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Results of this study highlight that sufficient staff, adequate payment system, enabling working environments including supportive supervision, and access to affordable medicine are important factors that influenced the uptake of the ALMANACH.
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The current reform process of South Africa's healthcare system provides a golden opportunity for policy-makers to address the root causes of health system inefficiencies in a participatory manner and through the creation of enabling work environments.
An enabling work environment is crucial to maximize CHW productivity.
An enabling work environment is crucial to maximize the productivity of CHWs.
Attention to the provision of an enabling work environment for CHWs is essential for achieving high levels of productivity.
Strengthen human resources management systems to facilitate a standard level of working conditions that foster good performance within an enabling work environment.
Therefore, appropriate remuneration, financial and non-financial incentives, promotion of lifelong learning, and creating an enabling work environment are needed [ 1].
This paper will focus only on describing the third category of organizational support, with specific attention to the provision of an enabling work environment that is conducive to high levels of productivity.
An enabling work environment is a general term to describe the inputs or considerations needed from the institution engaging CHWs and represents the conditions under which CHWs perform their duties.
Technology has enabled work environments that are much more flexible and customizable.
The 2008 Kampala Declaration of the Global Health Workforce Alliance points to the need "to assure adequate incentives and an enabling and safe working environment for effective retention and equitable distribution of the health workforce" [[ 2]:10].
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