Exploring COVID-19’s Impact on Community Health Workers and their Role in Emergency Response
DOI:
https://doi.org/10.69569/jip.2025.348Keywords:
Adaptability, Community health workers, COVID-19 pandemic, Effectiveness, Rural healthAbstract
Community health workers (CHWs) play a vital role in public health; however, their contributions during emergencies, such as the COVID-19 pandemic, are less explored in rural areas. This study investigated how the pandemic affected CHWs in Sultan Kudarat, Philippines, focusing on changes in workload, stress levels, safety concerns, and how they adapted to new health protocols. It also assessed their effectiveness during the crisis based on accessibility, communication, trust, skills, response time, care quality, health education, and community outcomes. A descriptive-correlational design was used, with data collected through a validated survey from CHWs in three municipalities. Descriptive statistics measured the level of impact and effectiveness, while Spearman’s Rho tested the relationships between them. Results showed that CHWs faced heavier workloads and emotional stress but were still seen by communities as accessible, competent, and trustworthy. Among all impact areas, only their ability to adapt to new protocols had a significant link to better communication, faster response time, and applied knowledge. Other challenges, such as stress and workload, did not affect their service quality. The study concludes that CHWs' adaptability was key to maintaining health services during the pandemic. Structured training and support systems are recommended to enhance their resilience and performance in preparing for future health crises.
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Agarwal, S., Sripad, P., Johnson, C., Kirk, K., Bellows, B., Ana, J., Blaser, V., Kumar, M. B., Buchholz, K., Casseus, A., Chen, N., Dini, H. S. F., Deussom, R. H., Jacobstein, D., Kintu, R., Kureshy, N., Meoli, L., Otiso, L., Pakenham-Walsh, N., … Warren, C. E. (2019). A conceptual framework for measuring community health workforce performance within primary health care systems. Human Resources for Health, 17(1), 86. https://doi.org/10.1186/s12960-019-0422-0
Agarwal, S., Kachwaha, S., Pant, A., Tran, L., Walia, M., Ghosh, S., ... & Avula, R. (2021). Impacts of COVID-19 on provision and utilization of health and nutrition services in Uttar Pradesh, India: Insights from phone surveys and administrative data. Current Developments in Nutrition, 5(Supplement 2), 672. https://doi.org/10.1093/cdn/nzab045_054
Ahmed, S. A. K. S., Ajisola, M., Azeem, K., Bakibinga, P., Chen, Y. F., Choudhury, N., ... & Yusuf, R. (2020). Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities. BMJ Global Health, 5(8), e003042. https://doi.org/10.1136/bmjgh-2020-003042
Ballard, M., Bancroft, E., Nesbit, J., Johnson, A., & Foth, J. (2020). Prioritising the role of community health workers in the COVID-19 response. BMJ Global Health, 5(6), e002550. https://doi.org/10.1136/bmjgh-2020-002550
BMC Primary Care. (2024). Leveraging community health workers for COVID-19 response in African LMICs. BMC Primary Care, 25, Article 269. https://doi.org/10.1186/s12875-024-02531-0
Bezbaruah, S., Wallace, P., Zakoji, M., Perera, W. P., & Kato, M. (2021). Roles of community health workers in advancing health security and resilient health systems: Emerging lessons from the COVID-19 response in the South-East Asia Region. WHO South-East Asia Journal of Public Health, 10(1), 41–48. https://doi.org/10.4103/2224-3151.309872
Bhaumik, S., Moola, S., Tyagi, J., Nambiar, D., & Kakoti, M. (2020). Community health workers for pandemic response: A rapid evidence synthesis. BMJ Global Health, 5(6), e002769. https://doi.org/10.1136/bmjgh-2020-002769
Behera, D., Praveen, D., & Behera, M. (2020). Protecting the Indian health workforce during the COVID-19 pandemic. Journal of Family Medicine and Primary Care, 9(9), 4541. https://doi.org/10.4103/jfmpc.jfmpc_925_20
Braquehais, M. D., Vargas-Cáceres, S., Gómez-Durán, E., Nieva, G., Valero, S., Casas, M., & Bruguera, E. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: monthly journal of the Association of Physicians, hcaa207. Advance online publication. https://doi.org/10.1093/qjmed/hcaa207
