Video Spotlight

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

2014 Annual Report: Building Healthy Communities by Bringing CHWs to Scale

The 1mCHW Campaign’s 2014 Annual Report provides a comprehensive overview of the Campaign’s work and identified next steps and key priorities for 2015.

 

Women's attitudes toward receiving family planning services from community health workers in rural Western Kenya

In African countries including Kenya, contraceptive use, fertility rates and other reproductive health indicators in rural areas lag behind urban areas. Even though Kenya's fertility rate declined from 8.1 in 1978 to 4.6 in 2008, the figures are much higher in rural areas, 5.2 compared to an urban rate of 2.9. The persistent high fertility rate has been attributed to many factors including inadequate provision of family planning services.

Knowledge of Nairobi East District Community Health Workers concerning HIV-related orofacial lesions and other common oral lesions

In Kenya, primary healthcare (PHC) providers (mainly clinical officers and nurses) at health facilities and community health workers (CHWs) in the field are required to integrate oral care of HIV patients into the PHC system. However, these health workers have not been educated on oral diseases. Detecting Human Immunodeficiency Virus (HIV) related orofacial lesions (HROLs) as part of their community duties would increase the probability of early identification of HIV-infected people and those developing highly active antiretroviral therapy (HAART) resistance.

Time savings – realized and potential – and fair compensation for community health workers in Kenyan health facilities: a mixed-methods approach

Sub-Saharan Africa faces a severe health worker shortage, which community health workers (CHWs) may fill. Task shifting - the reassignment of clinical roles by transferring suitable tasks from higher- to lower-skilled healthcare workers (HCWs) - is one of the strategies proposed to mitigate the effects of the HCW shortage. Community health workers (CHWs) are a unique cadre of HCWs and are well suited to help address the HCW gap. 

A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation

The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in the Gem District of Western Kenya. One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya’s National CHW programme.

Individual and contextual factors associated with community health workers’ performance in Nyanza Province, Kenya: a multilevel analysis

Several African and South Asian countries are currently investing in new cadres of community health workers (CHWs) as a major part of strategies aimed at reaching the Millennium Development Goals. However, one review concluded that community health workers did not consistently provide services likely to have substantial effects on health and that quality was usually poor. In addition, it suggested that all stakeholders need to focus on weak points in the functionality of the CHW program and ultimately the CHWs’ performance.

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.

Teaching New Mothers Living with HIV about the Importance of Breast-feeding

Though HIV can be transmitted from mother to child through breast milk, studies have shown that women living with HIV are less likely to pass the virus if they breast-feed their babies exclusively for at least four months. Breast milk contains nutrients and essential antibodies that can help babies fend off dangerous infections.

The Kamwimbi family in Kenya, where EGPAF and its partners are leading efforts to help women living with HIV have happy, healthy babies through maternal and child health programs. Courtesy EGPAF.

How To Inspire Courage, Spur Action And Save Lives

April and early May are bookended by World Health Worker Week (April 7-11) and International Day of the Midwife (May 5) -- two opportunities to recognize the invaluable contributions of health workers in saving and bettering the lives of our communities. The women and men who have been on my mind are the innumerable hard-working, selfless, often heroic frontline health workers I've worked alongside while training nurses and midwives in the last 15 years.

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