Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives, attention fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated. This study presents a return-on-investment analysis based on a randomized controlled trial of Individualized Management for Patient-Centered Targets (IMPaCT), a standardized community health worker intervention that addresses unmet social needs for disadvantaged people.
As part of the One Health Project, community health workers are trained in joint animal and human disease surveillance as a way for early detection of the zoonotic disease Ebola. This master’s thesis explores whether CHWs in the One Health Project submit more surveillance reports vs their non-One Health Project counterparts and finds that they do, in fact, significantly.
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
This retrospective cohort study examines whether the use of SMS-based data entry by CHWs is more effective than paper forms in the timely CHW follow-up visits for malnutrition screening in children under-5 in sub-Saharan Africa.
In the Indonesian primary health system, health promotion is often not implemented by CHWs due to a lack of knowledge and skills. This study uses “most significant change” (MSC) method to evaluate the impact of health promotion training of maternal community health workers in Cianjur district, Indonesia.
The planned roll out of the Community Health Extension Worker (CHEW) program in Uganda is set to be implemented in 2018. Based on the Ugandan Ministry of Health’s extensive experience with Village Health Teams in the past decade, this commentary addresses potential challenges that will arise in the implementation of the new CHEW program.
Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/referrals.
With a shortage of health human resources in Guinea-Bissau, CHWs play an essential role in the diagnosis and treatment of childhood diarrheal diseases. This paper seeks to evaluate the short-term effects of training on CHWs’ performance diagnosing and treating diarrheal diseases in children under 5 years old and the accuracy of such diagnosis at 1 and 3 months after training.
This paper examines the feasibility of incorporating distance mLearning (mobile learning) as part of a blended learning program in Malawi. Through questionnaires, CHWs’ knowledge and attitudes towards computers and mobile technology was assessed. The ‘Introduction to Information and Communication Technology and eHealth’ (ICT and eHealth) course was created to compare the effectiveness of traditional and blended learning courses in improving CHW knowledge and attitudes towards computers and mobile technology. CHW satisfaction and experience with the courses was also assessed.
Village Malaria Workers (VMWs) in rural Cambodia play an essential role in surveillance and early treatment of malaria. This study evaluates the feasibility of VMWs using smartphone-based reporting for malaria, and a bespoke Android-powered app.