Results: 3069
Exploring the context in which different close-to-community sexual and reproductive health service providers operate in Bangladesh: a qualitative study (2015)
A range of formal and informal close-to-community (CTC) health service providers operate in an increasingly urbanized Bangladesh. Informal CTC health service providers play a key role in Bangladesh’s pluralistic health system, yet the reasons for their popularity and their interactions with formal providers and the community are poorly understood. ThisRead more…
Using a human resource management approach to support community health workers: experiences from five African countries (2015)
Like any other health worker, community health workers (CHWs) need to be supported to ensure that they are able to contribute effectively to health programmes. Management challenges, similar to those of managing any other health worker, relate to improving attraction, retention and performance. Exploratory case studies of CHW programmes inRead more…
Strategic partnering to improve community health worker programming and performance: features of a community-health system integrated approach (2015)
There is robust evidence that community health workers (CHWs) in low- and middle-income (LMIC) countries can improve their clients’ health and well-being. The evidence on proven strategies to enhance and sustain CHW performance at scale, however, is limited. Nevertheless, CHW stakeholders need guidance and new ideas, which can emerge fromRead more…
Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: an equity analysis (2015)
Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20% of community health workers’ (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80%Read more…
Snap shots from a photo competition: what does it reveal about close-to-community providers, gender and power in health systems? (2015)
In this commentary, we discuss a photography competition, launched during the summer of 2014, to explore the everyday stories of how gender plays out within health systems around the world. While no submission fees were charged nor financial awards involved, the winning entries were exhibited at the Global Symposium onRead more…
Supervision of community health workers in Mozambique: a qualitative study of factors influencing motivation and programme implementation (2015)
Numerous countries around the world have established community health programmes as a means to expanding access to health services among vulnerable populations, and these programmes are considered a vital component of reaching the health-related Millennium Development Goals. With the shift towards the sustainable development goals and emphasis within these onRead more…
Costs and cost-effectiveness of community health workers: evidence from a literature review (2015)
In recent years, community health workers (CHWs) have received renewed attention in light of critical shortages in the health workforce and emphasis on strengthening primary healthcare systems for achieving global health goals. CHWs are generally assumed to be a less expensive alternative compared with other cadres of health workers, notablyRead more…
Advancing Community Health Workers to Improve Health Outcomes and Reduce Costs: Recommendations for the California State Health Care Innovation Plan (2015)
This report includes many excellent suggestions for how CHWs can be meaningfully incorporated into our four key Innovation Plan initiatives – Accountable Communities for Health, Health Homes for Patients with Complex Needs, Maternity Care, and Palliative Care – to improve health outcomes for California’s diverse populations.
An assessment of community health workers’ ability to screen for cardiovascular disease risk with a simple, non-invasive risk assessment instrument in Bangladesh, Guatemala, Mexico, and South Africa: an observational study (2015)
Cardiovascular disease contributes substantially to the non-communicable disease (NCD) burden in low- income and middle-income countries, which also often have substantial health personnel shortages. In this observational study we investigated whether community health workers could do community-based screenings to predict cardiovascular disease risk as effectively as could physicians or nurses,Read more…
Evidence on feasibility and effective use of mHealth strategies by frontline health workers in developing countries: systematic review (2015)
Given the large-scale adoption and deployment of mobile phones by health services and frontline health workers (FHW), we aimed to review and synthesise the evidence on the feasibility and effectiveness of mobile-based services for healthcare delivery. Five databases – MEDLINE, EMBASE, Global Health, Google Scholar and Scopus – were systematicallyRead more…
Factors influencing the career choice and retention of community mental health workers in Ghana (2015)
Whilst there have been several studies exploring retention in health workers, little is known about health workers engaged in the provision of mental health services and the factors that affect their recruitment and retention. The objective of this research was to examine the views of stakeholders about the factors whichRead more…
Improving Programs, Improving the Lives of People Living with HIV (2012)
“There continues to be a tremendous focus on enrolling people in treatment programs and ensuring that they remain in care. This case study examines an integrated clinical and social support program that used quality improvement, decentralization, task shifting, and community engagement to identify and address challenges to sustaining HIV treatmentRead more…
Prioritizing HIV in Mental Health Services Delivered in Post-Conflict Settings (2011)
“After opening the clinic in northern Uganda, PCAF mental health (MH) staff requested specialized HIV training because they felt it was critical to address their clients’ MH and HIV care and support needs in a holistic and knowledgeable manner. In northern Uganda, MH service providers must know their individual client,Read more…
Prevalence of depressive symptoms amongst highly active antiretroviral therapy (HAART) patients in AIDSRelief Uganda (2013)
There is need for in-depth evaluation to find out the root causes of depressive symptoms among HAART patients in AIDSRelief clinics. There is need to integrate mental health management in HIV care and treatment as well as training the existing health workers on mental health management. (2013)
Integrating Mental Health into HIV Services: Standard Operating Procedures & Training Manual (2014)
Integration of mental health and HIV programs has the potential to significantly improve health outcomes for PLHIV. This training package, which is comprised of a training-of-trainers manual, an accompanying presentation, and a standard operating procedure, was developed to support a pilot project for MH and HIV integration at the communityRead more…
Thinking outside the box: Addressing the mental health needs of PLHIV (2014)
Emerging evidence is demonstrating the accuracy of this statement particularly in the lives of people living with HIV (PLHIV). The occurrence of mental health problems among PLHIV is truly alarming; the prevalence of depression is estimated up to 72%, and anxiety rates are five times higher when compared to thoseRead more…
Get Happy, Get Rich The Relationship Between Depression and Poverty (2015)
Through six sessions of therapy, health workers help patients generate solutions to their psychosocial and financial problems, develop coping skills to reduce anxiety, and engage in activities that will assist them in recovering. (2015)
Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda (2013)
Minimizing death and ensuring high retention and good adherence remain ongoing challenges for human immunodeficiency virus (HIV) treatment programs. We examined whether the addition of community-based accompaniment (characterized by daily home visits from a community health worker, directly observed treatment, nutritional support, transportation stipends, and other support as needed) toRead more…
Problem-solving therapy for depression and common mental disorders in Zimbabwe: piloting a task-shifting primary mental health care intervention in a population with a high prevalence of people living with HIV (2011)
There is limited evidence that interventions for depression and other common mental disorders (CMD) can be integrated sustainably into primary health care in Africa. We aimed to pilot a low-cost multi-component ‘Friendship Bench Intervention’ for CMD, locally adapted from problem-solving therapy and delivered by trained and supervised female lay workersRead more…
Task shifting explained: a viable solution to health worker shortage? (2014)
Task shifting is a low-cost solution to tackling gaps in health services in the developing world, for example those in HIV and mental health treatment. The need for both is ever present. (2014)
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