Results: 3069
Exploring perceptions of community health policy in Kenya and identifying implications for policy change (2015)
Background: Global interest and investment in close-to-community health services is increasing. Kenya is currently revising its community health strategy (CHS) alongside political devolution, which will result in revisioning of responsibility for local services. This article aims to explore drivers of policy change from key informant perspectives and to study perceptionsRead more…
mPowering Frontline Health Workers: CHW Consultations (2015)
This report outlines a series of workshops convened by mPowering Frontline Health Workers and partners to consider whether the global health community is following the most beneficial route to provide relevant and effective health training for FLHWs. Focusing in particular on CHWs, who work directly in the communities they serve, the forums explored the potential forRead more…
Better Health Through Equity (2015)
Healthy People 2020, the nation’s health objectives for the current decade, defines health equity as the “attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the eliminationRead more…
Community Health Workers in California: Sharpening Our Focus on Strategies to Expand Engagement (2015)
The Patient Protection and Affordable Care Act (ACA) provides a policy framework to re-imagine a system of care that emphasizes health and wellness through new models of primary care and population health interventions. These new models offer the potential to deliver care services at a lower cost, to detect andRead more…
Community Health Worker (CHW) Toolkit (2015)
CDC has compiled evidence-based research that supports the effectiveness of CHWs in the Community Health Worker Toolkit. The toolkit also includes information that state health departments can use to train and further build capacity for CHWs in their communities, as well as helpful resources that CHWs can use within theirRead more…
In Depth Interviews of Health Workers in Sierra Leone (2014)
Coherent human resource for health (HRH) policies should be designed to address the challenges faced in recruitment and retention of health workers, particularly in developing countries. In Sierra Leone, there are challenges in providing equitable healthcare for all due in part to the current HRH situation, which includes an unequalRead more…
Kisumu Final Report (2014)
Kenya’s third largest city, Kisumu, serves as a trading and transportation hub for west- ern Kenya and bears the dubious distinction of having Kenya’s worst set of health indicators and one of the nation’s highest poverty levels. While much work lies ahead for Kisumu to attain the Millennium Development GoalsRead more…
Policy for Community Health Workers in Sierra Leone (2012)
Health systems in Sierra Leone are undergoing considerable change, often in a context of ongoing health sector reforms. In Sierra Leone, decentralization of health services is very central to these changes, and consequently there is a need to prepare and empower those working at the district level for their newRead more…
Community Health Workers: A Review of Program Evolution, Evidence on Effectiveness and Value, and Status of Workforce Development in New England (2013)
Disparities across racial and socioeconomic lines in the utilization of health care services and in patient outcomes continue to plague healthcare systems in the U.S. (AHRQ, 2008; Smedley, 2003; Children’s Defense Fund, 2006). Policies to address health care disparities have varied, including steps to increase access to health insurance coverage at both theRead more…
Addressing Chronic Disease through Community Health Workers: A Policy and Systems-level Approach (2014)
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, it sets forth evidence demonstrating the value and impact of CHWs in preventing and managing a variety of chronic diseases, including heart diseaseRead more…
Policy Evidence Assessment Report: Community Health Worker Policy Components (2014)
Policy Evidence Assessment Reports summarize the evidence bases for components of chronic disease policy. Evidence based policy can be used to prevent, control, and improve the outcomes of chronic disease, but the strength of the evidence for many components of policy is unknown. The Policy Evidence Assessment Reports are intended to inform researchers, evaluators, and practitioners about theRead more…
Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes A Randomized Clinical Trial (2014)
Objective: To determine whether a tailored community health worker (CHW) intervention would improve posthospital outcomes among low-SES patients. Results: Using intention-to-treat analysis, we found that intervention patients were more likely to obtain timely posthospital primary care, to report high-quality discharge communication, and to show greater improvements in mental health andRead more…
Remuneration for Community Health Workers: Recommendations to the World Health Organization (2014)
The question of remuneration for community health workers (CHWs) in low–‐income countries remains contentious. Programs use a variety of monetary and non–‐monetary incentives to motivate CHWs. The most successful programs, however, pay their workers, and there is little evidence to suggest that volunteerism in low–‐income countries is sustainable over theRead more…
It’s not Ebola…it’s the systems (2014)
The 2014 Ebola outbreak in West Africa demonstrates key deficiencies in investment in health systems. Despite some modest investment in health systems, our field has instead largely chosen to pursue shorter-term, vertical efforts to more rapidly address key global health issues such as smallpox, polio, malaria, and HIV/AIDS. While those efforts haveRead more…
An Action Guide on Community Health Workers (CHWs): Guidance for the CHW Workforce (2013)
This guide may be helpful to members, or prospective members, of the CHW workforce in a variety of ways. It summarizes evidence-based best practices that CHWs should seek to adopt or reinforce in their work with patients and families. It delineates possible quality indicators for high-quality CHW programs. This guide also provides backgroundRead more…
An Action Guide on Community Health Workers (CHWs): Guidance for Organizations Working With CHWs (2013)
This guide provides information that may be helpful in various ways for organizations considering the employment of CHWs. It summarizes evidence-based best practices that organizations may wish to adopt or reinforce. It delineates possible quality indicators for high-quality CHW programs that may be used in discussions with payers. It provides background on keyRead more…
CDC Evaluation Coffee Break: Evaluating CHW Programs (2014)
Hello, and welcome to today’s Coffee Break presented by the Evaluation and Program Effectiveness Team in the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention. We are really fortunate to have Alberta Mirambeau as today’s presenter. Alberta is from CDC’s Division for Heart Disease and StrokeRead more…
A Community Health Worker “logic model”: towards a theory of enhanced performance in low- and middle-income countries (2014)
The purpose of this paper is to promote early and continuous causal thinking as decision makers design, implement, scale up, and evaluate CHW and other programs that are intended to positively affect the public’s health. The methods section describes how the generic CHW logic model was constructed, drawing explicitly on research in LMICs and the informed opinion of CHWRead more…
Taking knowledge for health the extra mile: participatory evaluation of a mobile phone intervention for community health workers in Malawi (2013)
In Malawi, where the majority of the population resides in rural areas, community health workers (CHWs) are the first, and often only, providers of health services. An assessment of health information needs, however, found that these frontline workers often lacked essential health information. A pilot project, implemented in 2 ruralRead more…
A Commitment to Community Health Workers: Improving Data for Decision Making (2014)
In a new policy report, the Frontline Health Workers Coalition and partners call for human resources for health (HRH) stakeholders to create a common definition for the “community health worker” along with an agreed-upon set of core tasks and competencies, using the International Labour Organization definition as a guiding framework. ToRead more…
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