Results: 3069
Integration of HIV Testing in a Community Intervention for Tuberculosis Screening Among Household Contacts of Patients with Tuberculosis in Cameroon and Uganda (2024)
This study integrates HIV testing into community-based household tuberculosis (TB) contact screening in Cameroon and Uganda. Trained community health workers offer TB screening and voluntary HIV testing to household contacts of TB patients. Results show high acceptance of HIV testing among contacts, with 88.2% accepting testing. Factors influencing acceptance includeRead more…
‘Our hands are bound’:Pathways to Community Health labor in Kenya (2023)
The traditional model for selecting Community Health Workers (CHWs) involves electing a willing, trusted, educated community member. However, this ideal is rarely practiced. Through life history interviews with CHWs in Isiolo, Kenya, five predominant pathways to community health work were identified: model, handpicked, shadow, outsider, and dispossession. Each pathway, illustratedRead more…
An ounce of prevention for a pound of cure: efficiency of community based healthcare (2023)
This study examines the impact of community health teams in El Salvador, a common approach for primary healthcare in low- and middle-income countries. The nationwide expansion of this model led to more efficient healthcare delivery. Investments in community-based healthcare, involving less-specialized health workers, resulted in increased preventive care, reduced hospitalizationsRead more…
Status of Women after joining the profession as lady health workers (2023)
In Pakistan’s healthcare system, Lady Health Workers (LHWs) are crucial community-based professionals serving women and children. This study explores the opinions and experiences of LHWs regarding their family and community status after starting their careers. Most reported family complaints about neglect due to work obligations, but the community generally respectedRead more…
Task-Shifting Can Community Health Workers Be Part of the Solution to an Inactive Nation (2024)
In low-to-middle income countries (LMICs), non-communicable diseases (NCDs) are increasing, stressing healthcare systems. To address this, the report proposes expanding the role of community health workers (CHWs) in prescribing and promoting physical activity. This discussion paper introduces a model for task-shifting, assigning CHWs tasks like assessment, screening, counseling, and prescriptionRead more…
The importance of community health workers as frontline responders during the COVID-19 pandemic, Somalia, 2020-2021 (2023)
In the early stages of the COVID-19 pandemic, Somalia faced challenges in responding due to a fragile health system. This study highlights the crucial role of community health workers as frontline responders for community-based surveillance. Over 30% of detected COVID-19 cases were identified through community based surveillance systems, and communityRead more…
Acceptability and Feasibility of a Nurse-Led, Community Health Worker Partnered Latent Tuberculosis Medication Adherence Model for Homeless Adults (2023)
Homeless adults are at increased risk of latent tuberculosis infection (LTBI), which can lead to active tuberculosis (TB) disease. This study focuses on a six-month, nurse-led, and community health worker (CHW)-partnered treatment for latent tuberculosis infection (LTBI) among homeless adults. Through focus group discussions, barriers like lack of readiness andRead more…
Equity and empowerment effects: Multiple styles of ‘voluntarism’ in community-based health projects. (2023)
Community health workers (CHWs), often volunteers or minimally paid, play vital roles in addressing health disparities. This study focuses on “change-agent” CHWs in an Indian nutrition education program.The analysis reveals challenges in volunteer selection, tensions between volunteer expectations, training and empowerment, and varied perspectives on CHWs payments. While payments mayRead more…
Training Latinx Community Health Workers as Clinical Research and Health Care System Navigators (2023)
Community health workers (CHWs), also known as promotores de salud, serve as vital connectors between community members, organizations, and healthcare systems. Primarily from the communities they serve, CHWs play crucial roles in providing culturally appropriate health information, navigating systems, and building trust, especially with marginalized groups like Latino/Hispanic populations. AlthoughRead more…
Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening, and NHS health check uptake in a deprived community in the UK. (2023)
In the UK, delays in preventive services are rising. A new approach using Community Health and Wellbeing Workers (CHWs) integrated at GP practices and local authorities shows promise. This model, inspired by the Brazilian Family Health Strategy (CHWWs), provides personalized health promotion at the household level. This study suggests thatRead more…
