients place in the health system. Design, participants, setting: Within the observation phase of a 3-year intervention study, we conducted interviews, focus groups and observations with patients, CHWs, their supervisors and, facility managers in Sedibeng.
Results: CHWs had low levels of workplace trust. They had recently been on strike demanding better pay, employment conditions and recognition of their work. They did not have the equipment to perform their work safely, and some colleagues did not trust, or value, their contribution. There was considerable interpersonal trust between CHWs and patients, however, CHWs’ efforts were hampered by structural poverty, alcohol abuse and no identification documents among long-term migrants. Those supervisors who understood the extent of the poverty supported CHW efforts to help the community. When patients had withdrawn from care, often due to nurses’ insensitive behaviour, the CHWs’ attempts to repair patients’ institutional trust often failed due to the vulnerabilities of the community, and lack of support from the health system.
Conclusion: Strategies are needed to build workplace trust including supportive supervision for CHWs and better working conditions, and to build interpersonal and institutional trust by ensuring sensitivity to social inequalities and the effects of structural poverty among healthcare providers. Societies need to care for everyone.
| Item Type: | Journal Article | ||||||||
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| Subjects: | H Social Sciences > HN Social history and conditions. Social problems. Social reform H Social Sciences > HT Communities. Classes. Races R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Community health aides -- South Africa -- Research, Trust -- Social aspects -- South Africa, Health systems agencies -- South Africa, Primary care -- South Africa | ||||||||
| Journal or Publication Title: | BMJ Open | ||||||||
| Publisher: | BMJ Publishing Group | ||||||||
| ISSN: | 2044-6055 | ||||||||
| Official Date: | 19 May 2021 | ||||||||
| Dates: |
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| Volume: | 11 | ||||||||
| Number: | 5 | ||||||||
| Page Range: | e044065 | ||||||||
| DOI: | 10.1136/bmjopen-2020-044065 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 26 May 2021 | ||||||||
| Date of first compliant Open Access: | 26 May 2021 | ||||||||
| RIOXX Funder/Project Grant: |
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| Is Part Of: | 1 | ||||||||
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