Results: 3069
Lay Health Workers in Community-Based Care and Management of Dementia: A Qualitative ‘Pre’ and ‘Post’ Intervention Study in Southwestern Uganda (2022)
This study evaluated a 5-day pilot intervention for lay health workers, or LHWs, in southwestern Uganda. Using the 4 core competencies from the WHO dementia toolkit, the intervention sought to increase knowledge among LHWs about community-based management and care for dementia patients. Thirty LHWs from 30 different villages in Mbarara,Read more…
Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018–2020: A Randomized Program Evaluation (2022)
In this article, researchers compare health care utilization and costs between patients who received usual care services and patients who received care from community health workers in Detroit, Michigan, United States. Medicaid beneficiaries with more than 3 emergency room visits or 1 or more ambulatory care hospitalizations in the pastRead more…
Effectiveness of four interventions in improving community health workers’ performance in western Kenya: a quasi-experimental difference-in-differences study using a longitudinal data (2022)
In this longitudinal study, researchers assessed the effectiveness of four CHW interventions and their impact on CHW knowledge, job satisfaction, and household coverage. The four interventions were refresher training, provision of a bicycle, supportive supervision, and financial incentives. Researchers recruited nearly 1,300 CHWs from four districts in Kenya. After aRead more…
Community Health Worker Use of Smart Devices for Health Promotion: Scoping Review (2023)
This review sought to examine the extent to which mobile health, in the form of smart devices, may enhance the delivery of public health messages in CHW-client interactions. A structured search of the PubMed and LILACS databases was conducted using subject heading terms in four categories: (i) technology user, (ii)Read more…
Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid (2023)
The primary goal of this study was to evaluate the impact of a generalized (i.e., not disease-specific) health plan-led CHW program on overall healthcare use and spending. Retrospective cohort study data was utilized from adult members who received the CHW intervention and compared with data from those who were identifiedRead more…
Supporting community health workers during the COVID-19 pandemic: A mixed methods pilot study (2023)
The aim of this study was to examine how the COVID-19 Project ECHO program may have influenced the mental health of CHWs from South Texas, USA. Project ECHO was designed around case-based learning and mentorship to provide support to CHWs and help them gain expertise to provide services to theirRead more…
A comparative assessment of the community frontline health workers for their knowledge and practices of malaria diagnosis and treatment in three contiguous districts Mandla, Balaghat, and Dindori of Madhya Pradesh, India (2023)
A cross sectional study was conducted in 2021 to evaluate the impact of training on malaria-related knowledge and practices of ASHAs in Mandla and two other adjoining districts (Balaghat and Dindori) in India. A structured questionnaire was administered to ASHAs to measure their knowledge and practices related to malaria etiology,Read more…
Usability and acceptance of a mobile health wallet for pregnancy-related healthcare: A mixed methods study on stakeholders’ perceptions in central Madagascar (2023)
This study sought to explore the enabling and limiting factors related to the usability and acceptance of the Mobile Maternal Health Wallet (MMHW) intervention during its implementation in Madagascar, Africa. The MMHW was developed for maternal healthcare to mitigate or eliminate out-of-pocket costs for health expenditures. A cross-sectional, mixed methodsRead more…
An intervention pilot to facilitate harm reduction service decentralization in Vietnam (2023)
This study’s goal was to pilot test a CHW-delivered intervention to facilitate decentralized harm reduction service delivery in Vietnam. This study was conducted between August 2020 and May 2021 at six community methadone maintenance therapy (MMT) distribution sites in Thai Nguyen Province of Vietnam. Five commune health workers (CHWs) wereRead more…
COVID-19 and health promotion in Brazil: community health workers between vulnerability and resistance (2022)
In this article, authors examine how community health workers in Brazil were impacted by the COVID-19 pandemic. Researchers utilized three data collection methods: online surveys disseminated through social media, an online Facebook discussion forum, and in-depth interviews with two CHW union representatives. After analysis, researchers found that CHWs faced increasedRead more…
Community Health Workers Connecting Communities During COVID-19: A Case Study From Chicago (2022)
