Results: 3069
Peer-Led Community-Based Support Services and HIV Treatment Outcomes Among People Living With HIV in Wuxi, China: Propensity Score–Matched Analysis of Surveillance Data From 2006 to 2021 (2023)
The purpose of this study was to evaluate the associations between peer-led community-based support services and HIV treatment outcomes and survival among people living with HIV in Wuxi, China. The study used a convenience sampling method to enroll people living with HIV who had received peer-led community-based support services, suchRead more…
Effects of engaging fathers and bundling nutrition and parenting interventions on household gender equality and women’s empowerment in rural Tanzania: Results from EFFECTS, a five-arm cluster-randomized controlled trial (2023)
he purpose of this study was to see how engaging men could transform gender norms and power relations in the context of nutrition and parenting programs. The study included testing the independent and combined effects of engaging couples and bundling nutrition and parenting interventions with gender equality and women’s empowermentRead more…
Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda. (2023)
The purpose of this study was to explore task shifting screening and referrals for diabetes and hypertension from facility-based healthcare workers to CHWs in Uganda. The study investigated perceptions of task shifting by conducting 10 focus group discussions and 24 in-depth interviews with stakeholders. Results indicate that CHWs are seen asRead more…
Success in vaccination programming through community health workers: A case study of Nepal, Senegal, and Zambia (2023)
The purpose of this study was to identify different elements among community health worker programs that led to improved vaccination coverage in Senegal, Zambia, and Nepal. The study consisted of interviews and focus group discussions regarding the factors that led to successful early childhood immunization. Results found that implementation ofRead more…
Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study. (2023)
This study compared incidence of sexual partner disclosure among adults living with HIV with CHW support and those without CHW support in Uganda. The quasi-experimental study consisted of a CHW-led intervention arm and a control arm, where the intervention arm received CHW disclosure support in addition to routine care. TheRead more…
Ethiopian Health Extension Workers’ Training Status and Perceived Competency (2023)
This study assesses Health Extension Worker’s (HEW) pre-service training status and perceived competency in Ethiopia. The study used a mixed methods approach to investigate Health Extension Program (HEP) activities by sampling 515 HEWs, 1,245 HEW trainees, 192 instructors, and 43 key informants. Results show 26% of HEWs showed competency inRead more…
Women on the frontline of Covid-19: understanding local women village health volunteers in the northern province of Thailand (2023)
This paper investigated the role of local women village health volunteers during the COVID-19 pandemic in the northern province of Thailand. Researchers conducted in-depth interviews with 40 local village health volunteers from: Mae Hia, Fa Ham, Suthep, and Tha Sala sub districts. Results demonstrated that their roles were diverse duringRead more…
Opportunities to Enhance Health Equity by Integrating Community Health Workers into Payment and Care Delivery Reforms (2023)
This policy brief evaluated the Rapid Acceleration of Diagnostics – Underserved Populations (RADx-UP) initiative to investigate the payment model reforms and policy changes that support CHWs to advance health equity. The RADx-UP initiative utilized CHWs during the COVID-19 pandemic, highlighting the many roles CHWs can do and the importance ofRead more…
Motivation and job satisfaction of community health workers in Ethiopia: a mixed-methods approach (2023)
The purpose of this study was to assess health extension workers’ (HEWs’) motivation and job satisfaction, as well as the factors that influence them, in Ethiopia. A mixed-methods study was nested within a national health extension program assessment conducted from March 1st to May 31st, 2019. Quantitative data was collectedRead more…
Surveillance as a Core Intervention to Strengthen Malaria Control Programs in Moderate to High Transmission Settings (2023)
This article sought to present perspectives, experiences, and best practices from national malaria control programs and international partners regarding surveillance as a core intervention (SACI) in moderate and high malaria transmission settings. Researchers contacted the following groups: a) experts in malaria surveillance, monitoring, and evaluation from national malaria control programsRead more…
Evaluation of a community health worker home visit intervention to improve child development in South Africa: A cluster-randomized controlled trial (2023)
This study sought to design and evaluate a home visit intervention integrated into CHW operations in South Africa. A cluster-randomized trial was conducted in the Limpopo Province, where CHWs operating in ward-based outreach teams (WBOTs; clusters), and the caregiver-child dyads they served, were randomized to the intervention or control group.Read more…
Status and Determinants of Early Detection of Oral Premalignant and Malignant Lesions in India (2023)
This review sought to discuss the various challenges in the early detection of oral premalignant and malignant lesions and potential solutions to these challenges in India. Researchers identified the following factors as challenges within the community to the early detection of these poor oral health outcomes: (i) sociodemographic factors, (ii)Read more…
Addressing Tobacco Use in Underserved Communities Outside of Primary Care: The Need to Tailor Tobacco Cessation Training for Community Health Workers (2023)
The objectives of this study were to describe tobacco practices and the desire for related training among CHWs in communities with low socioeconomic status in Chicago, IL, U.S.A. A mixed-methods needs assessment survey was conducted to understand the knowledge, attitudes, and practices towards tobacco cessation among CHWs in Chicago. FocusRead more…
The stated preferences of community-based volunteers for roles in the prevention of violence against women and girls in Ghana: A discrete choice analysis (2023)
The purpose of this study was to better understand the preferences of community-based action teams (COMBATS) in regards to incentives within the Rural Response System in Ghana. Researchers wished to utilize the results of this study to increase overall programmatic impact and to maximize the retention of these volunteers onRead more…
Community participation in the health system: analyzing the implementation of community health committee policies in Kenya (2023)
This study aimed to analyze the factors influencing the implementation of community health committee (CHC)-related policies in Kenya. A qualitative study design was utilized to extract data from policy documents, and key informant interviews were conducted with health workers and health managers in two counties (rural and urban) and withRead more…
“They’re gonna be there to advocate for me so I’m not by myself”: A qualitative analysis of Black women’s motivations for seeking and experiences with community doula care (2023)
The purpose of this study was to explore Black doula clients’ experiences with and motivations for seeking community doula care. A mixed-methods process evaluation was conducted on an organization providing free community doula services in San Francisco, California. Qualitative interviews with doula clients who identified as Black or Pacific IslanderRead more…
Social Needs Assessment and Linkage to Community Health Workers in a Large Urban Hospital System (2023)
This study sought to identify predictors of successful linkage with a CHW among patients with social needs seen in an outpatient setting. A cross-sectional analysis of social needs was conducted in an urban health system in Bronx, New York, USA between April 2018 and December 2019. Social needs and challengesRead more…
Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States (2023)
The purpose of this review was to (i) provide a history of CHW integration within healthcare in the U.S.A, (ii) describe evidence of the impact of CHW programs on population health, experience, costs of care, and health equity, and (iii) identify considerations for CHW program expansion in the U.S. context.Read more…
Training health workers in clinical breast examination for early detection of breast cancer in low‐ and middle‐income countries (2023)
This study sought to assess whether training in clinical breast examinations (CBEs) affects the ability of health workers in LMICs to detect early breast cancer. A review of related current literature was conducted utilizing the following databases: Cochrane Breast Cancer Specialized Registry, CENTRAL, MEDLINE, Embase, the World Health Organization (WHO)Read more…
Effects of proactive vs fixed community health care delivery on child health and access to care: a cluster randomized trial secondary endpoint analysis (2023)
The purpose of this paper was to determine whether proactive CHW service delivery (i.e., involving routine door-to-door home visits to search for and identify prospective patients) reduced mortality and improved access to health care among children under five years in rural Malawi, when compared with passive service delivery. Village-clusters wereRead more…
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