College of Nursing Science, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Republic of Korea.
College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Republic of Korea.
Eval Program Plann. 2023 Aug;99:102307. doi: 10.1016/j.evalprogplan.2023.102307. Epub 2023 May 9.
Community health workers (CHWs) have strong potential for conducting health initiatives in vulnerable countries. Their continuing activities are essential for positive outcomes. The purpose of this study is to understand CHW activities in Kyrgyzstan migrant villages and their impact on individuals and communities.
This study used a mixed-method design. All active CHWs were invited to participate in the survey and the first reflection note regarding their experience and satisfaction with CHW activities. Respondents who agreed to participate in the second reflection notes wrote additional reflection notes. Participatory observational CHW activity report meeting data was collected for additional qualitative analysis. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed thematically.
CHWs started their activities with altruistic and personal motives, such as social recognition and knowledge acquisition. Job-related satisfaction after the activity tended to be high. After performing home visits and resident participatory events, they experienced intrinsic motivation, resource mobilization efforts, increased autonomy, and social recognition. Although the material rewards were small as volunteers, they recognized their positive impact on individuals and communities and gained pride and happiness.
CHWs participating in health promotion projects had training and CHW-nurse network activities and were gradually empowered in the process. When considering the sustainability of CHW activities, it is important to increase self-confidence and strengthen social recognition through empowerment.
社区卫生工作者（CHW）在脆弱国家开展卫生行动具有很大的潜力。他们的持续活动对取得积极成果至关重要。本研究的目的是了解吉尔吉斯斯坦移民村的 CHW 活动及其对个人和社区的影响。
本研究采用混合方法设计。邀请所有在职 CHW 参与调查和关于他们对 CHW 活动的经验和满意度的第一份反思笔记。同意参与第二份反思笔记的受访者撰写了额外的反思笔记。还收集了参与式观察 CHW 活动报告会议数据，以进行额外的定性分析。使用描述性统计对定量数据进行分析，对定性数据进行主题分析。
CHW 以利他主义和个人动机开始其活动，例如社会认可和知识获取。活动后的工作满意度往往较高。在进行家访和居民参与活动后，他们体验到内在动机、资源动员努力、增加自主权和社会认可。虽然作为志愿者的物质奖励很小，但他们认识到自己对个人和社区的积极影响，并感到自豪和幸福。
参与健康促进项目的 CHW 接受过培训和 CHW-护士网络活动，并在此过程中逐渐获得权力。在考虑 CHW 活动的可持续性时，通过赋权来增强自信心和加强社会认可很重要。
