The purpose of this study was to apply the RE-AIM framework to evaluate data obtained from focus group discussions to generate information on the availability of cardiovascular disease (CVD) risk interventions through the COACH program in Nebraska. The COACH approach involves interventions provided by nurses and community health workers
While cancer screening tests are available, Latinos are screened at a lower rate than non-Hispanic whites. This study looked at the effectiveness of an evidence-based community health worker (CHW) intervention which was designed to increase screening rates, knowledge about screening guidelines and awareness about benefits of early detection. The project involved community and clinic-based components primarily targeted at Latino populations.
The rising incidence of stroke is growing into a major public health concern. Yet, there is limited awareness about its risk factors and treatment procedures. This study involved a focus group discussion with Accredited Social Health Activists (ASHAs) in India to understand their level of awareness regarding stroke, its causes, and related treatment procedures.
Miami-Dade County in the state of Florida, USA, faces the largest burden of new HIV infections in the nation. Building off the success of street-based HIV testing carried out by community health workers (CHWs), this study looks at a community-based approach for HIV testing among Black adults. This CHW-led intervention included providing education about risk factor modification, transmission and prevention methods along with HIV testing.
There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure.
This article looks at the barriers faced by community health workers (CHWs) in performing house calls in low-income and violent communities. The objective is to understand the challenges with regards to access to primary health care in developing countries. The study was carried out through field investigations in two clinics and telephone surveys with a sample of about 1,690 community health workers in the city of Rio de Janeiro, Brazil.
Lifestyle modifications such as a healthy diet, regular physical activity and maintaining a health weight are important practices for hypertensive individuals. In this cluster randomized trail, conducted between 2013 to 2016, community health workers (CHWs) delivered a multicomponent intervention targeting hypertensive patients at the health system, provider and family level. It also included sending out tailored text messages for 18 months.
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.
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