Results: 3069
Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes (2022)
Medicaid Health Homes (MHHs) are an innovative way to engage CHWs, seeking to improve patients’ health by providing care coordination for chronic conditions via virtual health care networks for states with expanded Medicaid access. Through qualitative interviews, this study aimed to understand the perceptions of MHH administrators regarding CHW engagementRead more…
Innovative COVID-19 Programs to Rapidly Serve New Mexico: Project ECHO (2020)
This case study evaluated Project ECHO (Extension for Community Healthcare Outcomes), a telemonitoring program connecting healthcare providers with subject experts. In March 2020, Project ECHO created 10 COVID-19 telemonitoring programs to address public health needs of rural/underserved areas. By evaluating these programs and the sessions provided, this paper demonstrated howRead more…
Community health workers at the dawn of a new era: 1. Introduction: Tensions confronting large-scale CHW programme (2021)
CHW programs are receiving more attention globally, but face numerous challenges, particularly in low and middle-income countries. Based on case studies and previous literature, this review outlines how to design and implement large scale CHW programs. The review also highlights five potential challenges in implementing large-scale CHW programs.
Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education (2021)
CHWs are providing an increasing range of care, managing more complex health issues, collaborating more closely with other health workers and the communities without explicitly defined roles. This paper explores key themes of (1) professionalism, (2) quality and performance, and (3) scaling up for training of CHWs in response toRead more…
Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review (2021)
This review examined existing literature to understand the barriers of utilization of health extension workers (HEW) services in Ethiopia and to identify potentially effective interventions to increase service utilization for children ages 0-5 yrs. Papers from 2010 to 2021 were screened with the inclusion/exclusion criteria and categorized by the followingRead more…
Bridging the Gap Between Resources and Marginalized Families (2021)
To address educational gaps for people with historically marginalized backgrounds, schools have been working to provide supporting resources by incorporating community health and education workers (CHEWs) trained in cultural humility, emotional intelligence, community organizing, and school district standards. They served as liaisons between families, resources, and schools, providing health andRead more…
An exploratory study of the barriers and facilitators to the implementation of community health worker programmes in conflict-affected South Sudan. (2021)
This study explored the characteristics, barriers, and facilitators to the implementation of CHW interventions in South Sudan between 2011 and 2019 through key informant interviews of CHWs. The findings in the study provide insight on the factors influencing CHW programs, and also inform on the contextual and health system relatedRead more…
Assessing Village Health Workers’ Ability to Perform and Interpret Rapid Diagnostic Tests for Malaria 4 Years after Initial Training: A Cross-Sectional Study (2020)
Village health workers (VHWs) in Bugoye, Uganda, provide integrated community case management (iCCM) care to children under 5 for malaria, pneumonia, and diarrhea. This study assessed the longevity of VHWs’ skills in performing and reading malaria rapid diagnostic tests (RDTs) comparing VHWs who had completed initial iCCM training 1 yearRead more…
Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review (2021)
The Ethiopian Federal Ministry of Health and partners have scaled up integrated community case management (iCCM) and community-based newborn care allowing health extension workers (HEWs) to manage the major causes of child and newborn death at the community level. This study aimed to assess barriers to the utilization of HEWRead more…
New England State of the Evidence 2021 (2022)
CHW Central annually collects and records resources related to CHWs, their work, training, and effectiveness. To help CHWs and other stakeholders keep track of this information and how the field is evolving, CHW Central publishes a brief state of the evidence. The “New England State of the Evidence” focuses primarilyRead more…
State of the Evidence 2021 (2022)
Every year, CHW Central collects and makes available in our resource database as many resources related to CHWs—articles, gray literature, tools—as we can find. In 2021, we found 442 resources. That’s a lot of information—far too much for most program managers, CHWs, or researchers to go through. To make theRead more…
State of the Evidence 2021- Appendix (2022)
The State of the Evidence report was created by conducting a title/keyword search in six electronic databases for both peer-reviewed and gray literature: Medline (PubMed), Google Scholar, MedNar, Cochrane Database of Systematic Reviews, World Wide Science, and WHO Global Index Medicus. Our completed search returned a total of 1,130 results, ofRead more…
Does integrated community case management (iCCM) target health inequities and treatment delays? Evidence from an analysis of Demographic and Health Surveys data from 21 countries in the period 2010 to 2018 (2021)
Integrated community case management (iCCM) improves access for hard-to-reach populations by deploying CHWs to deliver essential treatment for children. This study reviewed demographic and health survey data from 21 countries over 9 years to evaluate iCCM programs. The study determined that iCCM can address treatment delays and target underserved populations.
Evaluating a capacity building program on women’s health for displaced community health workers in fragile settings in Lebanon (2021)
CHWs deliver basic education and health services to displaced populations in fragile settings. This study evaluated the Women’s Health Certificate delivered to Syrian refugees in Lebanon, delivered through a mobile classroom approach. This evaluation determined that both the community and the CHWs benefitted from this training, enhancing both CHW knowledgeRead more…
Barriers and facilitators of rendering HIV services by community health workers in sub-Saharan Africa: a meta-synthesis. (2021)
In sub-Saharan Africa, CHWs contribute to strengthening HIV programs, but face various country-specific barriers in providing care. Through a systematic review and meta-analysis, this study determined some of the challenges CHWs encounter with HIV-related services, and implementing these interventions. The study found that CHWs altruism and job availability facilitated HIVRead more…
Recruitment, Training, and Roles of the Bilingual, Bicultural Navegantes: Developing a Specialized Workforce of Community Health Workers to Serve a Low-Income, Spanish-Speaking Population in Rhode Island (2021)
Bilingual Community Health Workers (CHW) are key team members who improve the ability of the clinic to provide care for and improve the health status of the large population of uninsured Spanish-speaking patients in Providence, RI. Clínica Esperanza/Hope Clinic (CEHC), a free healthcare clinic, developed an Advanced Navegante Training ProgramRead more…
Early Lessons From Launching an Innovative Community Health Household Model Across 3 Country Contexts (2021)
Community health workers (CHWs) are an essential part of the health workforce and are integrated throughout health systems. Partners In Health (PIH), a nongovernmental organization, incorporated the “household model” (HHM) in 3 countries where larger health care system strengthening partnerships already exist. The HMM was deployed in Liberia, Mexico, andRead more…
Developing a district level supportive supervision framework for community health workers through co-production in South Africa (2021)
In an effort to address highly chronic communicable/non communicable diseases and move towards Universal Health Coverage, South Africa relies on community health worker programs. However, CHW programs suffer from limited training and resources, low trust with other primary health care workers and inadequate supervision. This study applied the model ofRead more…
Compensation models for community health workers: Comparison of legal frameworks across five countries (2021)
Despite the life-saving work CHWs perform, they have long been subject to global debate about their remuneration. Donors and officials in many countries believe that CHW salaries are not ‘sustainable’ or that remunerating CHWs might pollute their intrinsic motivations. However, there is now consensus that CHWs should be paid appropriately.Read more…
How workers respond to social rewards: evidence from community health workers in Uganda (2020)
The use of CHWs has emerged as a cost-effective approach to extend the reach of health systems. Although it is assumed that low levels of compensation contribute to high drop-out rates among CHWs, a field experiment from Uganda found that the offer of greater financial incentives attracted less socially motivatedRead more…
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