Video Spotlight

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

The status of Ghanaian community health workers’ supervision and service delivery: descriptive analyses from the 2017 Performance Monitoring and Accountability 2020 survey

Community based services are an essential component of quality primary health care. Ghana launched the National Community Health Worker (CHW) program in 2014 as part of its existing Community-based Health Planning and Services (CHPS) campaign. This study presents a descriptive analysis of data pertaining to CHW supervision and service delivery collected as part of the Performance Monitoring and Accountability 2020 survey.

Assessment of tuberculosis knowledge among Lesotho village health workers and utilisation of their tuberculosis services by the communities they serve

Village health workers (VHWs) play an integral role in educating communities about tuberculosis (TB), conducting TB screening and facilitating treatment. This cross-sectional descriptive study aimed to assess TB knowledge among VHWs, households and overall utilization of TB services. It involved interviews of populations at household and clinic levels in 20 out 0f 19 districts in Lesotho. 

Who are the real community health workers in Tshopo Province, Democratic Republic of the Congo?

There has been a growing trend of task shifting in primary health care services including the use of community health workers (CHWs) in diagnosis of childhood illness. This study examines the role of traditional healers, their ability to meet the needs of families within communities and their integration into the health system in Tshopo through 127 in depth interviews with community members and health providers. It compares their performance to those of CHWs.

A conversation with Dr. Jacques Sebisaho on working with CHWs in conflict settings

Dr. Palazuelos sits down with Jacques Sebisaho from Amani Global Works, an NGO based in the Democratic Republic of Congo on the island of Idjwi. Amani Global Works aims to provide healthcare for those in need and create a replicable model for care across Africa. Drawing from Jacques’s experiences as the founder of the organization, Dan and Jacques share personal stories about life, compassion, and danger working on the front lines of community health in the Democratic Republic of the Congo, and beyond.

The impact of paid community health worker deployment on child survival: the connect randomized cluster trial in rural Tanzania

This paper presents the results of a non-masked cluster randomized trail conducted in three districts in rural Tanzania. The study  looked at the impact of deploying paid community health workers (CHWs) to provide door-to-door services on child survival. The services provided included preventive, promotional and curative antenatal, newborn child and reproductive health care.  

Home visits by community health workers for pregnant mothers and newborns: coverage plateau in Malawi

Globally, home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to contribute to newborn survival. With the ever-expanding roles of CHWs can health systems ensure   sufficient home visit coverage? This study looks at the results of a population-based survey conducted in the Ntcheu district of Malawi. It focuses primarily on understanding the feasibility and coverage of home visits post the implantation of the Malawi Ministry of Health’s Community-Based Maternal and Newborn Care (CBMNC) package.

Clinical evaluation of the use of an mhealth intervention on quality of care provided by Community Health Workers in southwest Niger

As part of the World Health Organization’s (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada worked with the Niger Ministry of Health to enable implementation of iCCM in four districts of Niger in 2013. This paper presents a two-arm cluster randomized trial which looked at the impact of an mhealth approach focused on improving quality of care (QoC) deployed by community health works.

Community healthcare worker response to childhood disorders: Inadequacies and needs

Community health workers (CHWs) are a vital link between health facilities and communities with a high prevalence of childhood disorders. However, there is a dearth of literature which suggests that CHWs are adequately skilled and trained for this task. This study looks at the training needs of CHWs in the KwaZulu-Natal province of South Africa.

Psychosocial distress among unpaid community health workers in rural Ethiopia: Comparing leaders in Ethiopia's Women's Development Army to their peers

Many global health initiatives rely heavily on unpaid and impoverished community health workers. Given the growing social science literature on volunteering in health programs in low- and middle-income countries, it is imperative to pay attention to the psychological and social well being of these volunteers. This study presents a quantitative and qualitative assessment of these factors from data obtained by a cross sectional survey of women who comprise Ethiopia’s state organized Women Development Army.

The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania

The effect of different care delivery approaches on health system satisfaction has not been monitored extensively. This article focuses on public satisfaction with regards to a community health worker (CHW) program targeted at maternal care among pregnant women or women who have recently delivered.

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