Results: 3069
Are populations of postpartum women differentially served by community health worker programs an observational cohort study from Zanzibar, Tanzania (2024)
This research examines disparities in the implementation of a community health worker (CHW)-led maternal health intervention in Zanzibar, Tanzania. It focuses on whether certain groups of pregnant women receive the intended postpartum intervention equally. Findings suggest that women with higher parity, unknown HIV status, and those receiving phone consultations experienceRead more…
Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges (2024)
Ethiopian Health Extension Workers (HEWs) and Kenyan Community Health Volunteers (CHVs) play key roles in implementing community-based treatment for serious newborn infections (PSBI) within their health systems. From November 2020 to August 2021, both countries conducted research to improve PSBI management during COVID-19, employing strategies like coaching for health workersRead more…
Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines (2024)
This study evaluates the organization of primary health care (PHC) services in São Paulo, Brazil, and its alignment with comprehensive care models. Analysis of 461 municipalities reveals two main groups: homogeneous (with similar service arrangements) and heterogeneous (with varied arrangements). Seven patterns are identified, ranging from traditional to mixed setups.Read more…
Home Visits for Postpartum Depression Intervention among Low-Income Latinas: Results from the PST4PPD Project (2024)
This study explored a home-visiting program called PST4PPD, led by bilingual community health workers, for low-income Latina mothers at risk of postpartum depression (PPD). Results showed significant reductions in depressive symptoms and increases in self-efficacy among participants. With a high completion rate and positive outcomes, the study highlights the potentialRead more…
Intention to Use an Electronic Community Health Information System Among Health Extension Workers in Rural Northwest Ethiopia: Cross-Sectional Study Using the Unified Theory of Acceptance and Use of Technology 2 Model (2024)
Implementing digital health information systems, like the electronic Community Health Information System (eCHIS), can improve healthcare delivery in resource-constrained areas like Ethiopia. This study assessed Health Extension Workers’ (HEWs) intentions to use the eCHIS for managing health data and providing services. Findings showed that factors like ease of use, self-expectancy,Read more…
Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014–2018) (2024)
Community health workers (CHWs) play a vital role in identifying and referring children under 5 with danger signs for prompt medical care in rural areas. This study in Bugoye sub-county, Uganda, found that most children with danger signs were appropriately referred according to iCCM protocols. However, there’s a need forRead more…
Evaluating a peer-to-peer health education program in Australian public housing communities during the COVID-19 pandemic (2024)
The cohealth Health Concierge program operated in Melbourne, Australia from July 2020 to June 2022, aiming to support culturally diverse residents of high-rise public housing during the COVID-19 pandemic. Through peer-to-peer interactions, Concierges promoted COVID-safe behaviors, facilitated access to health services, and shared information. The program reached many residents andRead more…
The role of a community health worker-delivered preconception and pregnancy intervention in achieving a more positive pregnancy experience: the Bukhali trial in Soweto, South Africa (2024)
This qualitative study conducted in Soweto, South Africa, explored the pregnancy and postpartum experiences of young women enrolled in the Bukhali intervention, delivered by community health workers (CHWs). Factors influencing these experiences included feelings about pregnancy, motherhood responsibilities, health challenges, social support, and socioeconomic pressures. The intervention provided emotional support,Read more…
Motivational interviewing experiences from a community health worker-led HIV prevention and care intervention in rural Uganda: a qualitative study (2023)
This study explores the use of Motivational Interviewing (MI) by Community Health Workers (CHWs) to improve HIV outcomes in a rural Ugandan fishing community. Through in-depth interviews, CHWs and clients described positive experiences with MI-informed counseling, highlighting specific MI strategies and collaborative, non-judgmental relationships. The findings suggest that CHWs, evenRead more…
Smartphone-Facilitated In-Situ Hearing Aid Audiometry for community-Based Hearing Testing (2024)
The study investigated the validity of using smartphones and noise-attenuating ear cups (in-situ) to conduct hearing tests in the community, potentially allowing less trained individuals like community health workers (CHWs) to fit hearing aids. Four experiments were conducted to assess the method’s accuracy and reliability. Results showed that smartphone-facilitated in-situRead more…
Reducing the equity gap in under-5 mortality through an innovative community health program in Ethiopia an implementation research study (2024)
