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The Diverse Roles of Community Health Workers: Cues for Technology Innovations

机译：社区卫生工作者的不同角色：技术创新的提示

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Community health workers (CHW) in rural Kenya have great influence in their society and the potential to affect positive change in community health, yet their training is largely inconsistent and their community role is not well understood. This study explores the role of CHW and considers their ability to operate a telemedicine system designed by the Humanitarian Engineering and Social Entrepreneurship (HESE) Program at Penn State. Methods: Qualitative field research allowed exploration of CHWs in their natural environment in Nyeri, Kenya. Data were collected in the form of focus groups and direct observations, and analysis was performed using the constant comparative method. Results: Nyeri CHWs report identifying with many roles including public health advocate, a teacher, a healthcare provider, and a community role model. Conclusions: Nyeri CHWs are highly motivated to improve the health of their community, yet lack the knowledge and training required to meet the key objectives of the Ministry of Health. Through telemedicine utilization, CHWs could both increase their knowledge of diseases and provide an opportunity for large-scale health surveillance. While this study focused on one specific region, the observations are transferrable to CHW programs in similar resource-constrained settings around the world.
机译：肯尼亚农村的社区卫生工作者（CHW）对社会产生了很大的影响力，潜力影响社区健康的积极变化，但他们的培训基本上不一致，他们的社区角色并不充分了解。本研究探讨了CHW的作用，并考虑了他们在宾夕法尼亚州邦特州的人道主义工程和社会企业家精神（HESE）计划设计的远程医疗系统的能力。方法：定性现场研究允许在肯尼亚尼内利自然环境中的CHWS探索。数据以焦点组的形式收集，并使用恒定的比较方法进行分析。结果：Nyeri Chws报告识别许多角色，包括公共卫生倡导者，教师，医疗保健提供者和社区榜样。结论：Nyeri Chws积极激励，改善社区的健康，但缺乏符合卫生部重点目标所需的知识和培训。通过远程医疗利用，CHW可以增加他们对疾病的知识，并为大规模健康监测提供机会。虽然本研究专注于一个特定区域，但观察是在世界各地的类似资源受限环境中转移到CHW程序。

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