Results: 3286
Retention of female volunteer community health workers in Dhaka urban slums: a case-control study (2011)
Volunteer community health workers (CHWs) are one approach to addressing the health workforce shortage in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in using female volunteer CHWs as core workers in its successful health programmes. After 25 years of implementing the CHW model in rural areas,Read more…
Can Volunteer Community Health Workers Decrease Child Morbidity and Mortality in Southwestern Uganda? An Impact Evaluation (2011)
The potential for community health workers to improve child health in sub-Saharan Africa is not well understood. Healthy Child Uganda implemented a volunteer community health worker child health promotion model in rural Uganda. An impact evaluation was conducted to assess volunteer community health workers’ effect on child morbidity, mortality andRead more…
Quality of care for severe acute malnutrition delivered by community health workers in southern Bangladesh (2013)
This study assessed the quality of care provided by community health workers (CHWs) in managing cases of severe acute malnutrition (SAM) according to a treatment algorithm. CHWs screened children at community level using a mid-upper arm circumference measurement, and treated cases without medical complications. Caretakers perceived CHWs’ services as acceptableRead more…
Peer Health Workers and AIDS Care in Rakai, Uganda: A Mixed Methods Operations Research Evaluation of a Cluster-Randomized Trial (2011)
Settings with limited health care workers are challenging environments for delivery of antiretroviral therapy. One strategy to address this human resource crisis is to task shift through training selected patients as peer health workers (PHWs) to provide care to other individuals receiving antiretroviral therapy. The results of the study showedRead more…
Community and Formal Health System Support for Enhanced Community Health Worker Performance (2012)
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a key development challenge because it is a critical barrier to strengthening health systems, achieving the Millennium Development Goals (MDGs), improving the prospects for universal health coverage, and addressing inequity and poverty. The World Health Report 2006, Working Together forRead more…
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases (2010)
Lay health workers (LHWs) are widely used to provide care for a broad range of health issues. Little is known, however, about the effectiveness of LHW interventions.The paper assesses the effectiveness of LHW interventions in primary and community health care on maternal and child health and the management of infectiousRead more…
Global Health Evidence Summit: Community and Formal Health System Support for Enhanced Community Health Worker Performance (2012)
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a barrier to achieving the Millennium Development Goals. The World Health Report 2006, “Working Together for Health,” estimated that there is a shortage of 4.3 million health workers in the world. To help alleviate this shortage, many countries areRead more…
Consultation on Improving Access to Health Worker at the Frontline for Better Maternal and Child Survival (2012)
This report summarizes the Consultation on Improving Access to Health Workers at the Frontline for Better Maternal and Child Survival held in Nairobi, Kenya from 25th to 27th June 2012. The overarching objective of the consultation was to speed up and scale up country responses to the human resource needsRead more…
CHWs and other FLHW: Moving from Fragmentation to Synergy to achieve Universal Health Coverage (2013)
From the early years of primary health care, community-based health workers and volunteers (CHWs) have played a key role in satisfying the need and demand for essential health services. This article proposes that CHWs need to be supported and recognized as a pivotal part of health care. CHW programmes needRead more…
Provider counseling, health education, and community health workers: the Arizona WISEWOMAN project. (2004)
The Arizona Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) project used provider counseling, health education, and community health workers (CHWs) to target chronic disease risk factors in uninsured, primarily Hispanic women over age 50. All three interventions increased moderate-to-vigorous physical activity but not fruit and vegetable consumption.Read more…
Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: a randomized controlled trial. (2008)
Traumatic stress due to conflict and war causes major mental health problems in many resource-poor countries. The objective of this study was to examine whether trained lay counselors can carry out effective treatment of posttraumatic stress disorder (PTSD) in a refugee settlement. In a randomized controlled dissemination trial in UgandaRead more…
Effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in Karachi, Pakistan: a quasi experimental study. (2010)
The prevalence of anxiety/depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectiveness of counseling from minimally trained communityRead more…
Effect of a participatory intervention with women’s groups on birth outcomes and maternal depression in Jharkhand and Orissa, India: a cluster-randomised controlled trial. (2010)
Community mobilisation through participatory women’s groups might improve birth outcomes in poor rural communities. This study assessed this approach in a largely tribal and rural population in three districts in eastern India. The intervention group worked with a facilitator every month to support participatory action and learning for women, andRead more…
Roles and Effectiveness of Lay Community Health Workers in the Prevention of Mental, Neurological and Substance Use Disorders in Low and Middle Income Countries: A Systematic Review (2013)
It has been suggested that lay community health workers (LHWs) could play a role in primary and secondary prevention of Mental, Neurological and Substance use (MNS) disorders in low resourced settings. The paper conducts a systematic literature review aimed to assess the existing evidence base for the roles and effectivenessRead more…
Community-based participatory development of a community health worker mental health outreach role to extend collaborative care in post-Katrina New Orleans (2011)
The REACH NOLA Mental Health Infrastructure and Training Project (MHIT) aimed to reduce disparities in access to and quality of services for depression and posttraumatic stress disorder (PTSD) in post-Katrina New Orleans by developing a mental health outreach role for community health workers (CHWs) and case managers as a complementRead more…
Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months (2011)
Depressive and anxiety disorders (common mental disorders) are the most common psychiatric condition encountered in primary healthcare. This article discusses the effectiveness of an intervention led by lay health counsellors in primary care settings (the MANAS intervention) to improve the outcomes of people with common mental disorders. Results showed that trainedRead more…
We Are Health Curriculum (2013)
We Are Health Curriculum is a capacity-building curriculum for CHWs that was designed by staff at the CCC. The curriculum is based on the core roles and competencies identified in the National Community Health Advisor Study.
Scale-Up of Home-Based Management of Malaria Based on Rapid Diagnostic Tests and Artemisinin-Based Combination Therapy in a Resource-Poor Country: Results in Senegal (2012)
In Senegal, an HMM pilot study in 2008 demonstrated the feasibility of integrated use of RDTs and ACT in remote villages by volunteer Home Care Providers (HCP). This paper reports the results of the scale-up in the targeted communities and the impact of the strategy on malaria in the formal health sector.Read more…
Role of Health Extension Workers in Improving Utilization of Maternal Health Services in Rural Areas in Ethiopia: A Cross-Sectional Study (2012)
Ethiopia has been deploying specially trained cadres:health extension workers (HEWs) and this study investigates their role in improving utilization of maternal health services. Although HEWs have contributed to utilization of maternal health services, improved health facility delivery and skilled birth attendance remains an important problem. More effort is needed toRead more…
Knowledge and Performance of the Ethiopian Health Extension Workers on Antenatal and Delivery Care: A Cross-Sectional Study (2012)
This study investigated the knowledge and performance of health extension workers (HEWs) on antenatal and delivery care. And barriers and facilitators for HEWs in the provision of maternal health care. 39 HEWs working in health posts were interviewed. Findings showed that poor knowledge of HEWs, poorly equipped health posts, and poorRead more…
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