Diabetes

Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

In rural Lesotho, community health workers (CHWs) used a tablet-based clinical decision support app to screen adults for hypertension and diabetes, reaching high coverage at moderate costs. Over 6 months, CHWs screened 88% of eligible adults for hypertension and 95% for diabetes. The cost per person screened was $41 in the project model and $17 in a routine implementation … [Read more...] about Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

This review looked at how well community health workers help people manage type 2 diabetes. It analyzed 40 studies with more than 9,600 participants and found that CHW programs clearly help lower HbA1c levels. The results were consistent across different countries, income levels, program styles, and patient backgrounds, suggesting these interventions work in many settings. One … [Read more...] about Effectiveness of Community Health Worker Interventions in Type 2 Diabetes Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

This study tested whether community health workers in India, supported by a simple digital tool, could help people manage diabetes better. ASHAs screened nearly 1,800 people and found 418 with diabetes. Those in the intervention group received nine months of follow-up from ASHAs, who were guided by a decision-support app and supervised by doctors. More people in the … [Read more...] about Preliminary effectiveness and feasibility of ASHA-led mobile health intervention for diabetes care in Indian primary health care settings

This study developed and tested a kidney disease training program for community health workers serving Latino communities. Twelve participants completed a 20-hour course that included role play, problem-solving, and motivational interviewing. The training was well-received and increased knowledge, confidence, and motivation to educate others about kidney health. Future work … [Read more...] about Development and pilot evaluation of a train-the-trainer chronic kidney disease program for community health workers

This pilot study in rural Lesotho tested whether community health workers (CHWs) could screen people at home for high blood pressure and diabetes. Ten CHWs visited 687 households and screened over 1,800 people between 2022 and 2023. About one in four had high blood pressure, and one in twenty had diabetes. Almost everyone welcomed the service and appreciated being tested in … [Read more...] about Feasibility and Acceptability of Diabetes and Hypertension Screening and Diagnosis by Community Health Workers in Rural Lesotho: A Mixed-Methods Pilot Study