Results: 3069
The first mile: community experience of outbreak control during an Ebola outbreak in Luwero District, Uganda (2016)
In 2012, Uganda implemented an Ebola outbreak control initiative using community health workers and social mobilization approaches to curb the outbreak. This ethnographic study assessed community perspectives of the ebola control initiative. It found skepticism and distrust among community members about biomedical explanations for Ebola and about community health workers,Read more…
Lessons Learned from Reinforcing Epidemiologic Surveillance During the 2017 Ebola Outbreak in the Likati District, Democratic Republic of the Congo (2020)
The Democratic Republic of Congo created an Ebola virus disease (EVD) surveillance team in response to new EVD cases in 2017. Early mobilization of a cohort including CHWs led to the successful detection and containment of cases. The authors note several key lessons and recommendations to improve disease outbreak controlRead more…
Community Health Workers and Pandemic Preparedness: Current and Prospective Roles (2019)
Gathering insight from the Ebola and Zika pandemics, this article highlights the roles of CHWs in pandemic preparedness. It analyzes how CHWs promote community health before, during, and after a pandemic’s emergence noting their roles in health service delivery, ability to deliver culturally relevant health messages, and motivation to serveRead more…
Design and implementation of a mobile health electronic data capture platform that functions in fully-disconnected settings: a pilot study in rural Liberia (2020)
Mobile data collection in rural Liberia is limited by a lack of cellular connection. In this study CHWs and supervisors implemented an application allowing for offline data collection using Bluetooth services. Results demonstrated that the functioning of the application is worthwhile, with the program still operating 4 years after itsRead more…
An educational intervention in rural Uganda: Risk-targeted home talks by village health workers (2020)
This study analyzed the retention of health information delivered through a family home health talk approach. Village health workers (VHWs) counseled high-risk families in their homes on targeted health topics and selected control topics. Results indicated that although overall retention was low, participants retained more knowledge at 3 months onRead more…
An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
CHWs can help improve population health by guiding individuals through behavioral changes. Through a chronic care model managed by mixed teams of qualified medical providers and CHWs, this intervention sought to improve diabetes control in an underserved rural population. From baseline to six months, 63% of the cohort had decreasedRead more…
Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries (2020)
Common Application Software (CAS) is a new mHealth intervention aimed at addressing time efficiency and quality of healthcare by CHWs. The objective of this study was to collect data on CHWs’ perspectives on CAS, changes in CHW-beneficiary interactions after CAS implementation, and challenges CHWs faced as a result of CAS.Read more…
Factors associated with home visits by volunteer community health workers to implement a home-fortification intervention in Bangladesh: a multilevel analysis (2020)
BRAC engaged community health workers, known as Shasthya Shebikas (SS), to implement home-based fortification of foods with micronutrient powders. This study examined the factors that influenced the frequency of SS home visits. It determined the number of home visits was influenced by SS characteristics such as age, monetary incentivisation, andRead more…
Integrating Community Health Workers Within Patient Protection and Affordable Care Act Implementation (2015)
The Patient Protection and Affordable Care Act (PPACA) incorporates a plan for CHW integration to improve access to healthcare for marginalized populations. The authors argue that the PPACA provides an opportunity to sustain CHW programs and improve care.
Community Engagement for COVID-19 Infection Prevention and Control: A Rapid Review of the Evidence (2020)
Produced by the Community Health Community of Practice (CH CoP), this rapid evidence review collected key information on the involvement of communities in addressing COVID-19. It highlighted the importance of community engagement (CE) in pandemic response and control and provides a succinct list of key findings.
Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study (2020)
This cross-sectional study compared the performance of “paid-for-performance” Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) in various Indian states. While results varied among them, the study found that AWWs’ visits had a stronger connection with positive health behaviors compared to ASHAs. ASHA visits had weaker impacts onRead more…
Efficacy of a Community Health Worker–Based Intervention in Improving Dietary Habits Among Community-Dwelling Older People: A Controlled, Crossover Trial in Japan (2020)
This study analyzed the effects of CHW-led interventions promoting improved diets for the elderly in Japan. Findings showed that CHW-based interventions proved to be viable methods to motivate healthier lifestyles.
Increasing utilisation of perinatal services: estimating the impact of community health worker program in Neno, Malawi (2020)
To address the issue of high maternal mortality in Malawi, the Healthy Mothers, Healthy Communities intervention trained CHWs to conduct household visits to locate pregnant women and accompany them to perinatal care. Results indicate an 18% increase in antenatal care attendance, a 200% increase in antenatal care attendance in theRead more…
The supervisory relationships of community health workers in primary health care: social network analysis of ward-based outreach teams in Ngaka Modiri Molema District, South Africa (2019)
This study used social network analysis to examine supervisor-supervisee relationships. Direct supervisors of CHW teams and peer support are the strongest supervisory relationships. The study found that PHC staff and middle managers play a weaker role in CHW supervision.
Evaluation of a training program on primary eye care for an Accredited Social Health Activist (ASHA) in an urban district (2020)
This study examined the results of training Accredited Social Health Activists (ASHAs) as primary eye care (PEC) workers. ASHAs performed eye screenings and referred patients to optometrists. After program implementation, optometrists saw an average increase in monthly outpatient department visits. The study concludes that, with proper training, ASHAs can provideRead more…
Evidence-Based Community Health Worker Program Addresses Unmet Social Needs And Generates Positive Return On Investment (2020)
This study presents a return-on-investment analysis based on a randomized controlled trial of Individualized Management for Patient-Centered Targets (IMPaCT) for a CHW intervention addressing unmet social needs for disadvantaged populations. Results indicate a decrease in inpatient charges and a return of $2.47 for every $1.00 invested in the program.
The cost of the training and supervision of community health workers to improve exclusive breastfeeding amongst mothers in a cluster randomised controlled trial in South Africa (2020)
This study used a retrospective cost analysis to assess the effectiveness of a randomized control trial of CHW support for pregnant women and women with infants <1 year of age in South Africa. Exclusive breastfeeding and women’s knowledge of childcare practices improved significantly in intervention sites. This intervention cost $7,647.88Read more…
Development assistance for community health workers in 114 low- and middle-income countries, 2007–2017 (2019)
To grow and be sustained, CHW programs require funding. This study analyzed Organisation for Economic Co-operation and Development data from 2007 to 2017 to evaluate investments in CHW programs. The results indicated that funds for CHW programs represent a small fraction of investments in public health development, and have reducedRead more…
‘Do you trust those data?’—a mixed-methods study assessing the quality of data reported by community health workers in Kenya and Malawi (2020)
The results of this study indicate large gaps in data reporting with only 15% of data consistently reported by CHWs. Reasons for poor data quality included lack of data collection tools, inadequate training, insufficient supervision, and poor quality control monitoring, to name a few. The authors emphasized the importance ofRead more…
Community health workers involvement in preventative care in primary healthcare: a systematic scoping review (2020)
The purpose of this systematic review was to explore the impact of CHW programs on preventative care for diverse, disadvantaged patients in Australia. The review produced data demonstrating improvements in patient behavior, screening rates, and patient access to health services due to CHW interventions. CHWs were able to make aRead more…
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