Results: 3069
Effectiveness of a Population Health Intervention on Disparities in Hypertension Control: A Stepped Wedge Cluster Randomized Clinical Trial (2024)
Disparities in hypertension control exist across race, ethnicity, and language in the U.S. This study at 15 clinics tested if an intervention could improve hypertension control and reduce these disparities.Primary Care Clinics (PCPs) used an equity dashboard, conducted equity huddles with Population Health Coordinators (PHCs), and received support from CommunityRead more…
On the Front Line: Investing in community health workers to improve health and nutrition (2024)
Community health workers are essential in reaching isolated and deprived communities. They ensure children get vaccinated, help parents understand the importance of immunization, and support pregnant women and new mothers with nutrition. These frontline workers, mostly women, also strengthen health systems to better handle future pandemics and disasters.This UNICEF briefRead more…
Long-term effectiveness of a village doctor-led multifaceted strategy on blood pressure control: a cluster randomized trial (2024)
This study tested a village doctor-led strategy to control blood pressure (BP) in rural China over 36 months. Village doctors, who provide basic primary care, managed hypertension through a stepped-care protocol, delivering medications, and offering health coaching on lifestyle changes and BP monitoring. In 326 villages, patients aged 40 andRead more…
The effect of a multilevel community health worker-led intervention on patient knowledge and receipt of precision medicine: Updated findings from a randomized clinical trial. (2024)
The authors developed the Addressing Latinx CANcer Care Equity Study to improve access to precision medicine for low-income and Latinx cancer patients in Monterey County, California. Clinicians received training, and community health workers educated patients to discuss precision medicine with their oncologists. In the study, 110 patients were split intoRead more…
Postpartum recovery after severe maternal morbidity in Kilifi, Kenya: A Grounded Theory of recovery trajectories beyond 42 days (2024)
In sub-Saharan Africa, severe maternal morbidity poses a significant health burden, particularly as maternal mortality rates decline. This study, part of the PRECISE research in Kilifi, Kenya, explored women’s long-term recovery experiences beyond the standard 42-day postpartum period. Twenty women were interviewed, including those who experienced near-miss events, life-threatening conditions,Read more…
Patterns of oxytocin use for induction and augmentation of labour among healthcare providers in Nigeria (2024)
The use of oxytocin during labor is increasing globally, with wide variations in its administration and unauthorized use by non-medical staff. This study examined how often oxytocin is used, the doses and methods of administration, and what predicts its use by healthcare providers in Nigeria. A cross-sectional survey of 6,299Read more…
Condom use increased after a peer group intervention implemented by community volunteers in Malawi (2024)
HIV prevention is crucial, especially in sub-Saharan Africa. This study developed an HIV prevention program called Mzake ndi Mzake (Friend to Friend), adapted for community implementation. The study evaluated if the program, led by community volunteers, increased condom use in rural Malawi. The program was rolled out in three communities,Read more…
The Community As A Full Partner: A New Model For Public Health (2024)
The COVID-19 pandemic highlighted the need for stronger community engagement in the US public health system. Online surveys of community-based organizations and metropolitan health departments identified key barriers such as mistrust, funding issues, and limited shared decision-making. To address these, six policy recommendations were made: establish community councils for publicRead more…
Feasibility, Reliability, and Effectiveness of Oral cancer screening in South Asia and Southeast Asian countries: A systematic review and Meta-analysis (2024)
This study assessed the effectiveness of community health workers (CHWs) in detecting oral cancer and potentially malignant disorders (OPMDs) through visual screening in South Asia and Southeast Asia. A systematic review and meta-analysis of 12 studies found that CHWs identified 8% of cases as suspicious and 92% as normal. TheRead more…
Group-based Education and monitoring program delivered by community health workers to improve control of high blood pressure in island districts of lake victoria, Uganda (2024)
This study aimed to address high blood pressure (BP) in remote communities of Uganda by training community health workers (CHWs) to screen and educate residents. In 42 randomly selected villages, CHWs measured BP and invited adults for screening. Those with high BP joined support groups for self-management and lifestyle education.Read more…
