Results: 3069
Home visits by community health workers for pregnant mothers and newborns: coverage plateau in Malawi (2019)
Globally, home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to contribute to newborn survival. With the ever-expanding roles of CHWs can health systems ensure sufficient home visit coverage? This study looks at the results of a population-based survey conducted in the Ntcheu districtRead more…
Clinical evaluation of the use of an mhealth intervention on quality of care provided by Community Health Workers in southwest Niger (2019)
As part of the World Health Organization’s (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada worked with the Niger Ministry of Health to enable implementation of iCCM in four districts of Niger in 2013. This paper presents a two-arm cluster randomized trialRead more…
Role of community health worker in a mobile health program for early detection of oral cancer (2019)
Increased incidence of oral cancer is largely seen in low-resource settings. This study looked at the use of a mobile phone based oral cancer screening program carried out by community health workers (CHWs). The CHWs screened for mucosal lesions and were able to use the mHealth (mobile health) approach effectively.
Are community health workers more effective in identifying persons in need of home and community-based long-term services than standard-passive approaches (2019)
Consumers are known to show a preference for home and community based long-term care (LTC) services (HCBS) but they are often unaware of the services available to them. This study examined the role of community health workers (CHWs) in helping Medicaid beneficiaries meet their LTC needs as compared to theRead more…
Community healthcare worker response to childhood disorders: Inadequacies and needs (2019)
Community health workers (CHWs) are a vital link between health facilities and communities with a high prevalence of childhood disorders. However, there is a dearth of literature which suggests that CHWs are adequately skilled and trained for this task. This study looks at the training needs of CHWs in theRead more…
Are community health workers cost-effective for childhood vaccination in India? (2019)
Accredited Social Health Activities (ASHAs) are female community health workers who play a principal role in promotion of primary health care and use of sanitary services in India. Most prior studies on ASHAs have focused on qualitative aspects. This study presents a cost effectiveness analysis of ASHAs in facilitating measlesRead more…
Psychosocial distress among unpaid community health workers in rural Ethiopia: Comparing leaders in Ethiopia’s Women’s Development Army to their peers (2019)
Many global health initiatives rely heavily on unpaid and impoverished community health workers. Given the growing social science literature on volunteering in health programs in low- and middle-income countries, it is imperative to pay attention to the psychological and social well being of these volunteers. This study presents a quantitativeRead more…
The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania (2019)
The effect of different care delivery approaches on health system satisfaction has not been monitored extensively. This article focuses on public satisfaction with regards to a community health worker (CHW) program targeted at maternal care among pregnant women or women who have recently delivered.
Malaria case management commodity supply and use by community health workers in Mozambique, 2017 (2019)
Community health workers (CHWs) have aided healthcare delivery world-wide in terms of preventive care and integrated community case management (iCCM). However, there is limited data regarding their role in malaria supply chain management. This study looks at how CHWs aid delivery of malaria iCCM kit commodities in Mozambique. The kitRead more…
Improving Access to Antenatal Care in Ngara, Tanzania Through Implementation of the Lady Health Worker Programme (2019)
Combatting maternal mortality is a major public health challenge in Tanzania. This problem persists due to lack of providers, poor quality of care and inaccessibility to care. This analysis looks at the effectiveness of implementing the Lady Health Worker Program (LHWP) across three healthcare facilities in the Ngara district ofRead more…
A Self-Management Training Intervention: Perceptions and Practices of Community Health Workers in South Africa (2019)
Community health workers (CHWs) are being used increasingly world over as a strategy to improve access to healthcare, particularly in rural communities. However, interventions targeted as improving their skill set and bringing about health behavior change are essential. This article presents findings from systematic, in-depth interviews conducted with CHWs inRead more…
Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone (2019)
Community engagement is considered to be a valuable strategy to improving health systems. However, there is limited evidence regarding the effectiveness of this approach. This study focused on operations research of a community-based health information system (PCBHIS). The development and implementation of the PCBHIS was assessed in slum communities.
Impact of lay health worker programmes on the health outcomes of mother-child pairs of HIV exposed children in Africa: A scoping review (2019)
In countries with a heavy burden of HIV, the demand for healthcare services is often met with a dearth of health workers. This has led to a need for task shifting of lay health workers (LHWs) to improve healthcare delivery. This approach has been particularly successful in the case ofRead more…
Do community health workers affect non-urgent, ambulatory healthcare utilization among low-income, minority patients with diabetes? (2019)
Community health workers (CHWs) play a key role in addressing social determinants of health especially among low-income, ethnic minority groups. This study comprises a secondary analysis of a randomized control trail which examined how CHWs support ambulatory healthcare among Hispanic and African American patients with uncontrolled type-2 diabetes.
Community health worker-delivered counselling for common mental disorders among chronic disease patients in South Africa: a feasibility study (2019)
This study assessed the feasibility and acceptability of two approaches of community health worker (CHW)-delivered mental health counselling for patients with chronic diseases. The ‘designated’ approach involved CHWs providing counselling in addition to their regular duties while the ‘dedicated’ approach involved the CHWs taking sole responsibility of delivering mental healthRead more…
Empowering Community Health Workers With Mobile Technology to Treat Diabetes (2019)
The global prevalence of diabetes has been rising steadily since the 1980s and low- and middle-income countries (LMICs) are struggling to manage the epidemic. This article looks at a clinical decision support smartphone app designed to provide support to community health workers in rural Guatemala . The app aids withRead more…
Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa (2018)
South Africa has implemented a community-based HIV programme (CBHP) as part of its strategy to re-engineer its primary healthcare (PHC) delivery systems. This article consists of insights gathered from focus group discussions with community health workers (CHWs) and PHC nurses in order to understand the barriers and facilitating factors relatedRead more…
Setting the global research agenda for community health systems: literature and consultative review (2019)
Post the recent Astana Declaration, there has been a renewed interest in building momentum for strengthening community health systems. This review proposes a global research agenda to improve community health worker programs.
The Role of Nurses and Community Health Workers in Confronting Neglected Tropical Diseases in Sub-Saharan Africa: A Systematic Review (2016)
Neglected Tropical Diseases (NTDs) constitute a large portion of the disease burden in poor and disenfranchised populations in sub-Saharan Africa. This article looked to combine recent relevant literature on the impact of nurses and community health workers on managing NTDs.
The everyday political economy of health: community health workers and the response to the 2015 Zika outbreak in Brazil (2019)
This article looks at the daily political economy of health with focus on four primary pillars: power, agency, intersectionality and the mutual implication of global and local. This framework is used to assess the role of community health workers in bridging the gap between health systems and vulnerable groups inRead more…
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