Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis
Introduction COVID-19 exposed the fragility of health systems, where even the most basic health services in high-income and low-income and middle-income nations could not withstand the health systems shock due to the pandemic. Community health workers (CHWs) can contribute to improving the resilienc...
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| Format: | Article |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e074920.full |
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| author | Soumyadeep Bhaumik Jyoti Tyagi Neha Adsul |
| author_facet | Soumyadeep Bhaumik Jyoti Tyagi Neha Adsul |
| author_sort | Soumyadeep Bhaumik |
| collection | DOAJ |
| description | Introduction COVID-19 exposed the fragility of health systems, where even the most basic health services in high-income and low-income and middle-income nations could not withstand the health systems shock due to the pandemic. Community health workers (CHWs) can contribute to improving the resilience of health systems, specifically to withstand shocks and emergencies and to avoid disruptions of routine service delivery. We aim to explore and understand the ‘individual’ and ‘systems-level’ resilience factors that shaped the involvement of CHWs in the COVID-19 response.Methods and analysis We will search five electronic databases (PubMed, Cochrane Library, EMBASE, CINAHL and SciELO (Spanish)) and conduct citation screening to identify studies on CHWs’ response during the COVID-19 pandemic. Two review authors will independently screen the studies for inclusion and to extract data. The software Rayyan will be used to assist in screening the relevant literature. A thematic analysis approach will be followed to analyse and synthesise the qualitative evidence. The quality of the included studies will be critically assessed using the Critical Skills Appraisal Programme Tool. We will use the GRADE CERQual(Grading of Recommendations, Assessment, Development, and Evaluations - Confidence in the Evidence from Reviews of Qualitative Research) approach to assess certainty in the synthesised findings of the qualitative evidence.Ethics and dissemination This study will be conducted on published evidence, with no living participants; thus, no ethical approval is required. The final review will be submitted and published in a peer-reviewed journal. We will also develop a policy brief to communicate the review findings to the stakeholders. |
| format | Article |
| id | doaj-art-e53d71360d6644d4b43ea8ea2ab5ffd2 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e53d71360d6644d4b43ea8ea2ab5ffd22025-08-20T03:12:41ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-074920Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesisSoumyadeep Bhaumik0Jyoti Tyagi1Neha Adsul28 Meta-Research and Evidence Synthesis Unit, Health Systems Science, George Institute of Global Health, New Delhi, India5 George Institute of Global Health, New Delhi, IndiaMeta-research and Evidence Synthesis Unit, The George Institute for Global Health India, New Delhi, IndiaIntroduction COVID-19 exposed the fragility of health systems, where even the most basic health services in high-income and low-income and middle-income nations could not withstand the health systems shock due to the pandemic. Community health workers (CHWs) can contribute to improving the resilience of health systems, specifically to withstand shocks and emergencies and to avoid disruptions of routine service delivery. We aim to explore and understand the ‘individual’ and ‘systems-level’ resilience factors that shaped the involvement of CHWs in the COVID-19 response.Methods and analysis We will search five electronic databases (PubMed, Cochrane Library, EMBASE, CINAHL and SciELO (Spanish)) and conduct citation screening to identify studies on CHWs’ response during the COVID-19 pandemic. Two review authors will independently screen the studies for inclusion and to extract data. The software Rayyan will be used to assist in screening the relevant literature. A thematic analysis approach will be followed to analyse and synthesise the qualitative evidence. The quality of the included studies will be critically assessed using the Critical Skills Appraisal Programme Tool. We will use the GRADE CERQual(Grading of Recommendations, Assessment, Development, and Evaluations - Confidence in the Evidence from Reviews of Qualitative Research) approach to assess certainty in the synthesised findings of the qualitative evidence.Ethics and dissemination This study will be conducted on published evidence, with no living participants; thus, no ethical approval is required. The final review will be submitted and published in a peer-reviewed journal. We will also develop a policy brief to communicate the review findings to the stakeholders.https://bmjopen.bmj.com/content/14/3/e074920.full |
| spellingShingle | Soumyadeep Bhaumik Jyoti Tyagi Neha Adsul Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis BMJ Open |
| title | Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis |
| title_full | Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis |
| title_fullStr | Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis |
| title_full_unstemmed | Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis |
| title_short | Community health workers for health systems resilience during COVID-19: protocol for qualitative evidence synthesis |
| title_sort | community health workers for health systems resilience during covid 19 protocol for qualitative evidence synthesis |
| url | https://bmjopen.bmj.com/content/14/3/e074920.full |
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