This article profiles CHWs, including health promoters, traditional birth attendants and traditional healers, serving rural Quechua communities from Ayacucho, Peru. It uses both quantitative and qualitative information from questionnaires, personal interviews and group discussions conducted in 40 communities. The majority of CHWs in Ayacucho are men with limited education who are primarily Quechua speakers. However, health promoters were typically young and high school graduates, while traditional healers and birth attendants were generally older and illiterate.
This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings.
This field guide is designed for health program directors and managers of community-based programs who are considering using community mobilization to improve health at the individual, family, and community level. The field guide contains illustrative examples and lessons learned in community mobilization experiences from around the world, focusing on working with disadvantaged or marginalized groups in developing countries.
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care.