Ethiopia implemented a national health program called the Health Extension Program (HEP) to improve access to healthcare, particularly in rural areas, using health extension workers (HEWs). This study examines how Ethiopia utilized the HEP to introduce evidence-based interventions (EBIs) to reduce under-5 mortality (U5M) and address health disparities. Through aRead more…
The use and potential impact of digital health tools at the community level: results from a multi-country survey of community health workers (2024)
Community health workers (CHWs) play a crucial role in healthcare delivery, especially in low-resource settings. This study explores the perspectives of Community Health Workers (CHWs) on using digital health tools in their work across 28 countries. It found that CHWs are already using digital devices and believe in their potentialRead more…
Association of maternal, obstetric, fetal, and neonatal mortality outcomes with Lady Health Worker coverage from a cross-sectional survey of >10,000 households in Gilgit-Baltistan, Pakistan (2024)
In Gilgit-Baltistan, Pakistan, a cross-sectional survey of over 10,000 households highlighted alarming rates of maternal, perinatal, and neonatal mortality. The maternal mortality ratio was 225 deaths per 100,000 live births, with stillbirth and perinatal mortality rates at 41.4 and 53.0 per 1,000 births respectively. Lady Health Worker (LHW) home visitsRead more…
Evidence on the impact of community health workers in the prevention, identification, and management of undernutrition amongst children under the age of five in conflict-affected or fragile settings: a systematic literature review (2024)
Malnutrition, especially undernutrition, is a major global problem, particularly affecting children under five years old in conflict-affected, fragile settings (CAFS). Community health worker (CHW) models have been used to tackle this issue, but there’s limited systematic evidence on their effectiveness in CAFS. In this review, 25 studies from 10 countriesRead more…
Individual and Systemic Barriers Blocking Community Health Workers from Helping the Seriously Ill (2024)
Palliative care is essential for enhancing the quality of life for patients with serious chronic illnesses, yet its availability remains limited. Community health workers (CHWs) play a crucial role in improving access to palliative care by bridging gaps in patient education and healthcare access. However, CHWs encounter various barriers whenRead more…
The role of community health workers in COVID-19 home-based care: Lessons learned from Rwanda (2024)
Rwanda faced significant challenges in managing the COVID-19 pandemic, including strain on healthcare systems, lack of infrastructure, and disruptions to routine services. To address these issues, Rwanda introduced a home-based care model in September 2020, which involved training community health workers (CHWs) to manage mild COVID-19 cases and support pandemicRead more…
A Systematic Review of the Effectiveness of Cervical Cancer Screening and Prevention Interventions for African American Women: Implications for Promoting Health Equity (2024)
This review examines cervical cancer screening and prevention interventions for African American women in the United States, aiming to promote health equity. Out of 1970 articles, 23 met the criteria, showing various strategies like community health workers and patient navigation. Health education interventions, particularly when combined with patient navigation orRead more…
The Influence of COVID-19 Program Innovativeness on Occupational Stress Outcomes of Community Health Workers in a Selected City Health Department in the Philippines (2024)
This study examines how an innovative COVID-19 program in the Philippines, which combined testing with health risk assessments for other diseases, affected the stress levels of community health workers. Using a survey of 128 workers, it found that factors like age, years of service, gender, and employment status influenced theirRead more…
Collaborative Integration of Community Health Workers in Hospitals and Health Centers to Reduce Pediatric Asthma Disparities A Quality Improvement Program Evaluation (2024)
The study evaluates a community health worker (CHW) home visiting program aimed at reducing pediatric asthma disparities on the South Side of Chicago. The program involved CHWs providing tailored asthma management education during home visits. Results showed significant reductions in asthma symptoms, rescue medication usage, and emergency department visits amongRead more…
Impact of training and case manager support for traditional birth attendants in the linkage of care among HIV-positive pregnant women in Southwest Nigeria: a 3-arm cluster randomized control trial (2024)
The study assessed the effectiveness of a training model involving case managers and traditional birth attendants (TBAs) to improve HIV care for pregnant women in Nigeria. Three groups of TBAs were compared: one received training only, one received training plus case manager support, and one served as a control. WhileRead more…
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