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Table 4 Challenges to implement primary health care principles in community health worker programs

From: Indicator-activities to apply primary health care principles in national or large-scale community health worker programs in low-and middle-income countries: a Delphi exercise

CHALLENGES

Level of agreement

Poor leadership and Governance

93.3

Inadequate resource allocation

93.3

Poor understanding of community needs

92.9

Sustainable funding

86.7

Geographic location

80

Political commitment

80

Intersectoral collaboration

80

Inadequate human resource for health

80

Understanding of PHC by the senior decision makers

80

Top-down approach

80

Adopting national approaches with flexible context-specific strategies

78.6

Non-involvement of critical stakeholders in non-health sectors

73.3

Misunderstanding of role of CHW as "doctor"

53.3

Taking CHW programs outside the bio-medical framework

50