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What does trust have to do with the
Sustainable
Development Goals?
Exploring the multiple relationships shaping
Community ...
Health systems are
complex, social
institutions
Source: Sheikh et al. (2011)
Trust
“The optimistic acceptance of a vulnerable situation in which the
trustor believes the trustee will care for the tru...
Lessons from six countries
Indonesia:
decentralization of the
health system
strengthens role of
community structures
and “...
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What does trust have to do with the Sustainable Development Goals? Exploring the multiple relationships shaping Community Health Workers’ experiences and performance

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Introductory presentation given by Maryse Kok at the Symposium on Community Health Workers, February 2017.

Published in: Health & Medicine
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What does trust have to do with the Sustainable Development Goals? Exploring the multiple relationships shaping Community Health Workers’ experiences and performance

  1. 1. What does trust have to do with the Sustainable Development Goals? Exploring the multiple relationships shaping Community Health Workers’ experiences and performance
  2. 2. Health systems are complex, social institutions Source: Sheikh et al. (2011)
  3. 3. Trust “The optimistic acceptance of a vulnerable situation in which the trustor believes the trustee will care for the trustor’s interest” (Hall et al. 2001) Trusting relationships “Respectful, fair and cooperative interactions between individuals” (Gilson 2003; Okello and Gilson 2015)
  4. 4. Lessons from six countries Indonesia: decentralization of the health system strengthens role of community structures and “software” Kenya: guidelines and curricula that are developed with communities and CHWs lead to better performance Bangladesh: informal health providers are an important part of the health system, and are part of system “hardware” and “software” Mozambique: lack of performance of CHWs or health system as a whole leads to lack of trust: “software” problems Ethiopia: Health development Army is a vehicle for enhanced relationships between communities and CHWs Malawi: incentive structure leads to mistrust between different actors, impeding CHW performance

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