There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure. … [Read more...] about The Impact of Centralized Employment Structure on Community Health Work: A Qualitative Case Study of Community Health Workers and Key Leadership.
Journal articles
Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry.
In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated with PCC. … [Read more...] about Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry.
Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya
HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resulting perceptions are important for mitigating loss to follow up. … [Read more...] about Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya
Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach.
A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap. … [Read more...] about Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach.
Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record.
This study aimed to develop a sustainable and comprehensive approach to pediatric hearing care in low- and middle-income countries. It involved the use of a smartphone-based platform to perform hearing screening and video otoscopy. The technology was applied by community health workers (CHWs) in Kilifi county in Kenya … [Read more...] about Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record.
