Results: 3069
Integrating Human-Centered Design and Social Science Research to Improve Service-Delivery and Empower Community Health Workers: Lessons from Project RISE (2024)
This article presents insights from Project RISE, which combines human-centered design and social science research to understand and improve the performance of Accredited Social Health Activists (ASHAs) in Bihar, India. Through a complex systems approach, the project identified motivations and challenges of ASHAs and developed context-specific solutions. The interdisciplinary integrationRead more…
Increasing access to behavioral health care: Examples of task shifting in two U.S. government health care systems (2024)
This journal article explores the use of task shifting in behavioral health care, where non-clinicians take on certain roles traditionally performed by licensed clinicians. It discusses successful task-shifting models in two U.S. government health systems: the Defense Health Agency and the Veterans Health Administration. The potential for other health careRead more…
Effect of a parenting and nutrition education programme on development and growth of children using a social safety-net platform in urban Bangladesh: a cluster randomized controlled trial (2024)
In urban Bangladesh, this study examined the impact of home visits by Community Health Workers (CHWs) providing parenting and nutrition education on children aged 6–16 months. The intervention, delivered over a year, led to improved cognitive, language, and motor development in children. Mothers experienced less violence, fathers engaged more inRead more…
A randomized control trial of a combined community health worker and re-entry intervention for people with HIV recently released from jail who use substances (2023)
This study focused on people with HIV who use substances and are recently released from jail. It tested a combined intervention involving community health workers (CHW) and a re-entry organization to improve HIV and substance use outcomes. Results showed improved substance use outcomes but no significant difference in HIV viralRead more…
Adaption and pilot testing of a lay HIV supporter program for traditional healers a mixed methods study in rural Uganda (2023)
In rural Uganda, many people living with HIV (PLWH) struggle to stay in care. Traditional healers (TH) are often the first point of contact for healthcare. This study adapted a program to train TH in supporting PLWH who have stopped treatment. The adapted program successfully helped PLWH return to careRead more…
Feasibility of screening for cognitive impairment among older persons and referral by community health workers in Wakiso district, Uganda (2023)
In Uganda, cognitive impairment in older adults often goes undiagnosed due to limited resources and trained personnel. This study aimed to assess the feasibility of using Community Health Workers (CHWs) to screen and refer older adults with cognitive impairment in Wakiso district. CHWs received training and used a screening toolRead more…
Community Health Worker Home Visiting, Birth Outcomes, Maternal Care, and Disparities Among Birthing Individuals With Medicaid Insurance (2023)
This study investigated the impact of a home visiting program called Strong Beginnings, which involved community health workers collaborating with nurses and social workers, on birth outcomes and maternal care for Medicaid-insured individuals. The analysis included over 125,000 mother-infant pairs. Results showed that participation in Strong Beginnings was linked toRead more…
Creating access to SARS-CoV-2 screening and testing through community-based COVID-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia (2023)
The BRCCH-EDCTP COVID-19 Initiative in Lesotho and Zambia explored community-based COVID-19 screening and testing strategies. In Lesotho, village health workers visited homes to screen for symptoms and offer testing, while in Zambia, community hubs provided testing to walk-in visitors. Both approaches successfully identified SARS-CoV-2 cases, with higher positivity rates amongRead more…
The role of community health workers in primary healthcare in the WHO-EU region a scoping review (2023)
This scoping review explores the involvement of community health workers (CHWs) in primary healthcare across WHO-EU countries since 2001, focusing on their roles, training, recruitment, and remuneration. It includes 40 studies from eight countries, revealing variability in CHW involvement, terminology, and strategies. CHWs are typically recruited from within communities, receiveRead more…
Integrating Community Health Workers into Hospital Systems Through a Social Work Partnership: A Report from the Field (2023)
This report discusses a partnership between social workers (SWs) and community health workers (CHWs) to address social determinants of health (SDoH) for high-risk patients in an urban safety-net hospital system. CHWs, who share experiences and understanding with the communities they serve, bridge health, social, and community systems. While CHWs haveRead more…
Embedding Care in Communities: Mixed-Methods Evaluation of a Community Health Worker Training Initiative in Rural Haiti (2023)
