Results: 3286
Cultural translation of interventions: diabetes care in American Samoa. (2010)
Translation of research advances into clinical practice for at-risk communities is important to eliminate disease disparities. Adult type 2 diabetes prevalence in the US territory of American Samoa is 21.5%, but little intervention research has been carried out there. We discuss our experience with cultural translation, drawing on an emergingRead more…
Community health workers: social justice and policy advocates for community health and well-being. (2008)
Community health workers are resources to their communities and to the advocacy and policy world on several levels. Community health workers can connect people to health care and collect information relevant to policy. They are natural researchers who, as a result of direct interaction with the populations they serve, canRead more…
Exploring the role of community health workers in providing cancer navigation: perceptions of African American older adults. (2012)
Cancer outcomes are unequally distributed across racial and ethnic groups, with minorities experiencing worse outcomes, particularly in overall survival. Several groups have recommended employing community health workers (CHWs) to help eliminate disparities. By identifying and addressing barriers to adherence to cancer screening or treatment recommendations and working with patients to negotiateRead more…
An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique. (2009)
The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. An integrated community healthRead more…
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study. (2012)
Use of diagnostics in integrated community case management (iCCM) of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community health workers (CHWs) trained and provided with malaria rapidRead more…
Community health workers improve contact tracing among immigrants with tuberculosis in Barcelona. (2012)
The important increase in immigration during recent years has changed the epidemiology and control strategies for tuberculosis (TB) in many places. This study evaluates the effectiveness of intervention with community health workers (CHW) to improve contact tracing among immigrants. The study included all TB cases detected by the Barcelona TB ProgramRead more…
Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania. (2013)
There is a renewed interest in community health workers (CHWs) in Tanzania, but also a concern that low motivation of CHWs may decrease the benefits of investments in CHW programs. This study aimed to explore sources of CHW motivation to inform programs in Tanzania and similar contexts. Sources of CHW motivationRead more…
A Wellness Course for Community Health Workers in Alaska: “wellness lives in the heart of the community”. (2012)
This study aims to develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska’s village-based Community Health Workers (CHWs) to support community health promotion and disease prevention.This article describes Wellness Course development, implementation, and evaluation. Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. LearningRead more…
‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala (2012)
In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that the world’s health issues required more than just hospital-based and physician-centered policies. The figure of the community health worker (CHW) remains a central feature of participation within the PHC approach, and being a CHW is still considered to beRead more…
Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. (2012)
For more than 50 years, Community Health Aides and Community Health Practitioners (CHA/Ps) have resided in and provided care for the residents of their villages. This study is a systematic description of the clinical practice of primary care health workers in rural Alaska communities. This is the first evaluation of theRead more…
Integrated Community Case Management: Findings from Senegal, the Democratic Republic of the Congo, and Malawi (2013)
To generate key lessons, Senegal, the Democratic Republic of Congo, and Malawi have conducted assessments of their programs related to community case management (CCM) of childhood illness programs. The CCM programs in all three countries included the treatment of three major childhood illnesses by community health workers: diarrheal disease, malariaRead more…
Indicator Guide: Monitoring and Evaluating Integrated Community Case Management (2013)
This guide aims to encourage integrated Community Case Management (iCCM) programs to more effectively monitor and evaluate iCCM implementation and results across all of the iCCM benchmark components. Aimed at program managers, M&E officers, researchers, and organizations supporting/implementing iCCM, specific objectives of this guide are to: Compile iCCM indicators usefulRead more…
Understanding where parents take their sick children and why it matters: a multi-country analysis (2013)
Developing effective context-specific strategies to ensure that a high proportion of children receive timely and appropriate care requires knowing the source from which care is sought. Although Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) collect such data in disaggregated form, they are not made available inRead more…
Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. (2012)
For more than 50 years, Alaskan Community Health Aides and Community Health Practitioners (CHA/Ps) have resided in and provided care for the residents of their villages. This study is a systematic description of the clinical practice of primary care health workers in rural Alaska communities. This is the first evaluation ofRead more…
Community health workers’ perspectives on their contribution to rural health and well-being in Iran. (2011)
The activities of community health workers (CHWs) have been identified as key to improvements in the health of Iran’s rural population. We explored the perceptions of CHWs regarding their contribution to rural health in Iran. Three research assistants familiar with the Iranian primary health care network conducted face-to-face interviews with CHWsRead more…
Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes (2013)
This article examines three South African community health worker programs, a small local non-governmental organisation, a local satellite of a national NGO, and a government-initiated service, that provide a range of services from home-based care, childcare, and health promotion to assist clients in overcoming poverty-related barriers to health care toRead more…
Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review (2013)
The provision of HIV treatment and care in sub-Saharan Africa faces multiple challenges, including weak health systems and attrition of trained health workers. One potential response to overcome these challenges has been to engage community health workers (CHWs). A systematic literature search for quantitative and qualitative studies describing the roleRead more…
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…
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