Results: 3069
Zika virus knowledge, contraception use, and lessons learned from a Dominican Republic pilot study. (2019)
This study assessed knowledge about zika virus among communities in the Dominican Republic. It highlights Charlas, informal discussions lead by community health workers, as the most common source of information about zika virus.
A Collaborative Family Planning Program in Rural Uganda Utilizing Community Health Workers. (2019)
Ugandan villages experience a high fertility rate and a significant unmet need for contraception. The Ugandan Village Project’s community health worker-based family planning program has shown promise in addressing these issues. This study presents results from a household survey conducted in rural eastern Ugandan in 2015 and highlights opportunities forRead more…
Adapting an Evidence-based Cardiovascular Disease Risk Reduction Intervention to Rural Communities. (2019)
The purpose of this study was to apply the RE-AIM framework to evaluate data obtained from focus group discussions to generate information on the availability of cardiovascular disease (CVD) risk interventions through the COACH program in Nebraska. The COACH approach involves interventions provided by nurses and community health workers
A Cancer Education-Plus-Navigation Intervention Implemented Within a Federally Qualified Health Center and Community-Based Settings. (2019)
While cancer screening tests are available, Latinos are screened at a lower rate than non-Hispanic whites. This study looked at the effectiveness of an evidence-based community health worker (CHW) intervention which was designed to increase screening rates, knowledge about screening guidelines and awareness about benefits of early detection. The projectRead more…
Potential for a comprehensive stroke education: Assessing awareness about stroke among community health workers – A qualitative study from Urban Bangalore, Karnataka, India. (2019)
The rising incidence of stroke is growing into a major public health concern. Yet, there is limited awareness about its risk factors and treatment procedures. This study involved a focus group discussion with Accredited Social Health Activists (ASHAs) in India to understand their level of awareness regarding stroke, its causes, andRead more…
Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service. (2019)
Miami-Dade County in the state of Florida, USA, faces the largest burden of new HIV infections in the nation. Building off the success of street-based HIV testing carried out by community health workers (CHWs), this study looks at a community-based approach for HIV testing among Black adults. This CHW-led interventionRead more…
The Impact of Centralized Employment Structure on Community Health Work: A Qualitative Case Study of Community Health Workers and Key Leadership. (2019)
There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure.
Assessing community health workers’ conditions for delivering care to patients in low-income communities. (2019)
This article looks at the barriers faced by community health workers (CHWs) in performing house calls in low-income and violent communities. The objective is to understand the challenges with regards to access to primary health care in developing countries. The study was carried out through field investigations in two clinicsRead more…
Cluster Randomized Trial for Hypertension Control: Effect on Lifestyles and Body Weight. (2019)
Lifestyle modifications such as a healthy diet, regular physical activity and maintaining a health weight are important practices for hypertensive individuals. In this cluster randomized trail, conducted between 2013 to 2016, community health workers (CHWs) delivered a multicomponent intervention targeting hypertensive patients at the health system, provider and family level.Read more…
Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry. (2019)
In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated withRead more…
Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya (2019)
HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resultingRead more…
Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach. (2019)
A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap.
Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record. (2019)
This study aimed to develop a sustainable and comprehensive approach to pediatric hearing care in low- and middle-income countries. It involved the use of a smartphone-based platform to perform hearing screening and video otoscopy. The technology was applied by community health workers (CHWs) in Kilifi county in Kenya
‘A poverty in understanding’: Assessing the structural challenges experienced by community health workers and their clients. (2019)
Community health workers (CHWs) play a crucial role in enabling access to healthcare in marginalized communities; yet they also face numerous structural challenges which complicate their care delivery. This paper discusses the results of a year-long ethnographic study which looked at structural barriers faced by community health works in Indiana.
Perceptions on the feasibility of decentralizing phlebotomy services in community anti-retroviral therapy group model in Lusaka, Zambia (2019)
The general focus of community based antiretroviral therapy is on drug refills, adherence and support groups. Due to this focus, laboratory services including blood draw are often neglected. This paper presents results from focus group discussions among community antiretroviral therapy members and community health workers and looks for positive perceptionsRead more…
Using mobile technologies to support the training of community health workers in low-income and middle-income countries: mapping the evidence (2019)
This systematic review looks at a range of literature published between 2000-2018 on the application of mobile technologies for training community health workers in low and middle countries. The article looks at the use of these technologies across 9 global healthcare areas including neglected areas of disability and mental health.Read more…
Lessons learned from community-based tuberculosis case-finding in western Kenya (2019)
Kenya faces a heavy burden of tuberculosis. However, in 2016 only 46% cases were diagnosed. This study looked to identify strategies to increase attendance of patients at community-based clinics. This cluster randomized trial involved recruitment of individuals who showed disease symptoms by community health volunteers (CHVs).
A Novel Mobile Health Tool for Home-Based Identification of Neonatal Illness in Uganda: Formative Usability Study. (2019)
This study aimed to assess the usability and acceptability of the NeMo system in rural Uganda. NeMo is an intuitive platform for neonatal assessment in a home setting. The study involved the application of the system by target users and volunteer community health workers (CHWs).
Supporting hearing health in vulnerable populations through community care workers using mHealth technologies. (2019)
Low- and middle-income countries face the highest burdens hearing loss. Added to this is the limited access to hearing care in these regions. This study looks at a community-based hearing screening program using smartphone testing by community care workers (CCWs) in vulnerable populations, infected or affected by HIV.
The impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: a nationally representative longitudinal modelling study (2019)
The accredited social health activist (ASHA) program was launched by the Indian government in 2006 as a means of reaching marginalized communities. This article looks at data from the Indian Human Development Surveys conducted in 2004-2005 and 2011-2012 to assess the effect of the ASHA program on the uptake ofRead more…
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