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首页> 外文期刊>African Journal of Primary Health Care & Family Medicine >The roles of community health workers in management of non-communicable diseases in an urban township
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The roles of community health workers in management of non-communicable diseases in an urban township

机译：社区卫生工作者在城镇中非传染病管理中的作用

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Background: Community health workers (CHWs) are increasingly being recognised as a crucial part of the health workforce in South Africa and other parts of the world. CHWs have taken on a variety of roles, including community empowerment, provision of services and linking communities with health facilities. Their roles are better understood in the areas of maternal and child health and infectious diseases (HIV infection, malaria and tuberculosis). Aim: This study seeks to explore the current roles of CHWs working with non-communicable diseases (NCDs).Setting: The study was conducted in an urban township in Cape Town, South Africa.Method: A qualitative naturalistic research design utilising observations and in-depth interviews with CHWs and their supervisors working in Khayelitsha was used.Results: CHWs have multiple roles in the care of NCDs. They act as health educators, advisors, rehabilitation workers and support group facilitators. They further screen for complications of illness and assist community members to navigate the health system. These roles are shaped both by expectations of the health system and in response to community needs.Conclusion: This study indicates the complexities of the roles of CHWs working with NCDs. Understanding the actual roles of CHWs provides insights into not only the competencies required to enable them to fulfil their daily functions, but also the type of training required to fill the present gaps.
机译：背景：社区卫生工作者（CHW）越来越被视为南非和世界其他地区卫生工作者的重要组成部分。社区卫生工作者扮演着各种角色，包括赋予社区权力，提供服务以及将社区与医疗机构联系起来。在母婴健康和传染病（艾滋病毒感染，疟疾和结核病）领域，人们对它们的作用有了更好的了解。目的：本研究旨在探索CHW在非传染性疾病（NCD）中的当前作用背景：该研究在南非开普敦的一个城镇进行方法：利用观察和研究的定性自然主义研究设计结果：社区卫生工作者在非传染性疾病的护理中具有多种作用。他们充当健康教育者，顾问，康复工作者和支持团体的推动者。他们进一步筛查疾病并发症，并协助社区成员浏览卫生系统。这些作用既取决于对卫生系统的期望，也取决于对社区需求的响应。结论：本研究表明了CHW与NCD一起工作的作用的复杂性。了解CHW的实际角色不仅可以使他们完成日常工作所需的能力，而且可以填补目前的空白所需的培训类型。

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