Results: 3286
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…
Effect of home-based newborn care on neonatal and infant mortality: a cluster randomised trial in India (2020)
Neonatal mortality in rural areas can be reduced through home-based newborn care. Reeta Rasaily and colleagues examined the effectiveness of Shishu Rakshak (SR) and Anganwadi Workers (AWW) in India at reducing neonatal and infant mortality rates. Results indicated that risk of neonatal, early neonatal, young infant, and infant mortality decreasedRead more…
Evaluation of a novel community-based COVID-19 ‘Test-to-Care’ model for low-income populations (2020)
Andrew Kerkhoff and colleagues developed a “Test-to-Care” model to improve the ability of vulnerable populations to isolate and quarantine following a COVID-19 diagnosis. This model includes CHW-led education about COVID-19 and available community resources, ways to receive home deliveries to facilitate safe isolation, and long-term social support. The researchers evaluatedRead more…
Work environment factors and provider performance in health houses: a case study of a developing country (2020)
The way in which health facilities are built impacts the ability of CHWs to perform their roles as intended. Hasan Yusefzadeh and Bahram Nabilou evaluated characteristics of physical work environment factors in Urmia, Iran to understand their impacts on CHW performance. Technical and office equipment layout had the greatest impactsRead more…
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