Labour conditions in dual-cadre community health worker programmes: a systematic review. (2023)
Community health workers, mainly women, play a vital role in improving health outcomes and equity, offering a good return on investment. However, many are unpaid, especially in the Africa region where over 80% are not salaried. Some countries use dual-cadre systems, combining paid and unpaid workers, to address health workersRead more…
Towards stunting eradication in Indonesia: Time to invest in community health workers. (2023)
Indonesia, home to a large population of young children, faces a high prevalence of stunting, a serious issue with lasting consequences. The government aims to eliminate stunting by 2030, with community health workers (CHWs) playing a central role. Over 1.5 million Indonesian CHWs conduct crucial monthly monitoring and counseling. ThisRead more…
“We are everyone’s ASHAs but who’s there for us?” a qualitative exploration of perceptions of work stress and coping among rural frontline workers in Madhya Pradesh, India. (2023)
Over a million female village-level health workers known as ‘Accredited Social Health Activists (ASHAs)’ in India are experiencing significant stress due to demanding work and low pay, compounded by poverty and gender inequality. Through qualitative research, the study delved into ASHAs’ views on work stress and their coping mechanisms. TheRead more…
Advancing Community Health Worker Models In Health System Reforms: Policy Recommendations From The RADx-UP Initiative (2023)
Community health workers (CHWs) play a crucial role in improving the health of historically marginalized populations by connecting healthcare systems with these communities. Lessons learned from CHW initiatives during the COVID-19 pandemic can guide reforms in national healthcare policies, including proposed changes to the CMS’s Medicare Physician Fee Schedule (CY24Read more…
“””Nos apoyamos mutuamente””: Strategies to supporting community health workers addressing the emergency and chronic needs of Latinx families” (2024)
This study explores the challenges and support systems for community health workers (CHWs) serving Latinx families in metro Atlanta, especially during the COVID-19 pandemic. Through interviews, CHWs identified barriers and strategies to address clients’ needs. The study highlights the importance of removing structural barriers, prioritizing cultural assets, and implementing flexibleRead more…
Differences in Role and Support Between Volunteer and Paid Community Health Workers in the State of Nebraska (2023)
This study examines the roles and employment status of community health workers (CHWs) in Nebraska based on survey data. Results show that most CHWs work full-time, with a significant portion working part-time or volunteering. Volunteer CHWs are a majority of those working with Hispanic communities. Volunteer CHWs receive extensive trainingRead more…
A Review of Community Health Worker Integration in Health Departments (2023)
Community health workers (CHWs) play a vital role in connecting marginalized communities with healthcare and social services. This study examines how health departments (HDs) are integrating CHWs into their workforce and state-level policies for CHW training and certification. Findings reveal that HDs partner with organizations to employ CHWs, leading toRead more…
The experiences of community health workers when communicating with refugees about COVID-19 vaccines in Syracuse, NY: A qualitative study (2024)
This qualitative study explores Community Health Workers’ (CHWs) experiences in vaccine outreach among refugee populations in Syracuse, NY, during the COVID-19 pandemic. Interviews with CHWs reveal diverse refugee beliefs initially, with low vaccine acceptance. Barriers to vaccine intake include contextual issues and misinformation, while facilitators include CHWs’ trust-building efforts andRead more…
Barriers and Facilitators to Implementing an Evidence-Based Community Health Worker Model (2024)
This study explores the challenges and supports in implementing an evidence-based community health worker (CHW) model called IMPaCT. Interviews with 39 individuals involved in the program reveal barriers such as financial and policy constraints and difficulties integrating CHWs into clinical settings. However, the model’s focus on relationships and evidence-based strategiesRead more…
Critical lessons from a pragmatic randomized trial of home-based COVID-19 testing in rural Native American and Latino communities (2024)
This study examines the effectiveness of community health worker (CHW) support in facilitating COVID-19 home testing among Native American and Latino adults in rural areas. Results show that CHW assistance significantly improves test completion rates, especially among older adults. However, challenges such as limited technology literacy, language barriers, and transportationRead more…
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