Working in community health is not for the faint-hearted. As one community health worker put it, “You need a heart to continue.” This simple but powerful sentiment speaks volumes about the challenges faced by community health promoters – especially when it comes to their mental well-being. Through the SHINE study, taking place in Nairobi County’s Korogocho area and Kiambu County’s Limuru, a comprehensive approach is being developed to foster resilience, well-being, and support for these crucial frontline workers.
Prioritising people over pay
For community health promoters, the mission is about transformation, not targets. Their purpose is driven by the impact they see in the communities they serve. Often, they are called to action at all hours, ready to help someone get to a hospital, even if that means dipping into their own resources or taking on debt. This dedication is a powerful example of how a people-first approach lies at the heart of their work.
Yet this relentless dedication, while admirable, can be mentally taxing. The emotional weight of being continually on call, coupled with the financial strain, can be a serious drain on mental health.
The role of people skills and negotiation
Mental well-being: The need for regular debrief sessions
The SHINE study recognises the mental toll of this work and has created debrief sessions to support community health promoters. Here, they can share experiences, discuss challenges, and rejuvenate their spirits for the week ahead. These sessions are essential for emotional resilience, allowing them to process the week’s hardships and renew their focus. However, these sessions need to happen more regularly to be fully effective, as the demands on their time and energy continue to rise.
Why mental health matters for community health promoters
A healthy mind produces healthy results. For community health promoters to thrive and continue their impactful work, their mental well-being must be a priority. Unfortunately, community members don’t always understand the weight or complexity of their workload, which can lead to a lack of appreciation and support. The SHINE study’s focus on mental well-being is a critical step forward, but it’s also vital that we continue raising awareness around the needs of these health promoters. Continuous counselling, regular debrief sessions, and community sensitisation are essential in ensuring their mental resilience.
Investing in the mental health of community health promoters isn’t just a matter of supporting individuals—it’s about ensuring the well-being and longevity of the communities they serve. When we take care of those who care for us, everyone benefits.