Results: 3069
Perspectives on Workforce Development Needs for Community Health Workers (CHWs): Results from a Statewide Survey of CHW Employers (2021)
This mixed-methods cross-sectional study conducted in Texas, USA, aimed to elucidate characteristics of CHW programs to further understand their needs. CHWs must be state-certified to provide health education and conduct health promotion activities within their communities. They are viewed as essential to the multidisciplinary healthcare team in Texas. Respondents expressedRead more…
Testing a home-based model of care using misoprostol for prevention and treatment of postpartum hemorrhage: results from a randomized placebo-controlled trial conducted in Badakhshan province, Afghanistan (2020)
In Afghanistan, where a majority of births take place outside of a formal healthcare system and without a skilled health professional, postpartum hemorrhage (PPH) is a high risk. The authors of this study conducted a randomized-controlled trial to determine the effectiveness of a prophylactic drug, misoprostol, on treating PPH. CommunityRead more…
Humanitarian led community-based surveillance: case study in Ekondo-titi, Cameroon (2021)
In Cameroon, social and political conflicts have impaired infrastructure to monitor disease outbreaks. This study compared the ability of community-based and facility-based surveillance systems to identify outbreaks. Overall, community-based surveillance was most successful in identifying potential outbreaks and initiating preliminary investigations. This highlights an opportunity for community health workers toRead more…
Measuring client trust in community health workers: A multi-country validation study (2021)
Community trust is essential to increasing access and providing quality healthcare. A study was conducted in Haiti, Kenya, and Bangladesh to develop a quantitative scale that measures this significant factor and its effect on the impact of healthcare systems and programs. The resulting Trust in CHWs scale is a validatedRead more…
Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers’ Strategies in High Poverty Urban Communities (2021)
This study investigates the utility of a school-based mental health service model using community health workers to implement early intervention programs in high poverty urban communities amongst K-4 children and their parents. Findings of this study indicate that CHWs are able to identify and implement mental health interventions for school-agedRead more…
Community health workers and non-clinical patient navigators: A critical COVID-19 pandemic workforce (2021)
This paper comments on the ways that community health workers should be deployed in response to the COVID-19 pandemic in the US. CHWs are members of the communities they serve, making them skilled in community engagement and health communication at a time when social distancing mandates are a possible barrierRead more…
Cost-effectiveness of community health systems strengthening: quality improvement interventions at community level to realise maternal and child health gains in Kenya (2021)
In Kenya, researchers wanted to know how community health workers were being engaged to improve antenatal care and skilled delivery outcomes to determine what quality improvement interventions would be most beneficial. The authors found that community quality improvement interventions were a cost-effective way to increase the identification, referral and follow-upRead more…
Compensation models for community health workers: Comparison of legal frameworks across five countries (2021)
Despite their vital function in keeping communities healthy and safe, community health worker (CHW) pay has long been a subject to global debate. This study maps the legal environment for CHW compensation in Brazil, Ghana, Nigeria, Rwanda, and South Africa. Ultimately, having a strong legal framework does not guarantee properRead more…
Mother-To-Mother: Evaluation of The Sustainability of A Peer Model to Communicate Nutrition Messages in Mozambique (2020)
In Mozambique, child malnutrition remains a persistent problem. This study evaluated the use of community health workers (CHWs) as part of a health promotion strategy in a USAID-funded Child Survival Program in Mozambique five years after the program ended. CHWs proved to be valuable in the fight against child malnutrition,Read more…
Community surveillance of COVID-19 by village health volunteers, Thailand (2021)
In response to the COVID-19 Pandemic, the government of Thailand trained Village Health Volunteers (VHVs) to both educate their communities and identify community cases of COVID-19 to offset the lack of health professionals in the region. With the success of VHVs in identifying cases and educating communities, Thailand was ableRead more…
Diagnostic Accuracy of a Two-Stage Sequential Screening Strategy Implemented by Community Health Workers (CHWs) to Identify Individuals with COPD in Rural India (2020)
When Chronic Obstructive Pulmonary Disease (COPD) goes undiagnosed, it often results in a high disease burden and in some cases death. Community Health Workers (CHWs) in a rural area of North India assessed the effectiveness of a two-step screening strategy to accurately identify individuals with COPD. With such a strategy,Read more…
Impact of village health volunteer support on postnatal depressive symptoms in the remote rural areas of Lao People’s Democratic Republic: a cross-sectional study (2021)
In the Lao district of Xepon, the majority of the Village Health Volunteer (VHV) workforce is male, which presents unique challenges when engaging with pregnant females for primary healthcare purposes. To enhance primary care among this population through VHVs, this study paired VHVs were partnered with female VHVs to understandRead more…
Innovative approach for potential scale-up to jump-start simplified management of sick young infants with possible serious bacterial infection when a referral is not feasible: Findings from implementation research (2021)
While inpatient treatment is a proven method to treating neonatal bacterial infections, inaccessibility to them remains a common cause of death. This study evaluated provision of an antibiotic regimen for young infants with possible serious bacterial infection (PSBI) by CHWs in two districts in Tigray, Ethiopia. The authors conclude thatRead more…
Improving health facility delivery rates in Zanzibar, Tanzania through a large-scale digital community health volunteer programme: a process evaluation (2020)
In Tanzania, CHW programmes have become widely utilized to improve maternal health outcomes. This study documents how the Safer Deliveries program – a programme designed to address high rates of maternal and neonatal mortality by increasing rates of health facility delivery and postnatal care visits – was implemented, scaled andRead more…
Working towards universal health coverage: a qualitative study to identify strategies for improving student enrolment for the pre-service training of nurses, midwives and community health workers in Nigerian health training institutions (2021)
As the Nigeran healthcare workforce grows, there is a need for a standardized development and maintenance strategy for health education facilities. This study assessed current student admissions and practices for nurses, midwives and community health workers at two health education facilities to identify strategies for improving student enrolment in CHWRead more…
Needs assessment of community health workers to enhance efficient delivery of their services for community case management of malaria in Kenya. (2021)
Malaria is the leading cause of morbidity and mortality in Africa. This study explored the needs of CHWs In Kenya, CHWs were leveraged to address management of malaria cases in communities (CCMm). The authors explored what CHWs need to sustain CCMm services. The found that program managers recognize the needRead more…
Integrated community case management of childhood illness in low- and middle-income countries (2021)
In 2018, infectious diseases were the leading cause of mortality in children younger than five years of age in sub‐Saharan Africa and Southern Asia. Lack of proper nutrition contributed to 45% of deaths in children under five. To address these disparities, the World Health Organization (WHO) and United Nations Children’sRead more…
Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers’ Strategies in High Poverty Urban Communities (2021)
In the US, the use of CHWs in providing mental health services is growing. This study researched engagement strategies for a school-based mental health service model by employing a CHW workforce to implement early intervention programs in high poverty urban communities. Key findings of the study support the ability ofRead more…
Community health workers for non-communicable disease prevention and control in Nepal: a qualitative study (2020)
Non-communicable diseases (NCDs) are a major health issue in Nepal. This study examines existing barriers and facilitators to utilizing CHWs in the prevention and management of NCDs. The authors argue that CHWs deliver essential NCD services. To improve service delivery, CHWs should be fully integrated into the primary care systemRead more…
Community health workers to improve adherence to anti‐seizure medication in rural South Africa: Is it cost‐effective? (2020)
Epilepsy is a common disorder that disproportionately affects individuals living in LMICs. CHWs have proven to be key partners in maintaining adherence to treatment plans and medications, yet the cost of employing CHWs in epilepsy management has not been documented. This study found that CHWs are a cost‐effective intervention inRead more…
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