Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

This study sought to understand CHW perspectives on a new primary health initiative in South Africa called Re-engineering Primary Health Care (rPHC). This initiative aims to provide a preventive and health-promoting community-based PHC model. Focus group discussions and surveys on the knowledge and attitudes of 91 CHWs working on community-based rPHC teams in the King Sabata Dalindyebo (KSD) sub-district of Eastern Cape Province were conducted.

(Re)Building health systems in West Africa: what role for ICT and mobile technologies?

The aim of the (Re)Building health systems in West Africa: what role for ICT and mobile technologies? meeting at Wilton Park was to understand better the role of ICT and mobile technologies for rebuilding and creating strong health systems in West Africa after the Ebola crisis. The meeting also aimed to identify lessons that could be taken beyond West Africa and used more broadly for health system strengthening in resource-poor settings globally.

Community care workers boost TB case finding among hard-to-reach adults

According to two studies presented at the 46th Union World Conference on Lung Health held in Cape Town last December, community care worker active case findings is an effective tool for increasing TB case detection in hard-to-reach populations. Early detection and treatment of people with active TB is crucial to decrease TB transmission, and community care workers have been shown to play an important role in case finding among vulnerable populations.

Evaluation of the impact of a mobile health system on adherence to antenatal and postnatal care and prevention of mother-to-child transmission of HIV programs in Kenya

The Millennium Villages Project (MVP) implemented in Western Kenya a mobile Health tool that uses text messages to coordinate Community Health Worker (CHW) activities around antenatal care (ANC) and Prevention of Mother-to-Child Transmission of HIV (PMTCT), named the ANC/PMTCT Adherence System (APAS). End-user changes in health-seeking behavior in ANC and postnatal care (PNC) were investigated following registration of 800 women into APAS.

Addressing Chronic Disease through Community Health Workers: A policy and systems-level approach

This document provides guidance and resources for imple­menting recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease. After providing general information on CHWs in the United States, this document sets forth evidence demonstrat­ing the value and impact of CHWs in preventing and managing a variety of chronic diseases, including heart disease and stroke, diabetes, and cancer.

A framework for integrating childhood tuberculosis into community-based child health care

The World Health Organization (WHO) estimates that approximately 500,000 children each year are diagnosed with tuberculosis (TB) and 64,000 HIV-negative children die annually due to TB. The true burden of childhood TB is unknown; children are often undiagnosed and therefore do not receive appropriate care. Childhood TB is often seen with other common childhood illnesses such as HIV/ AIDS, pneumonia and malnutrition, and should be considered in sick children, particularly in areas of high TB burden.

Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial

Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation of this technology is difficult in countries of middle and low income. The authors investigated whether offering HPV DNA self-collection during routine home visits by community health workers could increase cervical screening.

An assessment of community health workers’ ability to screen for cardiovascular disease risk with a simple, non-invasive risk assessment instrument in Bangladesh, Guatemala, Mexico, and South Africa: an observational study

Cardiovascular disease contributes substantially to the non-communicable disease (NCD) burden in low- income and middle-income countries, which also often have substantial health personnel shortages. In this observational study we investigated whether community health workers could do community-based screenings to predict cardiovascular disease risk as effectively as could physicians or nurses, with a simple, non-invasive risk prediction indicator in low-income and middle-income countries.

The Tingathe programme: a pilot intervention using community health workers to create a continuum of care in the prevention of mother to child transmission of HIV (PMTCT) cascade of services in Malawi.

Loss to follow-up is a major challenge in the prevention of mother to child transmission of HIV (PMTCT) programme in Malawi with reported loss to follow-up of greater than 70%. Tingathe-PMTCT is a pilot intervention that utilizes dedicated community health workers (CHWs) to create a complete continuum of care within the PMTCT cascade, improving service utilization and retention of mothers and infants.

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