Video Spotlight

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

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.

Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan

Village health Workers (VHWs) are the first point of contact in ensuring vital health services reach communities across Bhutan. This quantitative study identifies motivational factors which enable retention of VHWs in the health system. The study involves a cross-sectional survey design.

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.

Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan.

There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).

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. 

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

This systematic review analyses the research undertaken with respect to India’s accredited social health activist (ASHA) scheme as the programme enters its second decade. The review focused on whether the programme has suitable health systems interfaces to ensure sustainability and areas to focus upon as the programme evolves.

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