Community Health Workers (CHWs) play a crucial role in addressing healthcare gaps in Southern Haiti, where provider shortages are prevalent. This study evaluates capracare’s CHW Training program through surveys and focus groups. Results show significant improvement in CHWs’ knowledge post-training. Qualitative analysis highlights enhanced skills, community benefits, and empowerment. TheRead more…
Evolution of community health workers the fourth stage (2023)
Innovative approaches are needed to provide comprehensive primary care, especially in developing countries where traditional models face challenges. The evolution of the Community Health Worker (CHW) model offers promise. This study examines the comprehensive provider stage of the CHW model using Qualitative Comparative Analysis (QCA). Six programs were analyzed, revealingRead more…
Effectiveness of a Community Health Worker-Driven Intervention in Improving the Quality of Life of Caregivers of Children With Disability in Rural Karnataka, India (2023)
Community health workers (CHWs) play a crucial role in healthcare delivery, particularly in resource-constrained areas. In Karnataka, India, a study assessed the effectiveness of a CHW-driven intervention in improving the quality of life (QOL) of caregivers of children with disabilities. The intervention involved structured health education and training provided byRead more…
Primary healthcare delivery models in African conflict-affected settings a systematic review (2023)
In conflict-affected areas, access to primary healthcare is challenging due to various barriers. This study conducted a systematic review to understand the different models of primary healthcare delivery in these settings. It found that healthcare is delivered through health facilities, communities, mobile clinics, outreach programs, and home visits. Services includeRead more…
Assessing Brigada Digital de Salud Audience Reach and Engagement A Digital Community Health Worker Model to Address COVID-19 Misinformation in Spanish on Social Media (2023)
During the COVID-19 pandemic, Spanish-speaking communities in the U.S. faced a lack of timely and culturally appropriate information. To bridge this gap, Brigada Digital de Salud utilized social media to share tailored COVID-19 content. Trained community health workers posted educational content on vaccination, infection risks, and scientific concepts, aiming toRead more…
Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth (2023)
LGBTQ, Black, Latinx, Native American and Asian American youth (referred to as youth of color) face significant mental health disparities due to barriers in accessing care, including stigma and discrimination. Community Health Worker (CHW) models have potential to address these disparities. A qualitative study in Massachusetts and California explored adaptationsRead more…
Leading from the frontlines community-oriented approaches for strengthening vaccine delivery and acceptance (2023)
Vaccine hesitancy and disruptions caused by the COVID-19 pandemic have impacted global immunization coverage. In India, efforts to address this through community ownership, involving community health workers (CHWs) and local leaders, are limited. Community ownership empowers communities to play a central role in vaccine strategies. This project in India aimedRead more…
Supply-side and demand-side factors influencing uptake of malaria testing services in the community: lessons for scale-up from a post-hoc analysis of a cluster randomised, community-based trial in western Kenya (2023)
Malaria remains a significant health challenge, especially in Africa where the majority of cases and deaths occur, predominantly affecting children under 5. WHO recommends prompt diagnosis before treatment, and Kenya has adopted a Test and Treat policy, extending testing through community health workers (CHWs). However, many in rural areas stillRead more…
Promptness in seeking treatment from Village Health workers for children under five years with malaria, diarrhea and pneumonia in rural southwestern Uganda (2023)
In rural southwestern Uganda, Village Health Workers (VHWs) offer treatment for childhood illnesses like malaria, pneumonia, and diarrhea through the integrated community case management (iCCM) strategy. This study focused on the promptness of seeking treatment from VHWs for children under five with these illnesses. Results showed that 64% of childrenRead more…
Effectiveness of interventions by non-professional community-level workers or family caregivers to improve outcomes for physical impairments or disabilities in low resource settings: systematic review of task-sharing strategies (2023)
In resource-limited settings, basic rehabilitation can be extended through community-level interventions by non-professionals like community health workers or family caregivers. This study aims to assess the effectiveness of such interventions compared to those provided by skilled professionals. Caregivers were commonly trained in hospitals to deliver interventions at home. However, theRead more…
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