Qualitative

Early identification of potentially low performing community health workers using an ensemble classification model

This study developed a predictive model to identify underperforming community health workers (CHWs) in Uttar Pradesh, India, using data from over 140,000 CHWs. The model accurately pinpointed struggling CHWs and high-risk clusters early, enabling targeted support and resource allocation. This approach can improve CHW performance, motivation, and healthcare outcomes while … [Read more...] about Early identification of potentially low performing community health workers using an ensemble classification model

Many pregnant women in Nigeria prefer traditional birth attendants (TBAs) for childbirth due to trust, cultural beliefs, and religious practices. However, TBAs often delay referring women to health centers, risking complications. Challenges include community preference for TBAs, inadequate infrastructure, staff shortages, and weak enforcement of good practices at health … [Read more...] about Demand and supply side factors that drive delayed referrals from traditional birth attendants to public primary healthcare facilities: Insights from three states in Nigeria

A pilot study in Gujarat, India, tested a digital training program for community health workers and frontline providers to deliver a brief depression care intervention. Of the 43 participants, 91% completed the training, showing improved knowledge scores after the course. Despite technical challenges, participants found the digital format useful. The study suggests digital … [Read more...] about Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India

This study explored how Community Case Management (iCCM) for childhood illnesses is being integrated into national health systems in Malawi, Mali, and Rwanda. Through interviews with key informants, the study identified a process of institutionalizing iCCM in phases, from awareness to maturity. Four main factors—core values, leadership, resources, and policy—were found to drive … [Read more...] about Understanding Integrated Community Case Management Institutionalization Processes Within National Health Systems in Malawi, Mali, and Rwanda: A Qualitative Study

This study examined how community health agents (ACS) and agents combating endemic diseases (ACE) work together to prevent and control diseases like dengue. It found their efforts were poorly coordinated, with unclear roles and limited collaboration. ACE focused on chemical vector control, while ACS lacked involvement in active disease surveillance. Weak community engagement … [Read more...] about Community Health Agents and Agents to Combat Endemic Diseases’ performance in arboviruses prevention and control: analysis of articulation and integrated work