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Browsing Book and Book Chapters by Author "Nanfuka, Esther Kalule"
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Item Working through community structures: the role of community health workers in cardio- metabolic disease care in Bidibidi, Uganda(Bristol University Press, 2026-02-05) Dræbel, Tania Aase; Gyawali, Bishal; Ratib, Dricile; Nakanjako, Rita; Nanfuka, Esther Kalule; Raju, Emmanuel; Kyanddodo, David; Skovdal, MortenThis chapter examines how community health workers (CHWs) support refugees with diabetes and hypertension in accessing health services and engaging in self- and social care. Despite limited resources, CHWs perform three critical roles: 1. Relational Work: CHWs connect with the community, facilitate communication with healthcare staff, help patients re- engage with services, advocate for patients, and act as intermediaries. 2. Healthcare Work: CHWs monitor and screen for illnesses, refer complex cases, promote health, deliver medication, monitor adherence, and follow up with patients. 3. Community Engagement Work: CHWs assess community conditions, engage in sensitisation, and mobilise efforts. These three types of work are crucial to maintaining the continuity of care for refugees with chronic conditions. Our findings underscore the importance of CHWs and the need to integrate them into the formal healthcare system.