Dahn, B., Addis Tamire Woldermariam, Perry, H., Maeda, A., Glahn, D. V., Panjabi, R., Na’im Merchant, Vosburg, K., Palazuelos, D., Chunling Lu, Simon, J., Pfaffmann, J., Brown, D., Hearst, A., Heydt, P., & Qureshi, C. (2015). Strengthening primary health care through community health workers: Investment case and financing recommendations. Retrieved from https://doi.org/10.13140/RG.2.1.4865.0086
Haldane, V., De Foo, C., Abdalla, S. M., Jung, A.-S., Tan, M., Wu, S., Chua, A., Verma, M., Shrestha, P., Singh, S., Perez, T., Tan, S. M., Bartos, M., Mabuchi, S., Bonk, M., McNab, C., Werner, G. K., Panjabi, R., Nordström, A., & Legido-Quigley, H. (2021). Health systems resilience in managing the COVID-19 pandemic: Lessons from 28 countries. Nature Medicine, 27(6), 964–980. https://doi.org/10.1038/s41591-021-01381-y
Haregu, T., Delobelle, P., Shrestha, A., Panniyammakal, J., Thankappan, K. R., Parasuraman, G., … Oldenburg, B. (2024). Shifting roles of community health workers in the prevention and management of non-communicable disease during the COVID-19 pandemic: A scoping review. Health Policy and Planning, 39(7), 771-781. https://doi.org/10.1093/heapol/czae049
Khankeh, H., Farrokhi, M., Roudini, J., Pourvakhshoori, N., Ahmadi, S., Abbasabadi-Arab, M., ... & Domres, B. (2021). Challenges to manage pandemic of coronavirus disease (COVID-19) in Iran with a special situation: A qualitative multi-method study. BMC Public Health, 21(1), 1214. https://doi.org/10.1186/s12889-021-11973-5
Kisely, S., Warren, N., McMahon, L., Dalais, C., Henry, I., & Siskind, D. (2020). Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ (Clinical research ed.), 369, m1642. https://doi.org/10.1136/bmj.m1642
Lopez, V., Anderson, J., West, S., & Cleary, M. (2021). Does the COVID-19 pandemic further impact nursing shortages? Issues in Mental Health Nursing, 43(4), 293–295. https://doi.org/10.1080/01612840.2021.1977875
Mackworth-Young, C., Chingono, R., Mavodza, C., McHugh, G., Tembo, M., Chikwari, C. D., ... & Ferrand, R. (2020). Community perspectives on the COVID-19 response, Zimbabwe. Bulletin of the World Health Organization, 99(2), 85–91. https://doi.org/10.2471/BLT.20.260224
Msegu, E., Konje, E., Tupa, T., Basinda, N., Gwimile, M. S., Ngallaba, T., & Marwa, F. (2024). The adaptability of rural healthcare workers' knowledge, skills, and attitudes during public health emergencies: Insights from the COVID-19 response in Itilima district, Simiyu, Tanzania. Frontiers in Disaster and Emergency Medicine. https://doi.org/10.3389/femer.2024.1435585
Nepomnyashchiy, L., Dahn, B., Saykpah, R., & Raghavan, M. (2020). COVID-19: Africa needs unprecedented attention to strengthen community health systems. The Lancet, 396, 150–152. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31532-4/fulltext
Raven, J., Wurie, H., & Witter, S. (2018). Health workers' experiences of coping with the Ebola epidemic in Sierra Leone's health system: a qualitative study. BMC Health Services Research, 18(1), 251. https://doi.org/10.1186/s12913-018-3072-3
Sacks, E., Morrow, M., Story, W. T., Shelley, K. D., Shanklin, D., Rahimtoola, M., Rosales, A., Ibe, O., & Sarriot, E. (2019). Beyond the building blocks: Integrating community roles into health systems frameworks to achieve health for all. BMJ Global Health, 3(Suppl 3), e001384. https://doi.org/10.1136/bmjgh-2018-001384
Vanden Bossche, D., Willems, S., & Decat, P. (2022). Understanding trustful relationships between community health workers and vulnerable citizens during the COVID-19 pandemic: A realist evaluation. International Journal of Environmental Research and Public Health, 19(5), 2496. https://doi.org/10.3390/ijerph19052496
Watkins, J. A., Griffiths, F., & Goudge, J. (2021). Community health workers’ efforts to build health system trust in marginalised communities: A qualitative study from South Africa. BMJ Open, 11, e044065. https://doi.org/10.1136/bmjopen-2020-044065
World Health Organization. (2007). Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action. World Health Organization. https://apps.who.int/iris/handle/10665/43918
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