Tuberculosis is one of the leading causes of death throughout the globe, though treatment exists and is effective. In order to combat drug resistant tuberculosis, community-based directly observed treatment (DOT) is recommended by the World Health Organization, in which a supervisor observes the patient swallow their anti-tuberculosis medication. While highly praised, this method has been inconsistent in the past. This study looked at the effectiveness of community-based DOT for tuberculosis treatment.
Case studies in eleven countries including Zambia, Armenia, and Senegal, utilized World Vision’s social accountability approach, Citizen Voice and Action (CVA), to address public service improvement. This approach aims to link community members and organizations with each other and also to link these communities with service providers, local governments, and national policies. CVA empowers communities to influence and improve access to quality public services such as health, education, and child protection.
For India’s public health system to deliver effectively, it is imperative that policymakers place a strategic focus on tackling persistent HRH issues such as chronic shortage of health workers, unbalanced skill mix in the existing health workforce, and inequitable urban-rural distribution of health workers. Taking optimal health care to the farthest corners of the country is critical to the vision of the Ministry of Health and Family Welfare for comprehensive and integrated health services.
Although CHW programs are prevalent, little formal research has been conducted on CHW training programs or their effectiveness. To begin to address this a literature review was conducted to curate research regarding CHW training programs and curricula. This literature review identifies, synthesizes, and analyzes a wide body of literature related to CHW training in sub-Saharan Africa and South Asia.
The Mitanin Programme, a government community health worker (CHW) programme, was started in Chhattisgarh State of India in 2002. The CHWs (Mitanins) have consistently adopted roles that go beyond health programme- specific interventions to embrace community mobilization and action on local priorities. The aim of this research was to document how and why the Mitanins have been able to act on the social determinants of health, describing the catalysts and processes involved and the enabling programmatic and organizational factors.
A quarter of the world's neonatal deaths and 15% of maternal deaths happen in India. Few community-based strategies to improve maternal and newborn health have been tested through the country's government-approved Accredited Social Health Activists (ASHAs). This study aimed to test the effect of participatory women's groups facilitated by ASHAs on birth outcomes, including neonatal mortality. The findings indicate that ASHAs can successfully reduce neonatal mortality through participatory meetings with women's groups.
Globally, there is increasing interest in community health worker’s (CHW) performance; however, there are gaps in the evidence with respect to CHWs’ role in community participation and empowerment. Accredited Social Health Activists (ASHAs), whose roles include social activism, are the key cadre in India’s CHW programme which is designed to improve maternal and child health. In a diverse country like India, there is a need to understand how the ASHA programme operates in different underserved Indian contexts, such as rural Manipur.
Among older people, impairments in mobility, nutrition, vision, hearing, cognition, mood, and behaviour make an important contribution to years lived with disability, and dependence, and mortality. A recent systematic review concluded that, in primary care and community settings, interventions targeting risk factors and functional impairments may be more effective than disease specific interventions at alleviating burden in older people with complex multimorbidity.