Perceptions and experiences of community health workers on community-based child health interventions in the Maekel region, Eritrea

Abstract

Background: In 2015 alone, 5,9 million children under the age of five died. In an attempt to reducechild mortality in Eritrea, the government implemented community- based child healthinterventions by community health workers (CHWs). Despite progress, challenges remain.In Eritrea, few studies have examined CHWs and community perceptions of child healthinterventions. The aim of this study was to explore the perceptions of CHWs regardingbenefits and challenges of community-based child health interventions in the Maekelregion in Eritrea. Methods: An explorative qualitative study was conducted employing focus group discussions. Data was analyzed using qualitative content analysis. Results: The CHWs reported positive aspects such as easier access to health services, generated relationships and support and opportunities to give back to the community. Perceived challenges were: constraints in delivering services, resources and supervision, inadequate knowledge and awareness and juggling multiple roles with no pay. The ministry of health (MoH) in Eritrea prioritizes reducing child mortality but, is still in the process of building and stabilizing the healthcare system. The biggest challenge is to incorporate community level Integrated Management of Childhood Illnesses and Case Management (C-IMCI/iCCM), involving communities, families and CHWs into the current system of limited resources. Conclusions: This study indicates the importance of focusing on identifying solutions to the challenges the CHWs faces and understanding factors associated with CHWs motivation. This with the hope of better effectiveness and sustainability of the C-IMCI/iCCM program.