Results: 3069
Adapting a mobile TB screening unit to provide integrated screening services and linkage to primary care (2024)
We piloted a mobile health screening program in underserved communities in Lima, Peru, combining checks for TB, hypertension, diabetes, and depression. To reduce TB stigma, the program was rebranded, and community health workers (CHWs) helped link people to care. Between August and December 2023, 1,000 adults were screened, with 254Read more…
“Caminando y socializando con Happy Older Latinos are Active (HOLA)”: Results of a randomized clinical trial to promote health and prevent depression and anxiety in older Latinos (2024)
This study tested the HOLA program, a health promotion intervention for older Latinos at risk of depression or anxiety. Sixty participants were randomly assigned to either HOLA or a control group with psychoeducation. Most attended sessions and were highly satisfied. Results showed HOLA significantly reduced anxiety symptoms compared to theRead more…
Randomized controlled trial of a pilot PrEP linkage intervention for individuals leaving incarceration in a southern state: Design and baseline characteristics (2024)
This pilot study, PrEP-Link, tests using community health workers (CHWs) to help people leaving incarceration access PrEP (a daily HIV prevention medication) and other services. Eighty participants were enrolled, with half receiving standard care and half getting additional personalized support from CHWs for up to a year. At baseline, participantsRead more…
Demand and supply side factors that drive delayed referrals from traditional birth attendants to public primary healthcare facilities: Insights from three states in Nigeria (2024)
Many pregnant women in Nigeria prefer traditional birth attendants (TBAs) for childbirth due to trust, cultural beliefs, and religious practices. However, TBAs often delay referring women to health centers, risking complications. Challenges include community preference for TBAs, inadequate infrastructure, staff shortages, and weak enforcement of good practices at health centers.Read more…
Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities (2024)
Transgender and nonbinary (trans) communities in the U.S. face significant challenges accessing mental health care, despite experiencing higher rates of suicide, depression, and distress compared to cisgender populations. Systemic barriers include discrimination, stigma, high costs, and a lack of trans-affirming providers. These challenges are especially pronounced for trans individuals ofRead more…
Inequalities in tuberculosis control in Ethiopia: A district-level distributional modelling analysis (2024)
In Ethiopia, adding tuberculosis (TB) diagnosis and treatment to community health workers’ tasks improved TB detection and treatment outcomes. However, access to TB services varies greatly across regions. This study mapped disparities in TB services, health center availability, and distance to care. Prioritizing districts with inadequate access for task-shifting couldRead more…
Long-acting preexposure prophylaxis: early data on roll-out in the United States (2024)
Long-acting PrEP (LA-PrEP) like CAB-LA shows promise for reducing HIV, but its use remains limited, especially outside the U.S., due to barriers like insurance and access. Early clinic models with multidisciplinary support have been successful, and innovative delivery methods, such as community health worker programs and telehealth, are being explored.Read more…
Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India (2024)
A pilot study in Gujarat, India, tested a digital training program for community health workers and frontline providers to deliver a brief depression care intervention. Of the 43 participants, 91% completed the training, showing improved knowledge scores after the course. Despite technical challenges, participants found the digital format useful. TheRead more…
Improving HPV vaccine acceptance through peer-to-peer education among adolescent girls in the urban poor settings of Kisenyi, Kampala, Uganda (2024)
In Uganda, HPV vaccine uptake among adolescent girls remains low, especially in urban poor settings. To address this, a pilot peer-to-peer education program was implemented in Kampala’s Kisenyi slums. Trained adolescent peer educators (APEs) shared health messages about the HPV vaccine with their unvaccinated peers, encouraging uptake. Over 12 weeks,Read more…
Understanding Integrated Community Case Management Institutionalization Processes Within National Health Systems in Malawi, Mali, and Rwanda: A Qualitative Study (2024)
This study explored how Community Case Management (iCCM) for childhood illnesses is being integrated into national health systems in Malawi, Mali, and Rwanda. Through interviews with key informants, the study identified a process of institutionalizing iCCM in phases, from awareness to maturity. Four main factors—core values, leadership, resources, and policy—wereRead more…
Leveraging the Role of Community Health Workers with Community Groups (2024)
