Journal articles

Working with Community Health Workers as ‘volunteers’ in a vaccine trial: Practical and ethical experiences and implications

Community engagement is increasingly emphasized in biomedical research, as a right in itself, and to strengthen ethical practice. We draw on interviews and observations to consider the practical and ethical implications of involving Community Health Workers (CHWs) as part of a community engagement strategy for a vaccine trial on the Kenyan Coast. CHWs were initially engaged as … [Read more...] about Working with Community Health Workers as ‘volunteers’ in a vaccine trial: Practical and ethical experiences and implications

Buruli ulcer (BU) is a cutaneous neglected tropical disease caused by Mycobacterium ulcerans. Participation of Community Health Workers (CHWs) is an integral part of the management of BU, yet their impact has not been systematically evaluated in sub-Saharan Africa. Our objectives were to summarize the evidence on the impact of CHWs on the control of BU in sub-Saharan … [Read more...] about The impact of community health workers (CHWs) on Buruli ulcer in sub-Saharan Africa: a systematic review.

The Affordable Care Act of 2010 builds on earlier efforts to expand home and community-based alternatives to institutional long-term care. Identifying people living in the community who have unmet long-term care needs and who may be at risk for entering nursing homes may be crucial to these efforts. The Arkansas Community Connector Program used specially trained community … [Read more...] about The Care Span: Medicaid savings resulted when community health workers matched those with needs to home and community care.

The objective of this study was to compare the costs and outcomes associated with guardian-supervised directly observed treatment relative to the standard of care Directly Observed Therapy, Short Course (DOTS) provided by community health workers (CHW). New cases of culture-positive pulmonary tuberculosis (TB) treated in Vitória, Espírito Santo State, Brazil were interviewed … [Read more...] about Cost-effectiveness of community health worker versus home-based guardians for directly observed treatment of tuberculosis in Vitória, Espírito Santo State, Brazil