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Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia
Dionisius M Nghikevali1, Daniel O Ashipala1, Julia Amadhila2
1Department of General Nursing Sciences, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Rundu, Namibia.
Health SA = SA Gesondheid
|May 11, 2026
Summary
Implementing the Health Extension Workers Programme (HEWP) in Namibia faces challenges like insufficient resources and inadequate training. Addressing these barriers is crucial for equitable healthcare access in rural areas.
Area of Science:
- Public Health
- Healthcare Management
- Rural Health Services
Background:
- The Namibian Health Extension Workers Programme (HEWP) is vital for equitable healthcare access, especially in rural regions.
- Limited research exists on factors influencing HEWP implementation, despite the urgent need for these services.
Purpose of the Study:
- To explore and describe factors affecting the implementation of the HEWP in Rundu District, Namibia.
Main Methods:
- An exploratory descriptive qualitative design was used with 15 health extension workers (HEWs).
- Data were collected via semi-structured interviews and analyzed thematically.
- Trustworthiness was ensured using Lincoln and Guba's criteria.
Main Results:
- Key themes identified include organizational/resource factors, HEW capacity/engagement, and recommendations for effective implementation.
- Prominent barriers include insufficient resources, high staff turnover, and inadequate training.
Conclusions:
- Overcoming identified barriers is essential for the successful achievement of HEWP objectives.
- Findings can inform targeted interventions to improve HEWP implementation in Namibia and similar contexts.
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