Results: 3069
Patient- and delivery-level factors related to acceptance of HIV counseling and testing services among tuberculosis patients in South Africa: a qualitative study with community health workers and program managers. (2011)
South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available inRead more…
Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum. (2012)
Ethical principles of community-based participatory research (CBPR)–specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability–are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communitiesRead more…
Learning from the Brazilian community health worker model in North Wales. (2013)
Health policymakers in many countries are looking at ways of increasing health care coverage by scaling up the deployment of community health workers. Traditionally this has been seen as an option for low and middle income countries with inadequate numbers of trained health professionals. In this commentary, we describe theRead more…
Culturally sensitive care for elderly immigrants through ethnic community health workers: design and development of a community based intervention programme in the Netherlands. (2013)
In Western countries, health and social welfare facilities are not easily accessible for elderly immigrants and their needs are suboptimally addressed. A transition is needed towards culturally sensitive services to overcome barriers to make cure and care accessible for elderly immigrants. This research developed an intervention programme in which ethnicRead more…
The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system (2013)
Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities inRead more…
Community-based Validation of Assessment of Newborn Illnesses by trained Community Health Workers in Sylhet district of Bangladesh (2009)
This article attempts to validate trained community health workers’ (CHWs’) recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. Between August 2005 and May 2006, 288 newborns were assessed independently by a CHW and a study physician.Read more…
It’s about time: WHO and partners release programming strategies for postpartum family planning (2014)
The postpartum period is a critical time to address high unmet family planning need and to reduce the risks of closely spaced pregnancies. Practical tools are included in the new resource for integrating postpartum family planning at points when women have frequent health system contact, including antenatal care, labor and delivery, postnatal care,Read more…
Keeping community health workers in Uganda motivated: key challenges, facilitators, and preferred program inputs (2013)
In the face of global health worker shortages, community health workers (CHWs) are an important health care delivery strategy for underserved populations. In Uganda, community-based programs often use volunteer CHWs to extend services, including family planning, in rural areas. This study examined factors related to CHW motivation and level ofRead more…
Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings (2014)
There is a growing movement among health care organizations to adopt the Community Health Worker (CHW) model into their system as a way to provide comprehensive care to patients and community members. At the same time there is uncertainty about how to implement the CHW model to achieve better patient outcomes, higher qualityRead more…
Community-based Validation of Assessment of Newborn Illnesses by trained Community Health Workers in Sylhet district of Bangladesh (2009)
This study aims to validate trained community health workers’ (CHWs’) recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. Between August 2005 and May 2006, 288 newborns were assessed independently by a CHW and a study physician.Read more…
Community Case Management of Fever Due to Malaria and Pneumonia in Children Under Five in Zambia: A Cluster Randomized Controlled Trial (2010)
Pneumonia and malaria, two of the leading causes of morbidity and mortality among children under five in Zambia, often have overlapping clinical manifestations. Zambia is piloting the use of artemether-lumefantrine (AL) by community health workers (CHWs) to treat uncomplicated malaria. Valid concerns about potential overuse of AL could be addressedRead more…
Quality Improvement in Diabetes Care Using Community Health Workers (2008)
Community health centers take care of patients who are at high risk for adverse medical outcomes because of poverty, linguistic isolation, poor education, and poor health habits. Because of their population focus, health centers are positioned to implement systems-level changes affecting many patients. This article discusses the quality improvement initiatives atRead more…
Teaching how, not what: the contributions of community health workers to diabetes self-management. (2007)
The purpose of this study is to describe ways in which community health workers (CHWs) are used in various clinic and community settings to support diabetes self-management (DSM). The assistance CHWs reported providing was most often in form of encouragement/motivation. During interviews, patients shared that CHWs were helpful in demonstratingRead more…
Measuring return on investment of outreach by community health workers. (2006)
Community health workers (CHWs) are effective in improving access to health care, promoting client knowledge and behavior change, and contributing to improved health status of individuals. However, few outreach programs have evaluated the financial impact of CHWs on health care systems and policies. A longitudinal repeated measures design was usedRead more…
Do community health worker interventions improve rates of screening mammography in the United States? A systematic review. (2011)
Community health workers (CHW) are lay individuals who are trained to serve as liaisons between members of their communities and health care providers and services. A systematic review was conducted to synthesize evidence from all prospective controlled studies on effectiveness of CHW programs in improving screening mammography rates. Participation in aRead more…
Comprehensive asthma management for underserved children. (2007)
In response to the ‘asthma epidemic’, local organisations in San Francisco formed the Yes We Can Urban Asthma Partnership, which uses a comprehensive medical/social model for paediatric asthma care. The Yes We Can Urban Asthma Partnership reaches out to high-risk children in different clinical settings: urgent visits, the hospital, aRead more…
How to make the most of village health promoters. (1997)
In a rural area of Bangladesh the methods used by village health promoters and the time available to them for their intended tasks were inadequate. Poverty and illiteracy in the community exacerbated their difficulties. Ways of tackling these problems are discussed in the article.
Community health workers: a front line for primary care? (2012)
Among the potential changes invoked in discussions on health system transformation, a need to revitalize primary care remains paramount. One way of doing this, most agree, is to move more in the direction of team-based care. Professionals such as physician assistants and nurse practitioners may be able to ease someRead more…
Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression (2011)
We assessed the role of promotoras—briefly trained community health workers—in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. After a structured training program, primary care practitioners (PCPs) and promotoras collaboratively followed aRead more…
The influence of observation and setting on community health workers’ practices. (2006)
This study aims to determine whether results from an evaluation that involved observation of community health workers while they performed patient consultations in a hospital reflected normal everyday practices. We found that community health workers made treatment errors less frequently when they were observed in a hospital in-patient or outpatientRead more…
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