The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied.
National CHW schemes are an increasingly important tool for achieving universal health coverage and ending maternal and child deaths by 2030. This article focuses on critical issues that face the effectiveness of large-scale CHW programs drawing on the experiences of India’s CHW scheme –the Village Health Guides.
The Indian National Program for Cardiovascular Disease, Diabetes, Cancer and Stroke (NPCDCS) aims to deliver non- communicable disease (NCD) care via primary healthcare teams which include Indian CHWs know as Accredited Social Health Activists (ASHAs).This study sought to understand the current capacity and challenges faced by ASHAs hrough a desktop review of NPCDCS and ASHA policy documents combined with group discussions with community members from the Guntur region of Andhra Pradesh in India.
Task sharing as an approach to target mental health through community health workers is slowly gaining attention and support in LMICs. This multi-site study aimed to determine key factors that could drive task sharing in different contexts along with providing insight regarding challenges associated with the approach.
Several previous studies have evaluated the ability of community health workers (CHWs) to target individual cardiovascular risk factors. This study presents findings from a randomized control trial aimed at integrating CHW lead efforts for hypertension, diabetes and smoking control. It revealed that CHWs have a significant effort on hypertension and promotes the use of home-based care for cardiovascular risk factors through CHWs in LMICs.
Community health workers (CHWs) play a vital role in provision of maternal and newborn health (MNH) services in low- and middle-income settings. However, a better understanding of the roles CHWs play in each setting: services, responsibilities, training duration and type of renumeration. This study presents information on CHWs providing MNH services in Bangladesh, India, Kenya, Malawi and Nigeria. Data from 23 policy documents, 36 focus group discussions and 131 key information interviews are analyzed and interpreted.
The rising incidence of stroke is growing into a major public health concern. Yet, there is limited awareness about its risk factors and treatment procedures. This study involved a focus group discussion with Accredited Social Health Activists (ASHAs) in India to understand their level of awareness regarding stroke, its causes, and related treatment procedures.
The accredited social health activist (ASHA) program was launched by the Indian government in 2006 as a means of reaching marginalized communities. This article looks at data from the Indian Human Development Surveys conducted in 2004-2005 and 2011-2012 to assess the effect of the ASHA program on the uptake of maternity services.
The importance of maintaining a continuum of care with respect to health requirements of mothers and newborns has been recognized world over. This study looks at the example of the Accredited Social Health Activist (ASHA) program in India as a model intervention. It uses the Indian Human Development survey data from between 2011 to 2012.
Low cost strategies for cardiovascular disease (CVD) risk reduction are an essential requirement world over. This open label cluster randomized trial conducted in 28 villages across 3 states in India, looks at the impact of CHW-based interventions in reducing CVD risk factors in households in rural India.