The Launch of Massachusetts Community Health Worker Certification: Findings From the Massachusetts Community Health Worker Workforce Surveys (2024)
This study evaluates the impact of the 2018 state certification for community health workers (CHWs) in Massachusetts. Surveys were conducted with CHWs and their employers in 2016 and 2021 to assess the effects of certification. The results showed that certification led to higher pay, better perceptions of CHWs, and betterRead more…
“Close to My Community”: A Qualitative Study of Community Health Worker-Supported Teleaudiology Hearing Aid Services (2024)
This study explores a new service model where Community Health Workers (CHWs) support older Latino adults with hearing loss through teleaudiology. Researchers interviewed participants about their experiences 17 weeks after receiving hearing aids. Of the 28 participants, 19 were interviewed. Both groups, with and without CHWs, reported positive experiences withRead more…
Evidence of community health workers’ delivery of physical rehabilitation services in sub-Saharan Africa: a scoping review (2024)
This study maps the evidence and scope of physical rehabilitation services delivered by community health workers (CHWs) in sub-Saharan Africa. Out of 6996 articles identified in a scoping review, 20 were selected for analysis. The studies came from countries including Eritrea, Ethiopia, Malawi, Mauritius, Namibia, South Africa, and Uganda. CHWsRead more…
Results from the Delivery of a Community Health Worker Training to Advance Competencies in Cancer Genomics (2024)
Fewer than half of eligible Black women are assessed for genetic cancer risk, and only 28% follow through with preventive measures. Community health workers (CHWs) can bridge the gap between health systems and the community but are often overlooked in genetic risk assessment. To address this, this study developed anRead more…
Beliefs, Experiences, and Practices of Lady Health Workers in Facilitating Breastfeeding in Rural Communities in Pakistan (2024)
Pakistan has poor breastfeeding rates, contributing to high infant morbidity and mortality. Less than half of infants under 6 months are exclusively breastfed, only 20% are breastfed within the first hour, and nearly half never receive colostrum. Lady health workers (LHWs) support maternal and child health programs, including breastfeeding, inRead more…
“Even things they won’t share with their sisters-in-law” – Assessing an integrated Community Health Worker intervention on person-centered postpartum contraception in rural Nepal (2024)
Postpartum contraceptive counseling and access are challenging in Nepal’s remote, hilly areas, leading to a high unmet need for contraception. Community health workers (CHWs) are crucial in these regions, but the best model for their use is unclear. A pilot program in two rural Nepalese districts employed full-time, salaried, andRead more…
Can Community Health Workers in Miami Disrupt Disparities among Black People Living with HIV: A Qualitative Analysis (2024)
This study explores how clinic-based Community Health Workers (CHWs) can help improve HIV management among Black people living with HIV (BPLH) in South Florida, where the HIV impact is significant. CHWs usually work in non-clinical settings, and there is limited data on their effectiveness in clinical environments. From March 2021Read more…
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement (2020)
Community engagement is vital for public health efforts but often under-studied in disease elimination programs. This report highlights lessons from a malaria outbreak response in Los Tres Brazos, Santo Domingo, Dominican Republic, from 2015-2016. During this period, 233 malaria cases were reported, a significant increase from the previous two years.Read more…
COMMUNITY HEALTH WORKERS’ TARGETING OF WOMEN FOR HEALTH AND NUTRITION HOME VISITS IN RURAL TANZANIA: A MIXED-METHODS STUDY (2024)
Community health workers (CHWs) provide education and health information to families. In large geographic areas, CHWs often need to decide which households to visit, but the factors influencing these decisions are not well understood. This study examined how CHWs in rural Tanzania decide which households to visit and assessed theRead more…
Holistic Approach for the Early Detection of Oral Cancer: A Comprehensive Training Module (2024)
This study aimed to educate Community Health Workers (CHWs) in India on early oral cancer detection to reduce the disease burden. A total of 178 participants were divided into two groups: one focused on screening and prevention, and the other on advanced diagnostics, AI-enabled tools, and patient care for OralRead more…
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