In Uganda, cognitive impairment in older adults often goes undiagnosed due to limited resources and trained personnel. This study aimed to assess the feasibility of using Community Health Workers (CHWs) to screen and refer older adults with cognitive impairment in Wakiso district. CHWs received training and used a screening tool to identify cognitive impairment. Results showed … [Read more...] about Feasibility of screening for cognitive impairment among older persons and referral by community health workers in Wakiso district, Uganda
Sub-Saharan Africa (SSA)
Primary healthcare delivery models in African conflict-affected settings a systematic review
In conflict-affected areas, access to primary healthcare is challenging due to various barriers. This study conducted a systematic review to understand the different models of primary healthcare delivery in these settings. It found that healthcare is delivered through health facilities, communities, mobile clinics, outreach programs, and home visits. Services include nutrition, … [Read more...] about Primary healthcare delivery models in African conflict-affected settings a systematic review
Supply-side and demand-side factors influencing uptake of malaria testing services in the community: lessons for scale-up from a post-hoc analysis of a cluster randomised, community-based trial in western Kenya
Malaria remains a significant health challenge, especially in Africa where the majority of cases and deaths occur, predominantly affecting children under 5. WHO recommends prompt diagnosis before treatment, and Kenya has adopted a Test and Treat policy, extending testing through community health workers (CHWs). However, many in rural areas still self-treat or seek care in the … [Read more...] about Supply-side and demand-side factors influencing uptake of malaria testing services in the community: lessons for scale-up from a post-hoc analysis of a cluster randomised, community-based trial in western Kenya
Promptness in seeking treatment from Village Health workers for children under five years with malaria, diarrhea and pneumonia in rural southwestern Uganda
In rural southwestern Uganda, Village Health Workers (VHWs) offer treatment for childhood illnesses like malaria, pneumonia, and diarrhea through the integrated community case management (iCCM) strategy. This study focused on the promptness of seeking treatment from VHWs for children under five with these illnesses. Results showed that 64% of children sought treatment promptly, … [Read more...] about Promptness in seeking treatment from Village Health workers for children under five years with malaria, diarrhea and pneumonia in rural southwestern Uganda
‘Our hands are bound’:Pathways to Community Health labor in Kenya
The traditional model for selecting Community Health Workers (CHWs) involves electing a willing, trusted, educated community member. However, this ideal is rarely practiced. Through life history interviews with CHWs in Isiolo, Kenya, five predominant pathways to community health work were identified: model, handpicked, shadow, outsider, and dispossession. Each pathway, … [Read more...] about ‘Our hands are bound’:Pathways to Community Health labor in Kenya

