This article attempts to validate trained community health workers' (CHWs') recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. Between August 2005 and May 2006, 288 newborns were assessed independently by a CHW and a study physician. Based on a 20-sign algorithm, … [Read more...] about Community-based Validation of Assessment of Newborn Illnesses by trained Community Health Workers in Sylhet district of Bangladesh
Program Design
Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings
There is a growing movement among health care organizations to adopt the Community Health Worker (CHW) model into their system as a way to provide comprehensive care to patients and community members. At the same time there is uncertainty about how to implement the CHW model to achieve better patient outcomes, higher quality of care, and lower health care … [Read more...] about Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings
Comprehensive asthma management for underserved children.
In response to the 'asthma epidemic', local organisations in San Francisco formed the Yes We Can Urban Asthma Partnership, which uses a comprehensive medical/social model for paediatric asthma care. The Yes We Can Urban Asthma Partnership reaches out to high-risk children in different clinical settings: urgent visits, the hospital, a comprehensive specialty asthma clinic, and … [Read more...] about Comprehensive asthma management for underserved children.
Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression
We assessed the role of promotoras—briefly trained community health workers—in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. After a structured training program, primary care practitioners (PCPs) and … [Read more...] about Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression
Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial.
This research was designed to evaluate the effect of a culturally sensitive diabetes self-management education program that uses a low-cost, peer-educator format (Project Dulce) on glucose control and metabolic parameters in low-income Mexican Americans with type 2 diabetes. This randomized trial, using the Project Dulce model of culturally sensitive, peer-led education, … [Read more...] about Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial.
