Today's ambulatory care providers face numerous challenges as they try to practice efficient, patient-centered medicine. This article explains how community health workers (CHWs) can be engaged to address many patient- and system-related barriers currently experienced in ambulatory care practices. Community health workers are frontline public health workers who serve as a trusted bridge between community members and health care providers. Among their varied roles, CHWs can educate and support patients in managing their risk factors and diseases and link these patients to needed resources.
Community health workers (CHWs) can play a critical role in promoting healthy living by educating community members about heart disease and stroke prevention and by helping people understand the importance of health care self-management, especially in underserved communities throughout the United States.
Chronic conditions, such as heart failure, diabetes and asthma are pervasive among Massachusetts residents. In March 2008, the Executive Office of Health and Human Services (EOHHS) convened the Disease Management and Wellness Task Force with broad representation from more than 40 organizations to develop an action-oriented framework for managing and treating chronic disease in Massachusetts, focusing initially on diabetes. This report introduces 6 recommendations that will reduce and prevent diabetes in Massachusetts residents.
This report discusses the renewed interest in the potential contribution of community health workers to child survival. CHWs can undertake various tasks, including case management of childhood illnesses (e.g., pneumonia, malaria, and neonatal sepsis) and delivery of preventive interventions such as immunisation, promotion of healthy behaviour, and mobilisation of communities. Several trials show substantial reductions in child mortality, particularly through community case management of ill children.
This is an audio and slide presentation from 2009 by the director of health programs at Food for the Hungry (FH), Thomas P. Davis Jr. In it, Davis discusses FH's utilization of “care groups” to reduce malnutrition and child deaths in Mozambique. The care group method, developed by World Relief, mobilizes teams of women who volunteer to represent, serve and do health promotion with 10-15 households. FH’s care group program resulted in rapid changes in key components of child survival and a decrease in child mortality. The program was cost effective and sustainable.
This article looks at the policy landscape and processes that led to the implementation of a community case management (CCM) for child survival program in Nicaragua. The authors review both the contextual factors that facilitated CCM as well as the challenges, and conclude that continuous monitoring is essential for both sustainability and scale up.
This comprehensive toolkit from Save the Children presents more than 20 integrated tools that can be used to implement integrated Community Case Management (iCCM) strategies to deliver life-saving treatments for common serious childhood infections: pneumonia, newborn sepsis, malaria and diarrhea. The tools offer proven frameworks for training, equipping and supervising CHWs and planning and monitoring their work. The tools are each presented in a one-page format, followed by one or more examples. Additional examples are available on an accompanying CD.
This document is the report from a workshop that brought together public health and mobile technology experts. The group examined how the use of mobile phones and other related technology can improve health care delivery by supporting CHWs and integrated Community Case Management (iCCM) programs. The report presents scenarios that demonstrate how mobile technology can be used to: bridge gaps between suppliers and health providers; give voice to community demands; and, promote recognition of high-performing CHWs.
The authors conducted a systematic review of studies conducted between 1987 and 2007 in sub-Saharan Africa on the impact of CHW programs on morbidity and mortality of children under six. Seven studies in which CHWs provided curative treatment were included in the review. The authors conclude that CHW programs have the potential to contribute to large gains in child survival. However, the available evidence is severely limited and therefore large-scale and rigorous studies are urgently needed.
This journal article looks at a study conducted in 2007 to evaluate the impact of community directed intervention (CDI) on delivering five health interventions in onchocerciasis endemic districts in Tanzania: Vitamin A supplementation (VAS), community-directed treatment with Ivermectin (CDTi), distribution of insecticide -treated nets (ITN), directly observed treatment of TB (DOTS), and home-based management of Malaria (HMM).