This study looked at how community health workers (CHWs) in rural Lesotho helped screen people for high blood pressure and diabetes. Using a tablet-based tool, CHWs screened most of the eligible adults in their communities within six months. The program reached many people and was fairly affordable—costing about $17 per person screened in a real-world setting. The results show … [Read more...] about Costs and Coverage of Community Health Worker-Led Hypertension and Diabetes Screening in Rural Lesotho: A Cohort Study with a Cost-Consequence Analysis
Lesotho
The impact of the Lesotho health reform in the re-structuring of the village health workers program
This study examined how health reforms in Lesotho improved the Village Health Worker (VHW) program. Key changes included clearer roles, better monitoring, and performance-based payments. These reforms boosted VHW performance, strengthened community health links, and increased service use. The findings highlight that proper support and incentives help VHWs fulfill their vital … [Read more...] about The impact of the Lesotho health reform in the re-structuring of the village health workers program
eConsent administered by Community Health Workers in a study using the Trials within Cohorts (TwiCs) design-Experiences from the Community-Based chronic Care Lesotho (ComBaCaL) project
In Lesotho, a study used electronic consent (eConsent) to improve data collection for a project involving community health workers (CHWs) who help manage type 2 diabetes and hypertension in remote villages. Over 100 CHWs, both caregivers and data collectors, used a tablet-based system to present simplified consent information and collect signatures electronically. This … [Read more...] about eConsent administered by Community Health Workers in a study using the Trials within Cohorts (TwiCs) design-Experiences from the Community-Based chronic Care Lesotho (ComBaCaL) project
Creating access to SARS-CoV-2 screening and testing through community-based COVID-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia
The BRCCH-EDCTP COVID-19 Initiative in Lesotho and Zambia explored community-based COVID-19 screening and testing strategies. In Lesotho, village health workers visited homes to screen for symptoms and offer testing, while in Zambia, community hubs provided testing to walk-in visitors. Both approaches successfully identified SARS-CoV-2 cases, with higher positivity rates among … [Read more...] about Creating access to SARS-CoV-2 screening and testing through community-based COVID-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia
Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review
This review sought to summarize and present CHWs’ perceived workload in low-and middle-income countries (LMICs). Researchers utilized three electronic databases (PubMed, Scopus, and Embase) that were customized to search for two key terms: CHWs and workload. A total of 43 primary studies measuring CHW workload, published in English, and conducted in LMICs at any time point were … [Read more...] about Workload and emerging challenges of community health workers in low- and middle-income countries: A mixed-methods systematic review