This brief highlights the effectiveness of collaborations between community health workers (CHWs) and community groups in improving health outcomes, particularly in rural areas. Successful examples include projects in Ethiopia and the CORE Group Polio Project, where these collaborations increased vaccination rates and addressed gender-related barriers. Key factors for success wereRead more…
Community Health Agents and Agents to Combat Endemic Diseases’ performance in arboviruses prevention and control: analysis of articulation and integrated work (2024)
This study examined how community health agents (ACS) and agents combating endemic diseases (ACE) work together to prevent and control diseases like dengue. It found their efforts were poorly coordinated, with unclear roles and limited collaboration. ACE focused on chemical vector control, while ACS lacked involvement in active disease surveillance.Read more…
“Someone is there with you through this [pregnancy] that isn’t seeing you through a negative lens”: Considerations for integrating doula referrals into opioid treatment programs (2024)
This study explored how community doulas could support pregnant and parenting individuals with opioid use disorder (OUD). Focus groups with treatment program staff and doulas highlighted key benefits, including advocacy in healthcare and legal systems, reducing stigma, and aiding recovery. The findings suggest that integrating doula support into opioid treatmentRead more…
Working Conditions of Community Health Workers in a Digital Health Context: Old and New Challenges. (2024)
This study explored the challenges community health workers (CHWs) face with the growing use of digital health tools in primary care. It found that while digital tools bring new issues like maintenance, quality, and training, old problems like excessive bureaucracy and work division persist. To succeed, digital health implementation forRead more…
Burnout, motivation and job satisfaction among community health workers recruited for a depression training in Madhya Pradesh, India: a cross-sectional study (2024)
This study looked at burnout, motivation, and job satisfaction among community health workers (CHWs) in Madhya Pradesh, India. Surveys showed that 33% of CHWs experienced moderate or high burnout, especially from physical exhaustion, while pride in their work was a key motivator. Higher education was linked to higher motivation levels.Read more…
Stronger Together: A community case study highlighting the benefits of pharmacy and community collaborations. (2024)
The study explored how a network of community health workers, pharmacists, and organizations improved COVID-19 vaccine uptake in rural Missouri. Through outreach efforts, they provided education to over 84,000 people and administered nearly 15,000 vaccines. Key factors for success included trust, collaboration, and better access to services, while challenges includedRead more…
Interventions and implementation considerations for reducing pre-treatment loss to follow-up in adults with pulmonary tuberculosis: A scoping review (2024)
Tuberculosis (TB) is a major global health issue, with many cases in low- and middle-income countries. Pre-treatment loss to follow-up (PTLFU) worsens TB outcomes and spread. A review of 17 studies identified eight effective strategies to reduce PTLFU, such as support groups, mobile notifications, same-day testing, community health workers, andRead more…
Stunting Prevention Assistance for Toddler Posyandu Cadres by Optimizing Local Food Ingredients in Lerep Village (2024)
Stunting, caused by chronic malnutrition, affects children’s growth and development in Indonesia. A community service program in Lerep Village trained 20 community health workers on stunting prevention, including measuring child growth, preparing nutritious local foods like moringa-based meals, and using digital tools for data management. After three training sessions, 90%Read more…
Burnout and mental distress among community health workers in low- and middle-income countries: a scoping review of studies during the COVID-19 pandemic (2024)
Community health workers (CHWs) in low- and middle-income countries faced significant mental health challenges during the COVID-19 pandemic, including depression, anxiety, burnout, and stress. These issues were driven by heavy workloads, financial struggles, and poor workplace conditions. CHWs coped using humor, family support, denial, and sometimes substance use, while alsoRead more…
The role of community health workers in re-entry of people with HIV and substance use disorder released from jail: a mixed methods evaluation of a pilot study (2024)
People released from jail often face serious health challenges, especially those with HIV and substance use issues. A pilot program using Community Health Workers (CHWs) provided support by connecting participants to resources through phone calls and in-person meetings, focusing on substance use, housing, and health. Participants who received more supportRead more…
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