In this case study, authors describe the work of community health workers in a predominately Hispanic Chicago community that experienced disproportionate rates of COVID-19 infection. Through semi-structured interviews with neighborhood CHWs, researchers collected and qualitatively analyzed data related to CHW roles, motivations, and actions during the COVID-19 pandemic. Using theRead more…
HIV Prevention and Treatment Behavior Change and the Situated Information Motivation Behavioral Skills (sIMB) Model: A Qualitative Evaluation of a Community Health Worker Intervention in Rakai, Uganda (2022)
In this qualitative study, researchers assessed Health Scouts, a CHW-led HIV intervention in which CHWs provide one-on-one counseling in HIV prevention and treatment. Health Scouts were elected and recruited from Kasensero, Uganda, and underwent training in smartphone use, confidentiality, disclosure, and HIV-related knowledge. Researchers conducted 51 semi-structured, in-depth interviews withRead more…
Participatory Workshop-Based Intervention for Better Preparedness and Awareness About Disaster Management Among Accredited Social Health Activists in India: A Brief Report (2022)
This quasi-experimental study sought to determine the efficacy of a disaster management training program among Accredited Social Health Activists, ASHAs, in Mysuru, India. Forty ASHAs from three primary health facilities were enrolled. ASHAs attended a three hour disaster management workshop and then underwent a mock-disaster drill. Researchers assessed disaster preparednessRead more…
Feasibility of an Adapted Community-Based Lifestyle Intervention to Prevent Cancer in the Rural South: Healthy Living Partnerships to Prevent Cancer (HELP PC) (2022)
This study aimed to assess the feasibility of evaluating a CHW-facilitated lifestyle intervention in a rural community. The Healthy Living Partnerships to Prevent Cancer, or HELP PC, is an intervention focused on weight reduction through reduced calorie intake and increased physical activity. Twenty-one study participants were recruited from local communityRead more…
Examining the Macrosystem Level of Influence on Community Health Worker Effectiveness in the State of Nebraska: A Qualitative Approach (2022)
This study sought to explore macrosystem-level barriers faced by CHWs to performing their jobs effectively in Nebraska, USA. Qualitative interviews were conducted with CHWs and uncovered insights in relation to the following themes: (1) CHWs and client macrosystem barriers, (2) CHW workforce supports, and (3) macrosystem solutions for CHW workforceRead more…
Implementation of community case management of malaria in malaria endemic counties of western Kenya: are community health volunteers up to the task in diagnosing malaria? (2022)
The goal of this study was to evaluate the performance of CHVs in conducting malaria rapid diagnostic tests (RDTs) in western Kenya. Four counties within the malaria-endemic lake zone were included in the study. Results from 200 malaria RDTs performed by CHVs were compared with test results obtained by experiencedRead more…
Extending seasonal malaria chemoprevention to five cycles: a pilot study of feasibility and acceptability in Mangodara district, Burkina Faso (2022)
This mixed-methods study sought to assess the acceptability and feasibility of extending seasonal malaria chemoprevention (SMC) from four to five cycles to coincide with the earlier rainy season in Mangodara health district, Burkina Faso. Research was conducted between July and November of 2019, and included quantitative and qualitative data collection.Read more…
Perspectives of health and community stakeholders on community-delivered models of malaria elimination in Lao People’s Democratic Republic: A qualitative study (2022)
The aim of this study was to explore the perspectives, knowledge, and inputs of key health stakeholders and community members in southern Lao PDR on community-delivered malaria service models in order to refine the role of village health volunteers in malaria elimination and primary healthcare. Researchers conducted semi-structured interviews withRead more…
Core components of a Community of Practice to improve community health worker performance: a qualitative study (2022)
A qualitative study was conducted to address important gaps in the literature on Communities of Practice (CoPs), including functions of this intervention which can support healthcare workers in improving quality of care through knowledge sharing. CHWs from two tuberculosis (TB) clinics in Kampala, Uganda were organized into a CoP fromRead more…
Geo-analysis: the distribution of community health workers in relation to the HIV prevalence in KwaZulu-Natal province, South Africa (2022)
This study sought to describe the spatial distribution of CHWs in relation to the geographic prevalence of the Human Immunodeficiency Virus (HIV) in South Africa. A descriptive, cross-sectional study was conducted utilizing secondary data for geospatial analysis. Overall, results demonstrated shortages and misallocations of CHWs across South African districts, includingRead more…
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