Results: 3286
Evidence-Based CHW Program Addresses Unmet Social Needs and Generates Positive Return on Investment (2020)
Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives, attention fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated. This study presents a return-on-investment analysis based on a randomized controlled trialRead more…
A conceptual framework for measuring community health workforce performance within primary health care systems (2019)
Management of CHW programs requires better data collection approaches at the community level. This paper describes a framework and proposes a list of metrics to monitor CHW performance in low- and middle-income countries.
Application of the community health worker model in adult asthma and COPD in the U.S.: a systematic review (2019)
This paper systematically reviews the effectiveness of community health worker interventions in reducing healthcare utilization in adults with asthma and COPD.
Means, Motives and Opportunity: determinants of community health worker performance (2019)
The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied.
Facilitating equitable community-level access to maternal health services: exploring the experiences of Rwanda’s community health workers (2019)
CHWs play an integral role in linking members of communities to maternal health services in formal health care systems. This study identifies specific strategies applied by CHWs in Rwanda to promote equitable maternal care in their communities. It highlights the need for future research on strategies to motivate community healthRead more…
Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations (2019)
Community health workers are often overlooked and underutilized as powerful change agents for health equity. This report, based on a review of nine studies, provides evidence and policy recommendations. It describes the value of including CHWs in healthcare delivery systems for addressing inequities.
Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation (2019)
There has been a renewed attention for the need to strengthen CHWs performance, which partly depends on motivation. This paper analyzes the use of incentives and their influence on improving CHW motivation.
The National Village Health Guide Scheme in India: Lessons Four Decades Later for Community Health Worker Programs Today and Tomorrow (2019)
National CHW schemes are an increasingly important tool for achieving universal health coverage and ending maternal and child deaths by 2030. This article focuses on critical issues that face the effectiveness of large-scale CHW programs drawing on the experiences of India’s CHW scheme –the Village Health Guides.
It Takes Community Health Workers to End Violence Against Children (2019)
Global interest in strengthening the health sector’s role in ending violence against children (VAC) has been increasing. While CHWs have been widely recognized for their contributions towards many types of community-based interventions, there is little global research on perceptions and practices of CHWs in preventing or reducing VAC. This studyRead more…
Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage (2019)
Successful attainment of Neglected Tropical Disease goals and other health interventions depends on maximizing frontline implementers’ performance. This study aimed to capture and translate knowledge, problems and solutions, identified by implementers, to enhance NTD program delivery at the community level in Nigeria.
Support for Community Health Workers to Increase Health Access and to Reduce Health Inequities (2019)
Communities across the United States face numerous challenges in terms of health status and access to care. Community health workers (CHWs) provide major assistance in delivery of health resources through a community centered approach. This policy document from the American Public Health Association (APHA) updates the organization’s 2001 policy statement: “Recognition and Support forRead more…
Preparing for Community Health Worker Integration Into Clinical Care Teams Through an Understanding of Patient and Community Health Worker Readiness and Intent (2019)
Interest in expanding community health worker (CHW) roles into clinic settings is growing. This study evaluates both CHW readiness to be integrated into clinic-based community health worker programs (CHW) and patient readiness and intent to utilize CHW programs.
Community Health Workers Improve Linkage to Hypertension Care in Western Kenya (2019)
Elevated blood pressure is a growing global public health concern as it is linked to increased mortality. This study assessed whether community health workers (CHWs) using behavior change approaches and smartphone technologies can improve the linkage of individuals to hypertension to care.
Mobile training and support (MOTS) service—using technology to increase Ebola preparedness of remotely-located community health workers (CHWs) in Sierra Leone (2019)
The Ministry of Health in Sierra Leone has operationalized a nationwide Digital Health Strategy to guide the rollout of e-Health and m-Health solutions. This article presents the findings of a pilot that tested a CHW mobile training and support (MOTS) service using interactive voice response technology (IVR). The platform deliversRead more…
The state of community health information systems in West and Central Africa (2019)
The use of stand-alone community-based reporting systems in developing countries provide insufficient information to key stakeholders and policy makers the information they require. there is a need for community-based reporting systems that feed information directly into centralized, government owned information systems. This article presents the results from a one-week communityRead more…
Towards universal health coverage: what are the system requirements for effective large-scale community health worker programmes? (2019)
In order to attain universal health coverage, a range of health systems strengthening efforts have been undertaken to improved health coverage and equity. This article presents key findings from two extensive literature reviews, assessing the foundations of CHW programs and making recommendation for the development of large-scale CHW programs.In orderRead more…
What do Accredited Social Health Activists need to provide comprehensive care that incorporates non-communicable diseases? Findings from a qualitative study in Andhra Pradesh, India (2019)
The Indian National Program for Cardiovascular Disease, Diabetes, Cancer and Stroke (NPCDCS) aims to deliver non- communicable disease (NCD) care via primary healthcare teams which include Indian CHWs know as Accredited Social Health Activists (ASHAs).This study sought to understand the current capacity and challenges faced by ASHAs hrough a desktop review of NPCDCS andRead more…
Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review (2019)
This systematic review assesses the evidence on integrating community health workers (CHWs) into the delivery of mental health services in the United States and low- and middle- income countries. It includes 43 articles of which 39 are trials. The article highlights CHW background characteristics, their role in the mental healthRead more…
Integration of mental health into primary care and community health working in Kenya: context, rationale, coverage and sustainability (2019)
Integration of mental health into primary care is essential to meet the growing needs of populations in LMICs. This study presents the case for a collaborative project in Kenya that aims to train primary care and community health workers regarding mental health in a manner through which it can beRead more…
Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda (2019)
Task sharing as an approach to target mental health through community health workers is slowly gaining attention and support in LMICs. This multi-site study aimed to determine key factors that could drive task sharing in different contexts along with providing insight regarding challenges associated with the approach.
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