Results: 3069
‘A seamless transition’: how to sustain a community health worker scheme within the health system of Gombe state, northeast Nigeria (2021)
Donor-funded interventions are frequently not adopted, scaled or sustained, or they diminish in efficacy or deviate from the intended protocol. Incorporating village health workers (VHWs) and strengthening their roles is a common intervention funded by donors to tackle maternal, newborn and child health issues. This paper explores the sustainability ofRead more…
Perceptions of Lady Health Workers and their trainers about their curriculum for implementing the interventions identified for Essential Package of Health Services for Pakistan (2021)
In the efforts to expand health services and address the shortage of health workers, Pakistan’s government focused on improving the quality of training for CHWs. Lady Health Workers (LHWs) are an essential group of CHWs and compose the most extensive and valuable health resource. Focus group discussions were conducted toRead more…
“Eternally restarting” or “a branch line of continuity”? Exploring consequences of external shocks on community health systems in Haiti (2021)
Community health systems (CHS) are integral in promoting well-being in humanitarian settings, such as Haiti, that face disruptive socio-political and environmental shocks. Haiti’s community health workers (CHWs) are critical intermediaries and this study explores how shocks influence CHS functionality and resilience in the country. Respondents recommended government support for CHWs,Read more…
Learnings From a Pilot Study to Strengthen Primary Health Care Services: The Community-Clinic-Centered Health Service Model in Barishal District, Bangladesh (2021)
In Bangladesh, efforts have been made to strengthen the partnerships between community health workers (CHWs) and community clinics. Using qualitative data such as key informant interviews and focus group discussions, investigators found that through engaging government members and coordinating multi-level healthcare work, community health workers were valuable in mobilizing resourcesRead more…
Female Community Health Workers and Health System Navigation in a Conflict Zone: The Case of Afghanistan (2021)
CHWs have been deployed in rural Afghanistan to provide basic health care to Afghani women in remote areas. This paper explored Afghani women’s motivations to become CHWs. It suggests that female CHWs should be provided accreditation and encouragement to progress in their careers as CHWs. Additionally, this paper highlights theRead more…
Framing the Integration of Community Health Workers into Health Care Systems Along Health Care and Community Spectrums (2021)
Although the literature emphasizes the need for CHW integration into health systems, there is no standard on how this should be done. Through qualitative interviews, this study determined key themes for clinical and community integration for CHWs. The authors found that accessibility, relationships and empathy are essential for community integrationRead more…
Digital Health-Enabled Community-Centered Care (D-CCC): A Scalable Model to Empower Future Community Health Workers utilizing Human-in-the-Loop AI (2022)
Digital Health-Enabled Community-Centered Care (D-CCC) aims to amplify CHWs reach through a form of AI, designed for and with CHWs. Currently, CHWs have integrated mobile-based CCC care through mHealth platforms. This paper proposes the use of D-CCC to expand communication between CHWs and the community; therefore, extending CHW reach andRead more…
Ethics of Neighborly Intimacy among Community Health Activists in Delhi (2020)
Accredited Social Health Activists (ASHAs) are India’s largest CHW cadre. This article highlights the work of ASHAs and their experiences with the “ethics of neighborly intimacy,” a culturally competent method of facilitating access to public healthcare.
Community Health Worker Sustainability: Funding, Payment, and Reimbursement Laws in the United States (2021)
With the onset of the COVID-19 pandemic in the United States, CHW funding changed at the federal level; however, CHW remuneration varies from state to state. At the state level, CHW programs receive funding from grants, reimbursement for services, non-profit support and other mechanisms. The diversity of funding sourcesRead more…
Evaluating the association of state regulation of community health workers on adoption of standard roles, skills, and qualities by employers in select states: a mixed methods study (2021)
In the United States, CHW roles vary across states and intervention areas. This mixed-methods study aimed to describe these differences and recommend evidence-based standards for CHWs going forward. It determined that to improve the delivery of culturally competent care, CHW certification programs should adopt standards with requirements set by statesRead more…
Promising careers? A critical analysis of a randomized control trial in community health worker recruitment in Zambia (2021)
This article explores the effects of changes in recruitment practices made by the Zambian government based on the results of a randomized control trial (RCT). The RCT found that using posters that advertised CHW career paths attracted a greater number of suitable candidates. The Zambian government adopted this recruitment approach,Read more…
Community health workers experiences and perceptions of working during the COVID-19 pandemic in Lagos, Nigeria—A qualitative study (2022)
CHWs in Lagos provide essential health care, however their role during the COVID-19 pandemic is not as clear. Through semi-structured interviews, this study determined three main themes: different influences on CHWs ability to undertake COVID-19, influences on willingness to work during the pandemic, and suggested improvements for CHWs. The studyRead more…
Don’t change who we are but give us a chance: confronting the potential of community health worker certification for workforce recognition and exclusion (2022)
Promotores de salud are a subset of CHWs that primarily serve the Latinx community. In many US states, CHWs and promotores do not have unified training standards or formal certification. This study recommended that California implement voluntary CHW certification and to give CHWs agency in the certification process.
Understanding the factors affecting attrition and intention to leave of health extension workers: a mixed methods study in Ethiopia (2021)
Ethiopia’s Health Extension Program (HEP) aims to increase primary health care access through the work of CHWs, known as Health extension workers (HEW). This study aimed to determine the top factors of attrition among HEWs. Through a mixed methods approach, the study determined that factors associated with psychosocial issues, administrativeRead more…
Are we listening to community health workers? Experiences of the community health worker journey in rural South Africa (2022)
CHWs are integral to addressing healthcare shortages in rural South Africa, but little is known about their experiences implementing CHW programs. To strengthen program implementation, this study conducted semi structured interviews with 18 CHWs to understand their experiences with government-implemented CHW programs. The study determined 3 themes that established CHWRead more…
Introduction to Ethics for CHWs (2020)
To learn about common ethical dilemmas faced by CHWs and become equipped with tools to assist in making decision about the best course of action.
Reproductive Justice: A Paradigm Shift for Women of Color (2020)
To better understand reproductive justice theory, identify changes necessary for using a reproductive justice theoretical framework in your public health practice, and identify definitive resources for reproductive justice
Assessment of ASHA for knowledge, diagnosis and treatment on malaria in Mandla district of Madhya Pradesh as part of the malaria elimination demonstration project (2021)
Malaria is a major public health problem in India, especially in rural/tribal areas of the country. A key component of addressing this problem is to provide one for each village. This study aimed to assess the knowledge of Accredited Social Health Activists (ASHA) in Madhya Pradesh, India, to diagnose andRead more…
Community-directed distributors—The “foot soldiers” in the fight to control and eliminate neglected tropical diseases (2021)
Community health workers (CHWs) are critical in the delivery of medicines and other tools for the control of neglected tropical diseases (NTDs), prevention of malaria, and other beneficial health interventions. This review highlights the burden of work on CHWs in Sub-saharan Africa in the face of NTDs and COVID-19, alongRead more…
Community health workers at the dawn of a new era. (2021)
This is an overview of 11 related articles highlighting the primary issues CHWs face in large-scale interventions. CHWs are recognized as having a critical role in low, middle, and high income countries’ health systems. This series of articles provides suggestions on how to support CHWs programs to improve their careersRead more…
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