Video Spotlight

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

The Opioid Crisis and the Role of Community Health Workers

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. 

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.  

Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan.

There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).

SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators

As per global estimates, nearly 5 billion people lack access to safe, quality and timely surgical care. This pilot study assessed the local burden of disease in a rural area of India through the Surgeons OverSeas Assesssment of Surgical Need (SOSAS) survey. The study also evaluated the feasibility of using Accredited Social Health Activists (ASHAs) as enumerators. 

Driving the precision medicine highway: community health workers and patient navigators

Despite the availability of precision medicine – treatments tailored to patient’s particular needs based on their genetic make-up, environment and other factors – many minority or underserved populations do not have access to or cannot understand information related to precision medicine. This study proposes a coordinated expansion of community health worker and patient navigator roles to translate information to patients and expand access to precision medicine. 

Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial

There is reasonable evidence that pulmonary rehabilitation (PR) is beneficial for alleviating the symptoms and disability brought about by chronic obstructive pulmonary disease (COPD) and can improve health status and quality of life. This cluster randomized control trial evaluates the efficacy of lay health workers (LHWs) to improve uptake and completion of PR in COPD treatment in the UK.

Integration of Traditional Birth Attendants into Mental Healthcare: A Multistakeholder Qualitative Study Exploration

A large number of common mental disorders often go undiagnosed at primary healthcare facilities. This study looks at the feasibility of integrating traditional birth attendants into maternal mental health care through an analysis of views from multiple key stakeholders in Kenya.

Webinar Resources and Recording -Quality improvement approaches for community health programmes

In 2018, three global healthcare quality reports were published which resolutely move the UHC discourse from coverage to quality but fail to extend this to the quality of community health worker (CHW) programmes. Late in 2018, the WHO released its guidelines for optimising CHW programmes and health systems, in line with the renewed global focus on primary health care and community health workers as critical to achieving UHC.

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