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. 2018 Oct 26;11:621–634. doi: 10.2147/JMDH.S180544

Table 8.

Strategies for unrealistic expectations and systemic confusion: Q.7. Which intervention approaches to reduce systemic confusion are most likely to succeed?

Consensus status Theme Possible solutions
Consensus Reforming policy • Providing a stable position for the WHVs program at the Ministry of Health and Medical Education universities
• Setting up a regular work program annually in which if the supervisors change, the program will run regularly
• Delegation of some authorities and decisions to the health centers on how to use WHVs
• Incorporating WHVs program within the operational programs of the Ministry of Health and Medical Education
• Incorporating the WHVs program within the strategic programs of the Ministry of Health and Medical Education
• Making decisions from bottom to top about the WHVs program
• Increasing the number of WHVs and reducing their tasks
Implementing problem-based approaches Inviting volunteers to attend some of their related sessions and getting their opinions
Rationalizing WHVs/trainers/people Rationalizing the directors of the health centers about the existing potentials of the WHVs
Information dissemination Listing the capability of the WHVs by healthcare workers and displaying it on the health center board for public viewing
Assessing the needs of people/WHVs Educational needs assessment by health center staff
Allocating proper resources Appointing a WHVs program specialist in all health system categories
No consensus Rationalizing WHVs/trainers/people To clarify the role of WHVs for all organizational units
Reforming policy Establishing NGOs or associations for WHVs
Allocating proper resources Creating job stability and not changing the trainers who educate the WHVs

Abbreviations: Q, question; NGO, nongovernmental organization; WHV, women health volunteer.