Results: 3069
Essential healthcare services during the COVID-19 pandemic: a cross-sectional study of community needs and perspectives in West Java, Indonesia (2024)
This study investigated community needs and perceptions regarding essential healthcare services in West Java, Indonesia, during the COVID-19 pandemic. Findings revealed unmet needs, particularly in laboratory exams, emergency care, and non-communicable disease screening. Fear of infection was a major barrier to accessing healthcare, especially for vulnerable populations. Community health workersRead more…
Formative research to adapt the ‘Diabetes Prevention Program- Power to Prevent’ for implementation in Bamako, Mali (2024)
In response to rising diabetes and cardiovascular disease rates in urban Mali, the Diabetes Prevention Program Power to Prevent (DPP-P2P) was adapted for low-income communities in Bamako. Stakeholder feedback and input from community health workers (CHWs) guided the adaptation process, resulting in culturally appropriate materials emphasizing family support and practicalRead more…
The Power of Partnership: NYCEAL Collaborations With Health Agencies and Mobile Vaccination Vans (2024)
The New York Community Engagement Alliance Against COVID-19 Disparities (NYCEAL) collaborated with health agencies to boost COVID-19 vaccination rates in New York City. Through partnerships with community-based organizations (CBOs) and community health workers (CHWs), NYCEAL provided vaccine education and support in multiple languages, addressing misinformation and social determinants of healthRead more…
Young Infants Clinical Signs Study 8-sign Algorithm for Identification of Sick Infants Adapted for Routine Home Visits: A Systematic Review and Critical Appraisal of its Measurement Properties (2024)
The Young Infants Clinical Signs Study (YICSS)-home algorithm is a practical tool for identifying sick infants during community health worker (CHW) home visits. While it shows good sensibility and reliability, it has limitations. It was originally developed for health facility use, lacking assessment of inter-CHW reliability and construct validity. FutureRead more…
Implementation framework for income generating activities identified by community health volunteers (CHVs): a strategy to reduce attrition rate in Kilifi County, Kenya (2024)
This study explores the implementation of Income-Generating Activities (IGAs) for Community Health Volunteers (CHVs) in Kilifi County, Kenya, to improve their livelihoods and reduce attrition rates. Through focus group discussions and interviews, CHVs expressed a need for stable income and proposed strategies such as table-banking and seeking funding from governmentRead more…
Diagnostic accuracy of tele-dentistry in screening children for dental caries by community health workers in a lower-middle-income country (2024)
This study assessed the accuracy of using mobile phone photos taken by a community health worker (CHW) for detecting dental caries in children aged 6-12 in Iran. Results showed high accuracy of tele-dentistry, with over 80% sensitivity and 90% specificity. Inter-rater reliability between remote dentists and gold standard dental examinationRead more…
Mapping and analysing community health worker programmes in the Eastern Mediterranean region (2024)
Community health worker (CHW) programs are vital for strengthening primary health care (PHC) and achieving universal health coverage (UHC) in the World Health Organization’s (WHO) Eastern Mediterranean Region (EMRO). This situational analysis of CHW programs in the EMRO revealed varying program structures across 13 countries, with some having well-established nationalRead more…
Wiring the Community Health Worker: A Winning Strategy for NCD Care (2023)
Non-communicable diseases (NCDs) like heart disease and diabetes are a major global health challenge, surpassing infectious diseases in causing deaths. Despite this, funding for NCD care lags behind the growing burden. This report explores how digital tools can empower community health workers (CHWs) to address NCDs effectively. It highlights theRead more…
Community Health Workers: Improving Home Visiting Engagement of High-Risk Birthing People in Segregated Neighborhoods (2024)
This study evaluated the impact of community health workers (CHWs) on home visiting (HV) engagement for birthing individuals in segregated neighborhoods. The program, Strong Beginnings (SB), which included CHWs, showed higher engagement rates and more home visits compared to the Maternal Infant Health Program (MIHP) without CHW involvement. CHWs complementedRead more…
Availability of antimalarial medicines and inventory management at the community level: a case study of Bugesera district in Rwanda (2024)
In Rwanda, malaria is a significant health concern, especially for children under five. This study examined the availability of antimalarial medicines and inventory management by Community Health Workers (CHWs) in Bugesera District. Findings showed that CHWs play a vital role in providing antimalarial medicines, with most people accessing them easilyRead more…
