Access to surgical care represents a pressing challenge in LMICs, particularly for vulnerable populations. Community health workers (CHWs) and lay people play diverse roles in primary health care in these settings. However, they remain disconnected from surgical care in most environments. This study looked to assess the degree to which CHW understanding of surgical conditions could be improved using a pictorial based manual. The assessment was carried out using questionnaire instruments and context specific focus groups in Central America.
Several previous studies have evaluated the ability of community health workers (CHWs) to target individual cardiovascular risk factors. This study presents findings from a randomized control trial aimed at integrating CHW lead efforts for hypertension, diabetes and smoking control. It revealed that CHWs have a significant effort on hypertension and promotes the use of home-based care for cardiovascular risk factors through CHWs in LMICs.
The epidemic of opioid addiction has spread at a rapid pace across the United States since the 1990s. A number of medical and non medical factors have contributed to its progression. As such, Community Health Workers play an important role in addressing social determinants of health and ensuring access to care.
Project ECHO (Extension for Community Health care Outcomes) is an effort focused at providing training and mentorship to primary care providers for management of patients with complex conditions. This article looks at teleECHO, a clinic based out of the University of New Mexico Health Sciences Center which aims to benefit individuals suffering from behavioural health and substance use disorders.
Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
This qualitative study examines the facilitating factors and barriers to birth preparedness and complication readiness in rural Rwanda. Participants perceived CHWs, attending antenatal care, and medical insurance as facilitating factors while disrespectful care and inconsistent health policies were seen as barriers.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
This multi-site case study used interviews and focus groups of community health workers and facilitators to examine conversations on WhatsApp. WhatsApp was viewed positively by community health workers and acted as a useful tool in rural health work, despite the challenge of separating social use from instrumental use.
This randomized controlled study looked at the feasibility of incorporating community health workers into a team leading diabetes group visits. The authors concluded that integrating community health workers into diabetes group visit program is a feasible, effect intervention.
This study investigated knowledge and attitudes towards non-communicable diseases (NCDs) among community health workers in village health teams (VHTs) in Eastern Uganda through a questionnaire and four focus group discussions.VHT members had some knowledge and awareness of NCDs, but lacked information about NCDs in their specific communities. VHTs see a potential role for themselves in addressing NCDs.