Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Being both a grandmother and a health worker: experiences of community-based health workers in addressing adolescents’ sexual and reproductive health needs in rural Zambia
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. School of Public Health, University of Zambia, Lusaka, Zambia; Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.
School of Public Health, University of Zambia, Lusaka, Zambia.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0002-8114-4705
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 1228Article in journal (Refereed) Published
Abstract [en]

Introduction: Community-based health workers (CBHWs) possess great potential to be the missing link between the community and the formal health system for improving adolescents’ access to sexual and reproductive health and rights (SRHR) information and services. Yet, their role in addressing adolescents’ SRHR within the context of the community-based health system has received very little attention. This paper analyses how CBHWs experience and perceive their role in addressing adolescents’ SRHR needs in rural Zambia, including the possible barriers, dilemmas, and opportunities that emerge as CBHWs work with adolescents.

Methods: Between July and September 2019, we conducted 14 in-depth interviews with 14 community-based health workers recruited across 14 different communities in the central province of Zambia. The interviews were focused on eliciting their experiences and perceptions of providing sexual and reproductive health services to adolescents. Charmaz’s grounded theory approach was used for the analysis.

Results: We present the core category “being both a grandmother and a CBHW”, which builds upon four categories: being educators about sexual and reproductive health; being service providers and a link to SRHR services; being advocates for adolescents’ SRHR; and reporting sexual violence. These categories show that CBHWs adopt a dual role of being part of the community (as a grandmother) and part of the health system (as a professional CBHW), in order to create/maximise opportunities and navigate challenges.

Conclusion: Community-based health workers could be key actors providing context-specific comprehensive SRHR information and services that could span all the boundaries in the community-based health system. When addressing adolescents SRHR, playing dual roles of being both a grandmother and a professional CBHW were sometimes complimentary and at other times conflicting. Additional research is required to understand how to improve the role of CBHWs in addressing adolescents and young people’s sexual and reproductive health.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 24, no 1, article id 1228
Keywords [en]
Adolescents, Community-based, Health workers, Sexual and reproductive health and rights, Zambia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-224244DOI: 10.1186/s12889-024-18685-6ISI: 001214187100010PubMedID: 38702694Scopus ID: 2-s2.0-85192098118OAI: oai:DiVA.org:umu-224244DiVA, id: diva2:1858052
Funder
Swedish Research Council, 2019–04448Swedish Research Council, 2016–05830Available from: 2024-05-15 Created: 2024-05-15 Last updated: 2024-05-15Bibliographically approved

Open Access in DiVA

fulltext(1059 kB)26 downloads
File information
File name FULLTEXT01.pdfFile size 1059 kBChecksum SHA-512
2a902691f356ac6b184cd2432cc5fa0305d99bb93986ae2fc974c0523679687c00e0550306f3fa1ba43a910119a8b526e710146875658f5fc28d945054ce1177
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Mulubwa, ChamaHurtig, Anna-KarinGoicolea, Isabel

Search in DiVA

By author/editor
Mulubwa, ChamaHurtig, Anna-KarinGoicolea, Isabel
By organisation
Department of Epidemiology and Global Health
In the same journal
BMC Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 26 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 148 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf