South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available in healthcare delivery systems. The objective of the study was to … [Read more...] about Patient- and delivery-level factors related to acceptance of HIV counseling and testing services among tuberculosis patients in South Africa: a qualitative study with community health workers and program managers.
Behavior Change and Communication
Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum.
Ethical principles of community-based participatory research (CBPR)--specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability--are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long … [Read more...] about Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum.
Quality Improvement in Diabetes Care Using Community Health Workers
Community health centers take care of patients who are at high risk for adverse medical outcomes because of poverty, linguistic isolation, poor education, and poor health habits. Because of their population focus, health centers are positioned to implement systems-level changes affecting many patients. This article discusses the quality improvement initiatives at Holyoke … [Read more...] about Quality Improvement in Diabetes Care Using Community Health Workers
Teaching how, not what: the contributions of community health workers to diabetes self-management.
The purpose of this study is to describe ways in which community health workers (CHWs) are used in various clinic and community settings to support diabetes self-management (DSM). The assistance CHWs reported providing was most often in form of encouragement/motivation. During interviews, patients shared that CHWs were helpful in demonstrating how to incorporate DSM into their … [Read more...] about Teaching how, not what: the contributions of community health workers to diabetes self-management.
Do community health worker interventions improve rates of screening mammography in the United States? A systematic review.
Community health workers (CHW) are lay individuals who are trained to serve as liaisons between members of their communities and health care providers and services. A systematic review was conducted to synthesize evidence from all prospective controlled studies on effectiveness of CHW programs in improving screening mammography rates. Participation in a CHW intervention … [Read more...] about Do community health worker interventions improve rates of screening mammography in the United States? A systematic review.
