Results: 3069
Podcast: Roundtable Discussion with the Community Health Team from Mbarara University of Science and Technology in Western Uganda (2019)
In the Kasese district of western Uganda, the Bugoye Health Center (a public sector health center in Uganda) and Mbarara University of Science and Technology have partnered with Massachusetts General Hospital to strengthen the local health system, working with community health workers in this endeavor. Dr. Palazuelos sits down withRead more…
The Opioid Crisis and the Role of Community Health Workers (2014)
The epidemic of opioid addiction has spread at a rapid pace across the United States since the 1990s. A number of medical and non medical factors have contributed to its progression. As such, Community Health Workers play an important role in addressing social determinants of health and ensuring access toRead more…
Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders (2016)
Project ECHO (Extension for Community Health care Outcomes) is an effort focused at providing training and mentorship to primary care providers for management of patients with complex conditions. This article looks at teleECHO, a clinic based out of the University of New Mexico Health Sciences Center which aims to benefitRead more…
Policy review on the management of pre-eclampsia and eclampsia by community health workers in Mozambique (2019)
Pre-eclampsia is one of the major contributors to maternal deaths in the Mozambique. This study looks to identify and review health policies associated with CHW management of pre-eclampsia and eclampsia.
Integrating community health workers into the formal health system to improve performance: a qualitative study on the role of on-site supervision in the South African programme (2019)
This qualitative study compared the affects of two CHW supervision models – clinic-based supervision versus community-based supervision – on CHW team performance. It also examined CHW team performance when supervised by a senior nurse versus a junior nurse. The study outlines some of the characteristics of effective supervision and findsRead more…
Proximity to a community health worker is associated with utilization of malaria treatment services in the community among under-five children: a cross-sectional study in rural Uganda (2019)
Health facilities are difficult to access in rural parts of Sub-Saharan Africa. For malaria, poor access contributes to delayed treatment. Community Health Workers provide a viable option for extending access to prompt malaria treatment. This study evaluated utilization of CHW service in relation distance from the CHW.
Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan. (2019)
There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).
Urban young women’s preferences for intervention strategies to promote physical and mental health preconception: a Healthy Life Trajectories Initiative (HeLTI) (2019)
This study is a qualitative assessment of women’s preferences for preconception intervention strategies to promote physical and mental health in urban settings. The evaluation was carried out through focus group discussions in Soweto, South Africa.
SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators (2019)
As per global estimates, nearly 5 billion people lack access to safe, quality and timely surgical care. This pilot study assessed the local burden of disease in a rural area of India through the Surgeons OverSeas Assesssment of Surgical Need (SOSAS) survey. The study also evaluated the feasibility of using AccreditedRead more…
Driving the precision medicine highway: community health workers and patient navigators (2019)
Despite the availability of precision medicine – treatments tailored to patient’s particular needs based on their genetic make-up, environment and other factors – many minority or underserved populations do not have access to or cannot understand information related to precision medicine. This study proposes a coordinated expansion of community healthRead more…
Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial (2019)
There is reasonable evidence that pulmonary rehabilitation (PR) is beneficial for alleviating the symptoms and disability brought about by chronic obstructive pulmonary disease (COPD) and can improve health status and quality of life. This cluster randomized control trial evaluates the efficacy of lay health workers (LHWs) to improve uptake andRead more…
Integration of Traditional Birth Attendants into Mental Healthcare: A Multistakeholder Qualitative Study Exploration (2019)
A large number of common mental disorders often go undiagnosed at primary healthcare facilities. This study looks at the feasibility of integrating traditional birth attendants into maternal mental health care through an analysis of views from multiple key stakeholders in Kenya.
Webinar Resources and Recording -Quality improvement approaches for community health programmes (2019)
In 2018, three global healthcare quality reports were published which resolutely move the UHC discourse from coverage to quality but fail to extend this to the quality of community health worker (CHW) programmes. Late in 2018, the WHO released its guidelines for optimising CHW programmes and health systems, in lineRead more…
A Performance-Based Incentives System for Village Health Workers in Kisoro, Uganda (2019)
Village health worker programs in Uganda have met with limited success in the past partly due to a reliance on volunteerism and a lack of incentivization. Doctors for Global Health developed a performance-based incentive mechanism for village health workers (VHWs) in Uganda. The given paper looks at the feasibility andRead more…
Effect of a community health worker mHealth monitoring system on uptake of maternal and newborn health services in Rwanda (2019)
This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.
Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective (2019)
This systematic review analyses the research undertaken with respect to India’s accredited social health activist (ASHA) scheme as the programme enters its second decade. The review focused on whether the programme has suitable health systems interfaces to ensure sustainability and areas to focus upon as the programme evolves.
Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger (2019)
The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.
Community health extension program of Ethiopia, 2003–2018: successes and challenges toward universal coverage for primary healthcare services (2019)
Since 2003, Ethiopia has been implementing a community health extension program (HEP). This systematic review assesses the improvements that the program has brought about particularly in terms of maternal and childcare, hygiene and sanitation, knowledge and healthcare seeking. It also looks at the weaknesses of this dynamic program with respectRead more…
Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania (2019)
In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention onRead more…
Rethinking integrated nutrition‐health strategies to address micronutrient deficiencies in children under five in Mozambique (2019)
This paper presents the results of a study using trained CHWs to compare in-person auditory brainstem response (ABR). The intervention linked CHWs to a tele-medicine approach in a community-based pediatric hearing screening program; it concludes that a tele-medicine approach is viable.
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