Sub-Saharan Africa (SSA)

Effect of health extension workers-led home-based multicomponent intervention on blood pressure reduction among hypertensive patients in rural districts of northwest Ethiopia: a cluster-randomised controlled trial

This study assessed the impact of home-based health programs led by health extension workers on lowering blood pressure in rural northwest Ethiopia. In a trial with 456 participants from 20 communities, those receiving the health workers' intervention saw a greater reduction in blood pressure compared to those who did not. After 9 months, the intervention group had a 5 mm Hg … [Read more...] about Effect of health extension workers-led home-based multicomponent intervention on blood pressure reduction among hypertensive patients in rural districts of northwest Ethiopia: a cluster-randomised controlled trial

This study tested if community health workers (CHWs) could help control blood pressure (BP) among hypertensive patients in low-income areas of Kiambu County, Kenya. In a 6-month trial, 80 patients were randomly assigned to either a CHW home-based intervention group or a usual care group. CHWs provided monthly home visits with health education and lifestyle advice. Results … [Read more...] about Preliminary efficacy of a community health worker home based intervention for the control and management of hypertension in Kiambu County, Kenya- a randomized control trial

This study focuses on improving maternal, newborn, and child health (MNCH) in Ethiopia, where high child and maternal mortality rates persist despite efforts over the past decades. Community health worker (CHW) programs have been a key strategy, but challenges remain in fully addressing health needs. The study highlights the need for a shift in the CHW program toward a more … [Read more...] about Community Health Transformation: Paths to a Comprehensive and Transformative Community-Based Health System to Enhance Maternal, Newborn, and Child Health Equity and Health System Resilience in Rural Ethiopia

This study compared the performance of community health workers (CHWs) in Uganda's Kyaka II refugee settlement when paid in cash versus digital payments. Results showed that CHWs performed better with cash payments, as digital payments were often delayed and inconsistent, leading to demotivation. Factors like secondary education and having a side job were linked to better … [Read more...] about Do cash or digital payment modalities affect community health worker performance? – a case study of a remote refugee settlement in Western Uganda

This study explored how community health workers in Rwanda use the muzima mobile app for patient care. Data was collected through observation, interviews, and group discussions. Most users could complete tasks in the app, though some older and less experienced workers struggled. The app helped manage diabetes and hypertension, reducing visits to health centers. However, users … [Read more...] about Muzima Mobile Application for Screening Hypertension and Diabetes: A User Experience of the App Among Community Health Workers in Rwanda