A report written by the Clinton Health Access Initiative in Zambia detailing key gaps in supervision and mentorship in Zambia's Community Health Assistants Program and presenting practical recommendations to address them.
With shortages of qualified human resources for health in low-income sub-Saharan African countries with high HIV/AIDs prevalence, there has been an increased interest in CHWs. This article examines whether present CHW programs supporting antiretroviral treatment in sub-Saharan Africa are taking into account lessons learned from past experiences and to what extent they are capitalizing on opportunities for improvement.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
This article presents findings on an analysis of patterns of authorship of existing literature on CHWs in low-and-middle-income countries for the five-year period, 2012–2016. It highlights the continued predominance of lead authors from high- and middle-income countries, noting the need for improved capacity for knowledge generation in low-income countries in particular.
China has a history of integrating CHWs in public health intervention programs. Known as village doctors, these CHWs provide treatment and public responsibilities health. This systematic review identifies the public health services provided by CHWs and describes the potential barriers and facilitators of these services.
Sustainable funding is a significant barrier to expanding CHW work and to CHW integration into the healthcare system. This brief examines how states can use Medicaid managed care contracts to support community health workers.
As part of the Jon Snow, Inc. (JSI) podcast, Durrell Fox, a Community Health Worker and Health Equity Consultant at JSI discusses the roles and skills of CHWs, and gives insight into the current challenges CHWs face and what makes the profession unique.
As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.
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 article describes the results of a three-year simulation study that examined the comparative costs of a Patient-Centered Medical Home (PCMH) model and Integrated Primary Care and Community Support (I-PaCS) model, which integrates CHWs into primary care settings. The study found that the CHW model furthers cost savings at the facility level-making PCMH and I-PaCS models complementary.