Prospects for the development of community-based care in remote rural areas: a stakeholder analysis in Laos (2024)
Despite progress towards universal health coverage, many rural communities lack access to healthcare. In Laos, community-based health programs aim to address this issue by involving lay health workers (LHWs) as CHWs. This study explored the challenges and opportunities for expanding these programs. Interviews with stakeholders revealed barriers such as geographicRead more…
Expanding the roles of community health workers to sustain programmes during malaria elimination: a meeting report on operational research in Southeast Asia (2024)
Community health workers (CHWs), particularly village malaria workers (VMWs) in Cambodia, play a crucial role in improving healthcare in remote areas. As Cambodia aims for malaria elimination by 2025, sustaining the VMW network becomes vital. This study conducted from 2021 to 2023 explored enhancing VMWs’ roles to include diagnosing andRead more…
Equity and empowerment effects: Multiple styles of ‘voluntarism’ in community-based health projects (2024)
Community health workers (CHWs), often women without formal health training, play vital roles in addressing health disparities. This study examines a program employing CHWs as “change agents” to provide nutrition education in eastern India. It explores how different forms of voluntarism, such as laissez-faire and honorarium-based, influence CHW efficacy, empowerment,Read more…
Acceptability of Integrated Community-Based HIV and Cervical Cancer Screening in Mayuge District, Uganda (2024)
This study evaluated the acceptability of integrating cervical cancer and HIV screening in rural Uganda. Surveys conducted among patients and community health workers showed that 99% of women and 100% of CHWs found integrated screening acceptable. Reasons included time-saving, privacy, and peer support. Integrating screening could help overcome barriers toRead more…
Evaluation of the implementation of a community health worker-led COVID-19 contact tracing intervention in Chiapas, Mexico, from March 2020 to December 2021 (2024)
Mexico faced a significant burden of COVID-19, with marginalized areas and healthcare workers being particularly affected. Compañeros En Salud (CES) implemented a community health worker (CHW)-led contact tracing program in rural Chiapas. This study evaluated this intervention from March 2020 to December 2021. Among 2,177 named contacts, 54.5% received homeRead more…
Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs (2024)
The first 28 days of life are critical for newborns, with millions of deaths occurring globally, especially in sub-Saharan Africa. Efforts to reduce neonatal mortality focus on improving care continuity after discharge from healthcare facilities. This review examined interventions in low- and middle-income countries (LMICs) aimed at enhancing post-discharge careRead more…
Experiences in Improving the Quality of Community-Based Fever Management from Three Malaria-Endemic African Countries (2024)
The WHO emphasizes the effectiveness of trained, supervised, and supported community health workers (CHWs) in delivering quality healthcare. In response, the U.S. President’s Malaria Initiative Impact Malaria Project conducted a study focusing on Madagascar, Malawi, and Mali to document approaches for improving community-based fever management. The study involved interviews andRead more…
Feasibility, Acceptability, and Preliminary Effectiveness of a Combined Digital Platform and Community Health Worker Intervention for Patients with Heart Failure: Protocol for a Randomized Controlled Trial (2024)
Heart failure (HF) is a major cause of hospital readmissions, posing challenges for patients. Combining remote monitoring with community health worker (CHW) support can improve HF management. This study aims to assess the acceptability, feasibility, and effectiveness of such an intervention for HF patients transitioning from hospital to home. AdultRead more…
50-state scan of Medicaid payment for community health workers (2024)
This study examined Medicaid coverage for community health worker (CHW) services in 50 states. Key findings show that 24 states currently reimburse for CHW services, with 3 more, in the process of implementation. Coverage varies by state, including services covered, target populations, and payment methods. Most states offer CHW servicesRead more…
“Too Many Jobs and Not Enough Hands”: Immigrant and Refugee Community Health Workers at the Frontlines of the COVID-19 Pandemic (2023)
This study investigated the challenges faced by refugee and immigrant community health workers (riCHWs), who play a crucial role in supporting community health. The findings revealed that riCHWs are at risk of burnout due to limited recognition and heavy workloads. The study used a narrative approach to explore the stressors,Read more…
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