This article evaluates the cost effectiveness of facility-and home-based voluntary counseling and testing (VCT) in rural Uganda. A cost analysis using the “ingredients” approach and based on a programmatic perspective. Effectiveness was measured as the number of HIV sero-positive case identified. Home based VCT was the least costly strategy per client tested and was also cost effective in identifying HIV sero-positive clients in rural areas.
The COPHIA program emphasizes the provision of home-based care and support services by multi-purpose community-based health workers to vulnerable households coping with the burden of caring for seriously ill family members or orphans and vulnerable children. The COPHIA community-based health workers, with the support of clinical and non-clinical supervisors, provide the direct physical and emotional care and support services to people living with HIV/AIDS (PLWHA) and orphans and vulnerable children in the project catchment area.
The paucity of trained health professionals and other human resources to combat HIV/AIDS in the focus countries is a stark indicator of the challenges facing the Emergency Plan. Policies that mandate that only health professionals can provide health services, when trained community health workers could provide components of prevention, care, and treatment
This pre-tested and peer-reviewed curriculum focuses on the knowledge and skills necessary for providing holistic CHBC for people living with HIV/AIDS, transferring knowledge and skills to caregivers and CHBC clients, and mobilizing communities around HIV/AIDS prevention, care, treatment, and support. The trainer’s guide includes comprehensive units that cover topics from HIV basics, communication skills, nursing care, nutrition, positive living, family planning, HIV prevention, and ART to community mobilization.
A key element of USAID’s strategic approach to maternal and child health (MCH) is to increase the number of functional community health workers serving in USAID priority countries by at least 100,000 by 2013. At the request of the USAID MCH team, the Health Care Improvement Project (HCI) developed a tool that defines a set of key elements needed for community health worker programs to function effectively and that evaluate programs on specific criteria, which were defined by recent literature reviews on CHW programs (see link below) and by suggestions from experts.
This report is the result of research undertaken in South Africa as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.
This report is the result of research undertaken in Zambia as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.
This qualitative study evaluated the role of CHWs in the health system in both HIV and non-HIV-related services in rural Haiti and investigated the challenges and facilitating factors for their work. CHWs contributed to a wide range of primary health services and non-HIV related activities. Recognition from the community, status, satisfaction of contributing to the well-being of others and remuneration were facilitating factors for performing their work.
This article investigates whether present CHW programmes for antiretroviral treatment are taking into account lessons learnt from past experiences with community health worker programmes in primary health care and to what extent they are seizing the new antiretroviral treatment-specific opportunities.