Results: 3069
Community point distribution of insecticide-treated bed nets and community health worker hang-up visits in rural Zambia: a decision-focused evaluation (2016)
In 2013, the Zambian Ministry of Health distributed over two million insecticide-treated bed nets (ITNs) using a door-to-door distribution strategy, and distributed more than six million ITNs in 2014. This research study measures attendance rates at community point distribution and examines the impact of follow-up community health worker visits onRead more…
Balancing workload, motivation and job satisfaction in Rwanda: assessing the effect of adding family planning service provision to community health worker duties (2015)
While task shifting to CHWs is widely practiced to address healthcare provider shortages, it can add to an already heavy workload for CHWs. In order to reflect how CHWs perceive and react to their circumstances, this study combined perception and objective measures of workload to examine quality of services, workerRead more…
Industrial action by healthcare workers in Nigeria in 2013–2015: an inquiry into causes, consequences and control—a cross-sectional descriptive study (2016)
In the past 36 months, Nigeria has suffered several healthcare workers’ strikes, resulting in decreased access to quality healthcare for Nigerians. The researchers in this study aimed to identify the root cause(s) for these strikes and determine potential solutions. 150 Nigerian healthcare workers participated in a cross-sectional survey and questionnaireRead more…
ECONOMIC EVALUATION OF COMMUNITY BASED PRACTITIONERS IN LOW- AND MIDDLE-INCOME COUNTRIES A literature review, country case studies and a generalized cost-effectiveness model (2016)
Despite the well-known benefits of community-based practitioners, there is lack of evidence regarding the cost effectiveness of their work. This study aims to address this lack of information on the cost effectiveness to meet health systems goals using literature review, mapping, and case studies. The researchers concluded that community-based practitionersRead more…
What role for district-led quality improvement approaches in priority setting for Universal Health Coverage: Learning from Bangladesh, Ethiopia, Indonesia, Kenya, Malawi, Mozambique (2016)
Due to deficiencies in low- and middle-income countries, policy makers are suggesting different methods to achieving universal health coverage. One strategy is the expansion of cadres of close-to-community providers, which plays an important role for connecting communities with the formal health sector. This poster from the Reachout Consortium identifies someRead more…
Female Community Health Volunteer (FCHV) National Survey 2014 Nepal (2016)
The FCHV Program in Nepal was initiated in 1988/89 with the goal of supporting national health through community involvement. Currently there are 52,000 FCHVs with varying roles and responsibilities related to health. This presentation discusses the 2014 survey aimed at understanding FCHVs perceptions of their work, as well as theRead more…
Yield of Community Health Worker-Driven Intensified Case Finding for Tuberculosis among HIV-Positive Patients in Rural Malawi (2016)
At the 21st International AIDS Conference in Durban, South Africa in July 2016, Dr. Katie Simon presented findings from a study highlighting how community health workers can be utilized to address tuberculosis case detection, which often infects people living with HIV. This study found that intensified tuberculosis case finding (TBRead more…
How States Can Fund Community Health Workers through Medicaid to Improve People’s Health, Decrease Costs, and Reduce Disparities (2016)
This brief explains how community health workers improve people’s health, reduce health care costs, and address barriers to care. The brief continues to discuss key questions regarding sustainable funding of CHW programs through Medicaid reimbursement for states that want to start or expand such programs. Case studies in Massachusetts, Minnesota,Read more…
Engaging the Missing Link: Evidence from FALAH for Involving Men in Family Planning in Pakistan (2016)
Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented from 2008-2012, show that the inclusion of men in family planning (FP) efforts is a feasible and effective intervention to help shift attitudes and behaviours in Pakistan and perhaps in otherRead more…
Community Health Workers: Bringing Family Planning Services to Where People Live and Work (2015)
This brief discusses how integrating community health worker programs into the health system can help increase access to family planning by bringing information, services, and supplies to women and men in the communities where they live and work, rather than requiring them to visit health facilities. CHWs address geographic, financial,Read more…
USAID/Madagascar and Community Health Volunteers: Working in Partnership to Achieve Health Goals (2015)
Community Health Volunteers (CHVs) have played a critical role in the success of USAID in Madagascar’s health sector. As CHVs, they can provide basic health care services and health education at the community level, thus improving health care access in remote regions. This report highlights the successes and challenges ofRead more…
The cost-effectiveness of close-to-community health programmes: What do we know and where are the gaps? (2015)
Critical shortages in the health workforce in many developing countries – specifically the number, skills and geographic distribution of health workers – pose a significant challenge to the achievement of universal health coverage and the Sustainable Development Goals (SDGs). Increasing attention has therefore been focused on the potential of communityRead more…
Retention of health workers in rural Sierra Leone: findings from life histories (2016)
In light of the health worker shortage due to the post-conflict period and Ebola crisis in Sierra Leone, it is crucially important to understand different motivation factors for rural health workers, including doctors, nurses, midwives and Community Health Workers. Researchers conducted 23 participatory life histories with health workers, revealing thatRead more…
Mounting Evidence of the Effectiveness and Versatility of Community Health Workers (2016)
Recent years have proven that community health workers serve important roles in healthcare systems, including in the United States. This article briefly discusses the effectiveness and versatility of community health workers and their various roles in healthcare delivery systems. The evidence demonstrates the effectiveness of community health workers in manyRead more…
Understanding Scope and Competencies: A Contemporary Look at the United States Community Health Worker Field (2016)
Progress Report of the Community Health Worker (CHW) Core Consensus (C3) Project: Building National Consensus on CHW Core Roles, Skills, and Qualities : This project focuses on U.S. CHW roles, skills, and qualities and how these shape CHW practice. Collaborating with a number of different state and local CHW associations,Read more…
Study protocol: realist evaluation of effectiveness and sustainability of a community health workers programme in improving maternal and child health in Nigeria (2016)
Community health workers can increase access to, and coverage of, health services – particularly maternal and child health (MCH) outcomes in Nigeria and other sub-Saharan African countries. This 5 year study aimed to evaluate the Nigerian CHW scheme using a mixed-methods realist approach will make an important contribution to healthRead more…
Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania (2016)
Community health workers in Tanzania are trained in Home Based Life Saving Skills to educate communities on danger signs, birth preparedness, and complication readiness regarding childbirth. However, maternal mortality is currently greater than 400 per 100,000 live births, leading to the question of the effectiveness of this training program. UsingRead more…
How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review (2016)
CHWs often improve health care delivery in their communities by bringing health services closer to hard to reach populations. This study utilized systematic database searches to determine the extent of CHW program equity. Many programs reduced inequity related to location, gender, education, and socioeconomic status. While CHW programs do seemRead more…
What Influences Adolescent Girls’ Decision-Making Regarding Contraceptive Methods Use and Childbearing? A Qualitative Exploratory Study in Rangpur District, Bangladesh (2016)
In order to get a better understanding of adolescent use of contraceptives in Bangladesh, researchers interviewed married adolescent girls, key informants, and CHWs. Main factors regarding the lack of contraceptive use among married adolescents include lack of health knowledge, communication ability, and mistrust towards contraceptive methods. CHWs played an importantRead more…
Monitoring iCCM referral systems: Bugoye Integrated Community Case Management Initiative (BIMI) in Uganda (2016)
Integrated community case management (iCCM) trains village health workers (VHWs) to provide treatment to the most common childhood diseases in Uganda, including malaria, pneumonia, and diarrhea. One of iCCM’s key features is a referral system for treatment at health facilities, but these referrals are difficult to monitor. A study wasRead more…
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