How do community health workers institutionalise: An analysis of Brazil’s CHW programme

Abstract:

Community health workers (CHWs) are framed as the link betwee communities and the formal health system. CHWs must establish trusting relationships with the community and with the broader health service. How to find the optimal balance between the various strands of work for CHWs, and how to formalise this, has been the focus of different studies. We performed an extensive documentary analysis of federal legislation in Brazil to understand the institutionalisation of the CHW workforce in Brazil over the last 3 decades. The paper offers three contributions to the literature: the development and application of an analytical framework to consider the institutionalisation process of CHWs; a historical analysis of the professional institutionalisation of CHW in Brazil; and the identification of the paradoxes that such institutionalisation faces: firstly, institutionalisation focused on improving CHW remuneration created difficulties in hiring and paying these professionals; when CHW are incorporated within state bureaucracy they start to lose their autonomy as community agents; and that the effectiveness of CHW programmes depend
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APA

Martins, M (2024). How do community health workers institutionalise: An analysis of Brazil’s CHW programme. Afribary. Retrieved from https://afribary.com/works/how-do-community-health-workers-institutionalise-an-analysis-of-brazil-s-chw-programme

MLA 8th

Martins, Morgana "How do community health workers institutionalise: An analysis of Brazil’s CHW programme" Afribary. Afribary, 10 Mar. 2024, https://afribary.com/works/how-do-community-health-workers-institutionalise-an-analysis-of-brazil-s-chw-programme. Accessed 26 May. 2024.

MLA7

Martins, Morgana . "How do community health workers institutionalise: An analysis of Brazil’s CHW programme". Afribary, Afribary, 10 Mar. 2024. Web. 26 May. 2024. < https://afribary.com/works/how-do-community-health-workers-institutionalise-an-analysis-of-brazil-s-chw-programme >.

Chicago

Martins, Morgana . "How do community health workers institutionalise: An analysis of Brazil’s CHW programme" Afribary (2024). Accessed May 26, 2024. https://afribary.com/works/how-do-community-health-workers-institutionalise-an-analysis-of-brazil-s-chw-programme