Results: 3069
Community-based accompaniment and psychosocial health outcomes in HIV-infected adults in Rwanda: a prospective study (2014)
We examined whether the addition of community-based accompaniment to Rwanda’s national model for antiretroviral treatment (ART) was associated with greater improvements in patients’ psychosocial health outcomes during the first year of therapy. We enrolled 610 HIV-infected adults with CD4 cell counts under 350 cells/μL initiating ART in one of twoRead more…
Detection of antenatal depression in rural HIV-affected populations with short and ultrashort versions of the Edinburgh Postnatal Depression Scale (EPDS) (2013)
Approaches that incorporate CHWs in the detection and management of perinatal mental disorders have shown potential, with research demonstrating the capacity of CHWs to deliver treatment for both HIV (Selke et al. 2010) and maternal depression (Rahman 2005; Rahman et al. 2008). However, actualizing this potential at a larger scaleRead more…
Positive Outlook: Working with HIV, Depression and Rehabilitation (2011)
Developing a new curriculum and interventions for front line workers related to depression among people living with or vulnerable to HIV and other episodic disabilities, to be integrated into an existing interprofessional learning course offered by CWGHR, focusing on rehabilitation in the context of HIV. (2011)
Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda (2011)
Community level self-help groups in South Africa focused on CMDs, with CHWs using the training received to establish these groups. The majority were formed to assist HIV infected and affected women. (2011)
The Feasibility of Adapted Group-Based Interpersonal Therapy (IPT) for the Treatment of Depression by Community Health Workers Within the Context of Task Shifting in South Africa (2011)
Within the context of a large treatment gap for depression and a scarcity of specialist resources, there is a need for task shifting to scale up mental health services to address this gap in South Africa. This study assessed the feasibility of an adapted manualized version of grouped based InterpersonalRead more…
Mental Health and HIV (2009)
Highlights the key mental health issues in the continuum of HIV care and reviews promising programmatic practices for addressing these issues in resource-constrained settings. This tool provides links to important resources and tools for program planners and health care providers concerned about mental health issues in HIV care and support. Read more…
Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes: A Randomized Clinical Trial (2014)
Socioeconomic and behavioral factors can negatively influence posthospital outcomes among patients of low socioeconomic status (SES). Traditional hospital personnel often lack the time, skills, and community linkages required to address these factors. During hospital admission, CHWs worked with patients to create individualized action plans for achieving patients’ stated goals forRead more…
Standard Operating Procedures for Integration of Mental Health and HIV Services in Zimbabwe (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…
FHl Vietnam Program (2008)
This case study presents two innovative pilot programs developed by FHI Vietnam with USAID funding to address the MH needs of PLWH. The first integrated MH services into a methadone maintenance treatment (MMT) program and the second embedded MH services in an HIV outpatient care and treatment clinic (OPC) atRead 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…
“There is no Health Without Mental Health” Health and HIV Service Integration in Zimbabwe (2012)
In collaboration with the U.S. President’s Emergency Plan for AIDS Relief Care and Support and Treatment Technical Working Groups, AIDSTAR-One is implementing a pilot activity that will integrate mental health and harmful substance use screening, counseling, and referral into HIV treatment and care sites in Zimbabwe. This country situational analysisRead more…
The Movement For Change (2012)
It is a cold rainy day, and a pregnant mother’s water has just broken. A young man stares at the pouring rain hitting the muddy path and sighs. He has no way of getting his wife to the health center that is a two hour walk from his mud-thatched house.Read more…
Supporting Community Health Workers is Critical – But Who, What and How? (2012)
Community health workers—known by myriad titles, from health extension workers to village volunteers—form a critical part of the frontline health workforce in many low- and middle-income countries. So what kind of community and health system support improves community health worker (CHW) performance? This very question was debated by around 100Read more…
Sustaining the Impact of Community Health Workers: Evidence from Health System Assessments (2012)
Countries seeking to expand health services to the community-level to ensure equity of access to care frequently turn to community health workers (CHW) as an essential expansion of the health team. A variety of approaches to training, hiring and supporting community health workers have been implemented by countries, and thereRead more…
Enhancing training of community health workers in DRC through effective management (2012)
Evidence of the need to scale up the number of frontline health workers in developing countries abounds throughout sub-Saharan Africa, as described in the recent post in this blog by Avril Ogrodnick of Abt Associates. Yet training new health workers is not sufficient, in itself, to sustainably address the crisisRead more…
How to save 3.6 million children each year? Invest in community health workers (2013)
The following is a Q&A between Julia Bluestone of Jhpiego and the Frontline Health Workers Coalition and Dr. Henry Perry of the Johns Hopkins Bloomberg School of Public Health on a recently released report examining community health workers’ effectiveness in saving lives and improving health. The post was originally publishedRead more…
Improving the quality of data collected by community health workers in rural Malawi (2013)
In 2007, Abwenzi Pa Za Umoyo (APZU), the sister organization of Partners In Health (PIH) in Malawi, began a community health worker program to support HIV care in the remote, rural district of Neno. The program was designed to complement and be integrated with a Ministry of Health national HIVRead more…
Teaching New Mothers Living with HIV about the Importance of Breast-feeding (2013)
Though HIV can be transmitted from mother to child through breast milk, studies have shown that women living with HIV are less likely to pass the virus if they breast-feed their babies exclusively for at least four months. Breast milk contains nutrients and essential antibodies that can help babies fendRead more…
Backpacks That Save Lives? You Bet! (2013)
Summer is winding down. Store shelves are stocked with notebooks and pencils instead of sunscreen and beach balls. And for most kids, the essential back-to-school purchase is the almighty backpack. If you’re going to carry books and lunch to school, you’d better have something durable — and fashionable! — strappedRead more…
Make Recife Count: Adapt HRH to the UHC Agenda (2013)
Worldwide, there are severe shortfalls in the health workforce — not just in the quantity of doctors, nurses and other health workers, but in their management, performance and geographical distribution. These shortfalls are particularly glaring in light of the global movement for universal health coverage, progress toward which will requireRead more…
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