In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated with PCC.
HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resulting perceptions are important for mitigating loss to follow up.
A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap.
This study aimed to develop a sustainable and comprehensive approach to pediatric hearing care in low- and middle-income countries. It involved the use of a smartphone-based platform to perform hearing screening and video otoscopy. The technology was applied by community health workers (CHWs) in Kilifi county in Kenya
The general focus of community based antiretroviral therapy is on drug refills, adherence and support groups. Due to this focus, laboratory services including blood draw are often neglected. This paper presents results from focus group discussions among community antiretroviral therapy members and community health workers and looks for positive perceptions regarding improving phlebotomy practices.
Kenya faces a heavy burden of tuberculosis. However, in 2016 only 46% cases were diagnosed. This study looked to identify strategies to increase attendance of patients at community-based clinics. This cluster randomized trial involved recruitment of individuals who showed disease symptoms by community health volunteers (CHVs).
This study aimed to assess the usability and acceptability of the NeMo system in rural Uganda. NeMo is an intuitive platform for neonatal assessment in a home setting. The study involved the application of the system by target users and volunteer community health workers (CHWs).
The integral role of community health workers (CHWs) in global health programs is slowly gaining recognition and appreciation. This book draws on experiences of Ethiopian CHWs who provided home based antiretroviral therapy in Addis Ababa to highlight CHW contributions
Provision of pregnancy tests by community health workers (CHWs) in low resource settings has the potential to reach a large proportion of women in these regions. This randomized control trial looks at the efficiency of an intervention which involves CHWs supplying home pregnancy tests and whether this approach brings in more clients for ante natal counselling (ANC).
Task shifting from clinicians to community health workers (CHWs) in regions of the world where physician to population density is low is a growing strategy among policy makers. This article looks at structural and local factors which lead to unintended consequences of CHW program implementation such as CHWs working simultaneously for multiple organizations, freelancing in communities, and uncoordinated care leading to adverse patient outcomes.