Centro de Estudos Estratégicos Antônio Ivo de carvalho (CEE), Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Instituto de Medicina Social Hesio Cordeiro (IMS), Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Work. 2022;72(3):1047-1054. doi: 10.3233/WOR-205089.
To overcome the poor conditions of low-income areas in developing countries like Brazil, Community Health Workers (CHWs) are required to exceed the regular set of formal skills they are used to employ.
In this study, we aim at identifying the non-technical skills CHWs must develop to cope with the extraordinary situations that occur in vulnerable communities.
41 CHWs based in two primary healthcare clinics in Brazil underwent two rounds of in-depth interviews. The analysis was carried out using the Analytical Hierarchy Process, resulting in the prioritization of social skills according to their calculated importance to house calls.
Among the ten higher-scored skills, we find communication and advocacy skills being of high importance. Civility was found to be the most important attribute, confirming that community action relies strongly on the relationship between health professionals and the community.
The results of our study contribute primarily to the improvement of community-based primary care programs as it helps to identify major skills required for community action.
为了克服巴西等发展中国家低收入地区的恶劣条件，社区卫生工作者（CHWs）需要超越他们通常使用的一系列正规技能。
在这项研究中，我们旨在确定 CHWs 必须培养的非技术技能，以应对弱势社区中发生的特殊情况。
41 名驻巴西两家初级保健诊所的 CHWs 进行了两轮深入访谈。使用层次分析法进行分析，根据家访的重要性对社会技能进行了优先级排序。
在十项得分较高的技能中，我们发现沟通和宣传技能非常重要。我们发现礼貌是最重要的属性，这证实了社区行动强烈依赖于卫生专业人员与社区之间的关系。
我们的研究结果主要有助于改善以社区为基础的初级保健方案，因为它有助于确定社区行动所需的主要技能。
