Home⇛Journal of Education, Management, and Development Studies⇛vol. 4 no. 4 (2024)

Challenges Encountered by Community Health Workers in The Provision of Primary Health Care Services in Geographically Isolated and Disadvantaged Areas Area of Catanduanes

Aeshel L. Tabuzo | Ma. Francia Y. Lareza | Evita Joy S. Timbal | Mae Jane DV. Morales | Jessamy A. Lavarias

Discipline: social work

 

Abstract:

Community Health Workers (CHWs) are essential in bridging the gap between underserved communities and healthcare services. They provide basic health services, educate communities on health matters, and refer individuals requiring specialized care. The goal of this study is to identify the challenges encountered by Community Health Care Workers along geographical and environmental, sociocultural, and resource and support, and to identify the issues within the healthcare system in the provision of primary healthcare services in the Geographically Isolated and Disadvantaged Areas of Catanduanes. A descriptive-correlational method was used, and a self-made questionnaire was used as the main data-gathering tool. A total enumeration was used to determine the Community Health Care Workers operating in the municipalities of Catanduanes. Results revealed that most respondents were female and demonstrated high proficiency in primary healthcare principles and clinical skills; they encountered significant challenges arising from geographical, environmental, sociocultural, and resource limitations. Systemic issues within the healthcare system, such as insufficient medical supplies and equipment, further exacerbated these challenges. By implementing comprehensive strategies that focus on securing funding to enhance healthcare accessibility and promoting professional development, infrastructure improvements, policy reforms, and community involvement, policymakers and healthcare providers can effectively address these multifaceted challenges.



References:

  1. Abelsen, B., Strasser, R., Heaney, D., Berggren, P., Sigurðsson, S., Brandstorp, H., Wakegijig, J., Forsling, N., Moody-Corbett, P., Akearok, G. H., Mason, A., Savage, C., & Nicoll, P. (2020). Plan, recruit, retain: a framework for local healthcare organizations to achieve a stable remote rural workforce. Human Resources for Health, 18(1), 63. https://doi.org/10.1186/s12960-020-00502-x
  2. Braine, M. E., & Wray, J. (2018). Supporting Families & Carers: A Nursing Perspective (1st ed.). Routledge. https://doi.org/10.4324/9781315381701
  3. Cabral, J., & Cuevas, A. G. (2020). Health Inequities Among Latinos/Hispanics: Documentation Status as a Determinant of Health. Journal of Racial and Ethnic Health Disparities, 7(5), 874-879. https://doi.org/10.1007/s40615-020-00710-0
  4. Cho, H.-K., & Kim, B. (2022). Effect of Nurses' Grit on Nursing Job Performance and the Double Mediating Effect of Job Satisfaction and Organizational Commitment. Healthcare, 10(2), 396. https://doi.org/10.3390/healthcare10020396
  5. Dar, C. (2024). DOH taking primary care services to isolated villages - Philippine Information Agency. In Philippine Information Agency. Philippine Information Agency. https://pia.gov.ph/doh-taking-primary-care-services-to-isolated-villages/
  6. Department of Health. (n.d.). Rural Health Midwives Placement Program (RHMPP)/ Midwifery Scholarship Program of the Philippines (MSPP) - Department of Health. https://doh.gov.ph/uhc/health-programs/rural-health-midwives-placement-program-rhmpp-midwifery-scholarship-program-of-the-philippines-mspp/
  7. Fleischmann, F. (2022). Researching religion and migration 20 years after '9/11': Taking stock and looking ahead. Zeitschrift Für Religion, Gesellschaft Und Politik, 6(2), 347-372. https://doi.org/10.1007/s41682-022-00103-6
  8. Gonzales, A. M. J., Cariaso, A. J. L., Pechon, A. G. C., Salvador, M. N., Dote, A. B., Malbas, J. A. R., Ysibido, G. A., & Gamboa, D. M. C. (2024). Development of the training program on retooling "barangay" health workers in Occidental Mindoro, Philippines. Rural Extension and Innovation Systems Journal, 20(2), 46-53. https://doi.org/10.3316/informit.T2025011400011090110009336
  9. Hazlett-Stevens, H., Singer, J., & Chong, A. (2019). Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy with Older Adults: A Qualitative Review of Randomized Controlled Outcome Research. Clinical Gerontologist, 42(4), 347-358. https://doi.org/10.1080/07317115.2018.1518282
  10. Kiarashi, J., VanderPluym, J., Szperka, C. L., Turner, S., Minen, M. T., Broner, S., Ross, A. C., Wagstaff, A. E., Anto, M., Marzouk, M., Monteith, T. S., Rosen, N., Manrriquez, S. L., Seng, E., Finkel, A., & Charleston, L. (2021). Factors Associated With, and Mitigation Strategies for, Health Care Disparities Faced by Patients With Headache Disorders. Neurology, 97(6), 280-289. https://doi.org/10.1212/WNL.0000000000012261
  11. Lam, O., Toor, S., & Broderick, B. (2018). How far Americans live from the closest hospital differs by community type. In Pew Research Center. https://www.pewresearch.org/short-reads/2018/12/12/how-far-americans-live-from-the-closest-hospital-differs-by-community-type/
  12. Medina, P., Maia, A. C., & Costa, A. (2022). Health Literacy and Migrant Communities in Primary Health Care. Frontiers in Public Health, 9, 798222. https://doi.org/10.3389/fpubh.2021.798222
  13. Moradali, M. R., Hajian, S., Majd, H. A., Rahbar, M., & Entezarmahdi, R. (2023). Job adjustment predictive factors of healthcare midwives in health system reform in Iran. Archives of Public Health, 81(1), 181. https://doi.org/10.1186/s13690-023-01193-1
  14. Rammela, M. (2020). Factors that affect the utilisation of primary health care services: perception of community in selected villages of Sekhukhune District, South Africa
  15. Rodriguez, N. M. (2022). Community Health Workers in the United States: Time to Expand a Critical Workforce. American Journal of Public Health, 112(5), 697-699. https://doi.org/10.2105/AJPH.2022.306775
  16. Singh, S., Thomas, N., & Numbudiri, R. (2021). Knowledge sharing in times of a pandemic: An intergenerational learning approach. Knowledge and Process Management, 28(2), 153-164. https://doi.org/10.1002/kpm.1669
  17. Streeter, R. A., Snyder, J. E., Kepley, H., Stahl, A. L., Li, T., & Washko, M. M. (2020). The geographic alignment of primary care Health Professional Shortage Areas with markers for social determinants of health. PLOS ONE, 15(4), e0231443. https://doi.org/10.1371/journal.pone.0231443
  18. World Health Organization. (2025). Universal health coverage (UHC). https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)
  19. Yabut, J. D. G. (2022). Hypertension Prevalence, Knowledge, Attitude and Health Practices Among Employees of a Wellness Village: Basis for a Proposed Hypertension-Prevention Program. 8ISC Proceedings: Allied Health, 52-61. https://ejournal.unklab.ac.id/index.php/8ISCAH/article/view/614Corporation

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