Results: 3069
Interplaying role of healthcare activist and homemaker: a mixed-methods exploration of the workload of community health workers (Accredited Social Health Activists) in India (2021)
In India, CHWs, also known as Accredited Social Health Activists (ASHAs), have been deployed since 2005. By engaging them in various healthcare delivery models, they have become essential to providing population- specific and community healthcare. This study explores the current workload of ASHAs and how to further utilize them inRead more…
From village health volunteers to paid care givers: the optimal mix for a multidisciplinary home health care workforce in rural Thailand (2021)
Thailand’s population is aging. Given a shortage of healthcare workers in rural areas, a barrier between the delivery of adequate home health care services to the eldery exists. Research from this article suggests that a cross-trained multidisciplinary health team composed of CHWs and community caregivers could improve the delivery ofRead more…
What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation (2021)
Maternal and child health are key priorities of the Sustainable Development Goals. Two components of maternal and child health are family planning (FP) and immunization. This study shares findings on how CHWs are providing integrated services that can increase the uptake of vaccines and modern contraceptive methods.
Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study (2020)
In 2019, the Louisiana legislature created the CHW Workforce Study Committee (Committee) to study the workforce and provide the state with policy recommendations. The Committee engaged CHWS, their employers and an academic team to collect qualitative data on the experiences of CHWs and employers statewide. Findings suggest a need forRead more…
Effects of a community health worker delivered intervention on maternal depressive symptoms in rural Tanzania (2020)
Maternal depression affects one in four women in sub-Saharan Africa, yet evidence on effective and scalable interventions is limited. The authors evaluate the effect of a community health worker (CHW) delivered home visit responsive stimulation, health and nutrition intervention, and conditional cash transfers (CCTs) for antenatal care and child growthRead more…
A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India (2020)
Person-centered decision making for family planning care has been gaining increased attention, yet few interventions have measured associations between person-centered quality for family planning and family planning outcomes (uptake, continuation, etc.). In India, the first point of contact for family planning is often the community health care worker, in thisRead more…
Effectiveness of Community Health Worker Delivered Interventions on Non-communicable Disease Risk and Health Outcomes in India: A Systematic Review (2020)
Non-communicable diseases (NCDs) account for 61% of deaths in India. Miles et al. share a review on Community Health Workers’ (CHW) effectiveness in preventing and managing NCDs in India which could help direct future research and government policy.
Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar (2020)
Despite the widespread global adoption of community health (CH) systems, there are evidence gaps in how to best deliver community-based care aligned with global best practice in remote settings. PIVOT partnered with the Ministry of Public Health to pilot a new two-pronged approach for care delivery in rural Madagascar: oneRead more…
A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru (2020)
Community health workers (CHWs) are increasingly deployed to support adoption of healthy home practices in low- and middle-income countries. However, little is known about how best to train them for the capabilities and cultural competencies needed to support maternal health behavior change. The authors of this article tested a CHWRead more…
Community health workers in humanitarian settings: Scoping review (2020)
This article reviewed the existing evidence of community health workers (CHWs) role in humanitarian settings. The authors note that to achieve impact, policy makers and program implementers will have to address the bottlenecks to CHW service delivery common in stable low-income settings as well as the additional challenges unique toRead more…
The Lived Experiences of HIV+ Community Health Workers Serving HIV+ Clients (2016)
CHWs serving people living with HIV/AIDS contribute to healthy behaviors and better health outcomes; however, there is a gap in the literature regarding how the health of HIV + CHWs is impacted by their jobs. The author of this dissertation used a phenomenological design to gain insight into the livedRead more…
A microplanning model to improve door-to-door health service delivery: the case of Seasonal Malaria Chemoprevention in Sub-Saharan African villages (2020)
CHWs provide door-to-door treatment for children experiencing Malaria in Burkina Faso, but to reduce the spread of the disease CHWs must cover a wide geographic area . André Lin Ouédraogo and colleagues developed a microplanning model to help CHWs better plan how to provide treatment to their assigned region. ImplementationRead more…
The Effects of Community Home Visit and Peer Group Nutrition Intervention Delivery Platforms on Nutrition Outcomes in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis (2020)
The best designed nutrition interventions fail without well-designed delivery systems, especially in low- and middle-income countries (LMIC). Amynah Janmohamed and colleagues reviewed research to understand the evidence related to designing delivery platforms for nutrition interventions in LMICs. CHW home visits emerged as a clear solution to improve dissemination of nutrition-relatedRead more…
An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
CHWs reduce patient demand on primary care systems and decrease the cost of provision of care among those in rural and isolated areas. Richard Crespo and colleagues developed a training model to improve health outcomes among high-risk diabetes patients in rural Appalachia and then evaluated whether training improved diabetes managementRead more…
A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India (2020)
As a first point of contact for family planning, Indian ASHA workers must ensure that women receive accurate information and care that is sensitive to and respectful of individual needs. Nadia Diamond-Smith and colleagues evaluated the extent to which training ASHA workers in “person-centered care” has impacts on family planningRead more…
Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design (2020)
CHWs in low-income countries often provide postnatal care services in areas with limited access to formal health care. Yemane Tesfau and colleagues evaluated service area coverage and provision of care by CHWs in Ethiopia to assess health system needs. Health extension workers visited 15% of mothers within three days afterRead more…
Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh (2020)
Infant and child mortality, morbidity, and developmental delays largely depend on the quality of feeding practices. Between 2014 and 2018, Bangladeshi NGO BRAC implemented Alive and Thrive, a program designed to improve CHW-led feeding practice education in Bangladesh. Md. Tariquujjaman and colleagues evaluated the impacts of this program on caregiverRead more…
The effectiveness of in-service training “pharmacopeia home health” based on Kirkpatrick’s model: A quasi-experimental study (2020)
CHWs in Iran seeking knowledge about medical care in the absence of physicians can refer to the “pharmacopia home health,” a training package designed for low-resource areas. Mahtab Firooznia and colleagues evaluated the effectiveness of this package in drug maintenance knowledge, awareness, and performance. The program enhanced knowledge and awarenessRead more…
Challenges and prospects for implementation of community health volunteers’ digital health solutions in Kenya: a qualitative study (2020)
Low-resource settings experience increased access to health interventions when they are able to adopt digital health technologies. Pauline Bakibinga and colleagues developed a mobile health app for Kenyan community health volunteers (CHVs) to digitize some of the forms used to collect data for local health facilities. Research evaluating the effectivenessRead more…
Quality of clinical assessment and management of sick children by Health Extension Workers in four regions of Ethiopia: A cross-sectional survey (2020)
Ethiopian primary health care usage for sick children is low, possibly due to poor perceptions about the quality of care in local settings. Dawit Wolde Daka and colleagues evaluated the quality of care among health extension workers for children under-five. Health extension workers failed to adhere to Community Case managementRead more…
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