Video Spotlight

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

Improving Access to Antenatal Care in Ngara, Tanzania Through Implementation of the Lady Health Worker Programme

Combatting maternal mortality is a major public health challenge in Tanzania. This problem persists due to lack of providers, poor quality of care and inaccessibility to care. This analysis looks at the effectiveness of implementing the Lady Health Worker Program (LHWP) across three healthcare facilities in the Ngara district of Tanzania. The analysis involves a comparison of outcomes before and after program implementation.

A Self-Management Training Intervention: Perceptions and Practices of Community Health Workers in South Africa

Community health workers (CHWs) are being used increasingly world over as a strategy to improve access to healthcare, particularly in rural communities. However, interventions targeted as improving their skill set and bringing about health behavior change are essential. This article presents findings from systematic, in-depth interviews conducted with CHWs in South Africa to understand their insights on self-management (SM) training.

Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone

Community engagement is considered to be a valuable strategy to improving health systems. However, there is limited evidence regarding the effectiveness of this approach. This study focused on operations research of a community-based health information system (PCBHIS). The development and implementation of the PCBHIS was assessed in slum communities.

Community health worker-delivered counselling for common mental disorders among chronic disease patients in South Africa: a feasibility study

This study assessed the feasibility and acceptability of two approaches of community health worker (CHW)-delivered mental health counselling for patients with chronic diseases. The ‘designated’ approach involved CHWs providing counselling in addition to their regular duties while the ‘dedicated’ approach involved the CHWs taking sole responsibility of delivering mental health counseling.

Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa

South Africa has implemented a community-based HIV programme (CBHP) as part of its strategy to re-engineer its primary healthcare (PHC) delivery systems. This article consists of insights gathered from focus group discussions with community health workers (CHWs) and PHC nurses in order to understand the barriers and facilitating factors related to successful implementation of CBHP.

The Role of Nurses and Community Health Workers in Confronting Neglected Tropical Diseases in Sub-Saharan Africa: A Systematic Review

Neglected Tropical Diseases (NTDs) constitute a large portion of the disease burden in poor and disenfranchised populations in sub-Saharan Africa. This article looked to combine recent relevant literature on the impact of nurses and community health workers on managing NTDs.

Podcast: Roundtable Discussion with the Community Health Team from Mbarara University of Science and Technology in Western Uganda

Uganda Podcast.jpgIn the Kasese district of western Uganda, the Bugoye Health Center (a public sector health center in Uganda) and Mbarara University of Science and Technology have partnered with Massachusetts General Hospital to strengthen the local health system, working with community health workers in this endeavor. Dr.

Policy review on the management of pre-eclampsia and eclampsia by community health workers in Mozambique

Pre-eclampsia is one of the major contributors to maternal deaths in the Mozambique. This study looks to identify and review health policies associated with CHW management of pre-eclampsia and eclampsia.

Integrating community health workers into the formal health system to improve performance: a qualitative study on the role of on-site supervision in the South African programme

This qualitative study compared the affects of two CHW supervision models – clinic-based supervision versus community-based supervision – on CHW team performance. It also examined CHW team performance when supervised by a senior nurse versus a junior nurse.   The study outlines some of the characteristics of effective supervision and finds that CHWs supervised in facilities by senior nurses are better integrated with facility teams and more able to ensure continuity of care.

Proximity to a community health worker is associated with utilization of malaria treatment services in the community among under-five children: a cross-sectional study in rural Uganda

Health facilities are difficult to access in rural parts of Sub-Saharan Africa. For malaria, poor access contributes to delayed treatment.  Community Health Workers provide a viable option for extending access to prompt malaria treatment. This study evaluated utilization of CHW service in relation distance from the CHW.  

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