Results: 3069
Can a community health worker and a trained traditional birth attendant work as a team to deliver child health interventions in rural Zambia? (2014)
Zambia has a strained health care system with limited health facilities and human resources, and thus has been using community-based health workers, mostly volunteers, to provide basic health services, especially in rural areas, to confront its high under-5 mortality. Two common volunteer cadres are community health workers (CHWs) and trainedRead more…
Community health worker interventions to improve access to health care services for older adults from ethnic minorities: a systematic review (2014)
The health status of most ethnic minority groups in Western countries is poorer than the health status of the majority population. This is especially applicable for ethnic minority older adults. Limited access to health care services has been reported to be an important factor for these disparities in health andRead more…
The effect of payment and incentives on motivation and focus of community health workers: five case studies from low- and middle- income countries (2015)
Community health workers (CHWs) have been proposed as a means for bridging gaps in healthcare delivery in rural communities. Recent CHW programmes have been shown to improve child and neonatal health outcomes, and it is increasingly being suggested that paid CHWs become an integral part of health systems. Remuneration ofRead more…
Knowledge of Nairobi East District Community Health Workers concerning HIV-related orofacial lesions and other common oral lesions (2014)
In Kenya, primary healthcare (PHC) providers (mainly clinical officers and nurses) at health facilities and community health workers (CHWs) in the field are required to integrate oral care of HIV patients into the PHC system. However, these health workers have not been educated on oral diseases. Detecting Human Immunodeficiency VirusRead more…
Assessment of non-financial incentives for volunteer community health workers – the case of Wukro district, Tigray, Ethiopia (2014)
Volunteer community health workers (VCHW) are health care providers who are trained but do not have any professional certification. They are intended to fill the gap for unmet curative, preventative, and health promotion health needs of communities. The VCHWs are the only unpaid health workers in the Ethiopian health careRead more…
Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial (2015)
Indigenous Australians have the highest prevalence and incidence of diabetes in Australia and also suffer high rates of preventable complications. Many of these complications can be prevented with better primary care level management however access to culturally appropriate high quality diabetes care is not always evident, especially in remote settingsRead more…
Use of mobile phone consultations during home visits by Community Health Workers for maternal and newborn care: community experiences from Masindi and Kiryandongo districts, Uganda (2015)
In the Ugandan context CHWs are given the collective name of Village Health Teams (VHTs). The national health policy in Uganda recognizes VHTs as constituent part of the health care system. VHTs in Uganda are assigned various tasks ranging from health education to dispensing of allopathic medicines. This study aimedRead more…
Success or failure of critical steps in community case management of malaria with rapid diagnostic tests: a systematic review (2014)
Malaria still causes high morbidity and mortality around the world, mainly in sub-Saharan Africa. Community case management of malaria (CCMm) by community health workers (CHWs) is one of the strategies to combat the disease by increasing access to malaria treatment. While fever cases were previously treated presumptively with anti-malarials, CCMmRead more…
Time savings – realized and potential – and fair compensation for community health workers in Kenyan health facilities: a mixed-methods approach (2015)
Sub-Saharan Africa faces a severe health worker shortage, which community health workers (CHWs) may fill. Task shifting – the reassignment of clinical roles by transferring suitable tasks from higher- to lower-skilled healthcare workers (HCWs) – is one of the strategies proposed to mitigate the effects of the HCW shortage. CommunityRead more…
Community health workers programme in Luanda, Angola: an evaluation of the implementation process (2014)
Angola is undergoing a period of reconstruction, after experiencing a protracted civil war that lasted until 2002. This historical context of violent conflicts has left a legacy of low rates of production and capital accumulation, of severe debt, and extreme dependency on foreign countries, all of which markedly influence theRead more…
Retention of female volunteer community health workers in Dhaka urban slums: a prospective cohort study (2014)
Volunteer community health workers (CHWs) are a key approach to improving community-based maternal and child health services in developing countries. BRAC, a large Bangladeshi non-governmental organization (NGO), has employed female volunteer CHWs in its community-based health programs since 1977, recently including its Manoshi project, a community-based maternal and child healthRead more…
Equally able, but unequally accepted: Gender differentials and experiences of community health volunteers promoting maternal, newborn, and child health in Morogoro Region, Tanzania (2015)
Despite emerging qualitative evidence of gendered community health worker (CHW) experience, few quantitative studies examine CHW gender differentials. The launch of a maternal, newborn, and child health (MNCH) CHW cadre in Morogoro Region, Tanzania enlisting both males and females as CHWs, provides an opportunity to examine potential gender differences inRead more…
Reservation wage of female volunteer community health workers in Dhaka urban slums: a bidding game approach (2014)
BRAC, a large Bangladeshi NGO, recently has been using female volunteer community health workers (CHWs) in Dhaka urban slums to provide maternal and child health services. Due to erratic performance-based income and higher opportunity cost the urban CHWs lose motivation which contributes to high dropout and poor performance. This resultsRead more…
A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation (2014)
The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in the GemRead more…
Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study (2014)
Lay community health workers (CHWs) have been widely used to provide curative interventions in communities that have traditionally lacked access to health care. Optimal performance of CHWs managing children with malaria, pneumonia and diarrhoea in communities is desired if a reduction in childhood morbidity and mortality is to be achieved. Few studiesRead more…
Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives (2014)
Community health workers (CHWs) can play important roles in primary health care delivery, particularly in settings of health workforce shortages. However, little is known about CHWs’ perceptions of barriers and motivations, as well as those of the beneficiaries of CHWs. In Rwanda, which faces a significant gap in human resources for health, theRead more…
Individual and contextual factors associated with community health workers’ performance in Nyanza Province, Kenya: a multilevel analysis (2015)
Several African and South Asian countries are currently investing in new cadres of community health workers (CHWs) as a major part of strategies aimed at reaching the Millennium Development Goals. However, one review concluded that community health workers did not consistently provide services likely to have substantial effects on health and that qualityRead more…
Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation (2014)
In an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care (PHC) strategy, which has led to the development of a national community health worker (CHW) programme. The present study explored the development of a cell phone-based andRead more…
Evaluation of the impact of a mobile health system on adherence to antenatal and postnatal care and prevention of mother-to-child transmission of HIV programs in Kenya (2015)
The Millennium Villages Project (MVP) implemented in Western Kenya a mobile Health tool that uses text messages to coordinate Community Health Worker (CHW) activities around antenatal care (ANC) and Prevention of Mother-to-Child Transmission of HIV (PMTCT), named the ANC/PMTCT Adherence System (APAS). End-user changes in health-seeking behavior in ANC and postnatal care (PNC)Read more…
Experiences engaging community health workers to provide maternal and newborn health services: Implementation of four programs (2015)
A paucity of skilled health providers is a considerable impediment to reducing maternal, infant, and under-five mortality for many low-resource countries. Although evidence supports the effectiveness of community health workers (CHWs) in delivering primary healthcare services, shifting tasks to this cadre from providers with advanced training has been pursued withRead more…
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