Community Health Workers in Emergency Situations: Evidence from the Female Community Health Volunteer's Role in the 2015 Earthquake and the COVID-19 Pandemic.

Ba. Monica AVOGADRI

Master's thesis

Abstract:

This research examines and compares the roles, obstacles, and needs of Female Community Health Volunteers (FCHVs) during the 2015 earthquakes and COVID-19 pandemic in Nepal. The study aims to identify the factors influencing their effectiveness and assess whether their experiences varied between emergencies. Additionally, the study evaluates the progression of FCHVs' integration into the country's emergency response system and the level of support provided by the government. By employing qualitative methods, such as interviews, focus group discussions, and the analysis of national official policy documents, the study reveals that despite the proved willingness and capabilities of FCHVs to lead community emergency response and the lessons learnt from the earthquake, persistent challenges and unmet needs hindered their contribution during the emergencies. These challenges encompass issues related to motivation, community and family support, safety and mental health, training and capacity, and stem from inadequate integration into national emergency planning and insufficient government support. The research also identifies a gap between policy and practice, impeding the provision of adequate support for the volunteers.

Abstract:

This research examines and compares the roles, obstacles, and needs of Female Community Health Volunteers (FCHVs) during the 2015 earthquakes and COVID-19 pandemic in Nepal. The study aims to identify the factors influencing their effectiveness and assess whether their experiences varied between emergencies. Additionally, the study evaluates the progression of FCHVs' integration into the country's emergency response system and the level of support provided by the government. By employing qualitative methods, such as interviews, focus group discussions, and the analysis of national official policy documents, the study reveals that despite the proved willingness and capabilities of FCHVs to lead community emergency response and the lessons learnt from the earthquake, persistent challenges and unmet needs hindered their contribution during the emergencies. These challenges encompass issues related to motivation, community and family support, safety and mental health, training and capacity, and stem from inadequate integration into national emergency planning and insufficient government support. The research also identifies a gap between policy and practice, impeding the provision of adequate support for the volunteers.

Keywords

Female Community Health Volunteers, Nepal, Natural disasters, COVID-19, Community Health Workers.

Language used: English

Date on which the thesis was submitted / produced: 31. 5. 2023

Thesis defence

• Supervisor: Maria Anna Leone

Palacký University Olomouc

Faculty of Science

Master programme / field:
Global Development Policy / Global Development Policy