Video Spotlight

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

Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda

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.

Effect of a Community Health Worker-Based Approach to Integrated Cardiovascular Risk Factor Control in India: A Cluster Randomized Controlled Trial

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.

The roles of community health workers who provide maternal and newborn health services: case studies from Africa and Asia.

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.

Potential for a comprehensive stroke education: Assessing awareness about stroke among community health workers - A qualitative study from Urban Bangalore, Karnataka, India.

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 impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: a nationally representative longitudinal modelling study

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.

Are community health workers effective in retaining women in the maternity care continuum? Evidence from India

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.

Cardiovascular risk factor reduction by community health workers in rural India: A cluster randomized trial

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.

Role of community health worker in a mobile health program for early detection of oral cancer

Increased incidence of oral cancer is largely seen in low-resource settings. This study looked at the use of a mobile phone based oral cancer screening program  carried out by community health workers (CHWs). The CHWs screened for mucosal lesions and were able to use the mHealth (mobile health) approach effectively.

Are community health workers cost-effective for childhood vaccination in India?

Accredited Social Health Activities (ASHAs) are female community health workers who play a principal role in promotion of primary health care and use of sanitary services in India. Most prior studies on ASHAs have focused on qualitative aspects. This study presents a cost effectiveness analysis of ASHAs in facilitating measles vaccination among children under 5 years of age between the year 2012-2013.

SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators

As per global estimates, nearly 5 billion people lack access to safe, quality and timely surgical care. This pilot study assessed the local burden of disease in a rural area of India through the Surgeons OverSeas Assesssment of Surgical Need (SOSAS) survey. The study also evaluated the feasibility of using Accredited Social Health Activists (ASHAs) as enumerators. 

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