This retrospective observational study examined the quality of integrated community case management (iCCM) care given by village health workers in five villages in Bugoye subcounty in Uganda. For malaria, pneumonia, and diarrhoea the quality of care was high, though the overall quality of care was lower. There is an increase in quality of care after the implementation of iCCM services.
This study examines the effectiveness of a community health worker (CHW) program, which aims to address client objectives for frequent emergency department users. 43% of total objectives were achieved and objective achievement was linked with increased client engagement. The authors offer several suggestions as to why the objective achievement was low and how to better engage clients in CHW services.
This study protocol outlines the type 2 hybrid effectiveness-implementation study that was used to test an integrated maternal and child health intervention based in the community health worker system in rural Nepal.
This article examines the performance of South Indian frontline health workers by analyzing their time management and identifying factors that affect their work. Around 6 or 7 hours were spent on any working day, rather than the expected 8 hours.
This analysis covers a 7-year interrupted time series that investigated early access to care and under-five morality during a proactive community case management intervention in periurban Mali. Prevalence of febrile illness in children under 5 years went from 39.7% to 22.6% in 7 years. Early antimalarial treatment more than doubled for young children under 5. Under-five mortality lowered to 7/1000 in 2015.
This cluster randomised controlled trial looked at the ability to train CHWs in Malawi to identify individuals with ear and hearing disorders. The intervention and training were effective and could be scaled up to CHWs in other countries.