Results: 3069
The community case management of pneumonia in Africa: a review of the evidence (2015)
Pneumonia causes around 750 000 child deaths per year in sub-Saharan African (SSA) countries. The lack of accessibility to prompt and effective treatment is an important contributor to this burden. Community case management of pneumonia (CCMp) uses trained community health workers (CHWs) to administer antibiotics to suspected child pneumonia casesRead more…
Do community health workers perceive mechanisms associated with the success of community case management of malaria? A qualitative study from Burkina Faso (2015)
The use of community health workers to administer prompt treatments is gaining popularity in most sub-Saharan African countries. Their performance is a key challenge because it varies considerably, depending on the context, while being closely associated with the effectiveness of case management strategies. What determines community health workers’ performance isRead more…
Use and Acceptance of Social Media among Community Health Workers (2015)
The use of social media as a means for health communication has greatly increased among health promotion specialists. Community Health Workers (CHWs), who serve as liaisons between health services and community members, are one group of health professionals who could benefit from integrating social media into occupational practice. The purposeRead more…
Task shifting in maternal and newborn health care: Key components from policy to implementation (2015)
The dramatic shortage of skilled providers creates challenges to the provision of both facility- and community-based healthcare services, including services for maternal and newborn health (MNH). Task shifting has been promoted as one response to this global health worker crisis, shifting tasks to one provider cadre and from another. TheRead more…
Addressing Chronic Disease through Community Health Workers: A policy and systems-level approach (2015)
This document provides guidance and resources for implementing recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease. After providing general information on CHWs in the United States, this document sets forth evidence demonstrating the value and impact of CHWs in preventing and managing a varietyRead more…
A framework for integrating childhood tuberculosis into community-based child health care (2013)
The World Health Organization (WHO) estimates that approximately 500,000 children each year are diagnosed with tuberculosis (TB) and 64,000 HIV-negative children die annually due to TB. The true burden of childhood TB is unknown; children are often undiagnosed and therefore do not receive appropriate care. Childhood TB is often seenRead more…
Valuing the work of unpaid community health workers and exploring the incentives to volunteering in rural Africa (2015)
Community health worker (CHW) programmes are currently being scaled-up in sub-Saharan Africa to improve access to healthcare. CHWs are often volunteers; from an economic perspective, this raises considerations whether reliance on an unpaid workforce is sustainable and how to appropriately cost and value the work of CHWs. Both these questionsRead more…
Engaging community health workers in maternal and newborn care in eastern Uganda (2015)
Community health workers (CHWs) have been employed in a number of low- and middle-income countries as part of primary health care strategies, but the packages vary across and even within countries. The experiences and motivations of a multipurpose CHW in providing maternal and newborn health have not been well described.Read more…
How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature (2015)
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. However, research seldom focuses on the implications of context for CHW or programme performance. Understanding theRead more…
Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial (2015)
Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation ofRead more…
Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers (2014)
Of the non-communicable diseases (NCDs), hypertension is a major burden in general and in particular in South Africa with trends showing a growth of 20% for both men and women over the past decade. Of further significance is that adherence to hypertension medication varies significantly from under 10% in theRead more…
Initial experience and innovations in supervising community health workers for maternal, newborn child health in Morogoro region, Tanzania (2015)
Supervision is meant to improve the performance and motivation of community health workers (CHWs). However, most evidence on supervision relates to facility health workers. The Integrated Maternal, Newborn, and Child Health (MNCH) Program in Morogoro region, Tanzania, implemented a CHW pilot with a cascade supervision model where facility health workersRead more…
Motivation and satisfaction among community health workers in Morogoro Region, Tanzania: nuanced needs and varied ambitions (2015)
In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines and training materials for community health workers (CHWs) in integrated maternal, newborn and child health (Integrated MNCH), with CHWs trained and deployed across five districts of Morogoro Region soon after. To inform future scale up, thisRead more…
Selection and performance of village health teams (VHTs) in Uganda: lessons from the natural helper model of health promotion (2015)
Community health worker (CHW) programmes have received much attention since the 1978 Declaration of Alma-Ata, with many initiatives established in developing countries. However, CHW programmes often suffer high attrition once the initial enthusiasm of volunteers wanes. In 2002, Uganda began implementing a national CHW programme called the village health teamsRead more…
Strengthening Primary Health Care through Community Health Workers: Investment Case and Financing Recommendations (2015)
Despite the progress some countries have made in scaling up CHW programs, many countries that would benefit from strong CHW cadres currently have only ad hoc, sub-scale programs. This problem extends even to high-income countries that would benefit from CHW programs to provide cost-effective care and battle chronic disease. CountriesRead more…
Achieving the Triple Aim: Success with Community Health Workers (2015)
For decades, community health workers (CHWs) have played a critical role in public health efforts in Massachusetts to improve population health and to ensure that all residents of the state receive quality services. The Massachusetts Department of Public Health (DPH) has long been a national leader in supporting the CHW workforceRead more…
Task Shifting Provision of Contraceptive Implants to Community Health Extension Workers: Results of Operations Research in Northern Nigeria (2015)
Among family planning methods, long-acting reversible contraceptives (LARCs), consisting of intrauterine devices (IUDs) and implants, have a proven record of high effectiveness and high user satisfaction, and they are not dependent on user adherence. However, despite the many advantages of LARCs, contraceptive implants, which are among the most effective LARCs,Read more…
Community Tool Box (2015)
The Community Tool Box is a free, online resource for those working to build healthier communities and bring about social change. Our mission is to promote community health and development by connecting people, ideas, and resources. The Tool Box consists of 46 chapters with topics ranging from community assessment to strategicRead more…
Financing CHW Systems at Scale in sub-Saharan Africa: Workshop Report (2015)
This report from the One Million Community Health Workers (1mCHW) Campaign on the outcomes from its 2015 workshop, Financing Community Health Worker Systems at Scale in Sub-Saharan Africa, shows that there is a timely opportunity to invest in government-led scale-up of community health worker programs in sub-Saharan Africa. Released today,Read more…
Care Groups I: An Innovative Community-Based Strategy for Improving Maternal, Neonatal, and Child Health in Resource-Constrained Settings (2015)
In view of the slow progress being made in reducing maternal and child mortality in many priority countries, new approaches are urgently needed that can be applied in settings with weak health systems and a scarcity of human resources for health. The Care Group approach uses facilitators, who are aRead more…
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