Video Spotlight

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

Socio-cultural contextual factors that contribute to the uptake of a mobile health intervention to enhance maternal health care in rural Senegal.

A notable amount of progress has been made in reducing maternal mortality rates over the past 25 years in Senegal. However, the national maternal mortality ratio remains unacceptably high. With mobile health (mHealth) interventions been used increasingly in rural and remote areas of the country, this study looks at the application of CommCare. CommCare is an application that runs on cell phones distributed to community health workers to enroll and track women through their pregnancy, birth and post-partum.

'He usually has what we call normal fevers': Cultural perspectives on healthy child growth in rural Southeastern Tanzania: An ethnographic enquiry.

The general model used for child growth monitoring (CGM) has been largely focused on indicators grounded in the biomedical model. However, for CGW to be effective, it is crucial to include other socio-cultural constructs. This study looks to develop a cultural conceptualization of healthy growth in rural Tanzania. The process through which this is carried out is through collecting ethnographic data from caregivers, community health workers and, parents and elderly women in the Kilosa district.

The community health worker as interlocutor in complementary feeding in Pelotas, Rio Grande do Sul, Brazil

This paper assesses the knowledge of community health workers (CHWs) regarding complementary feeding and it factors that influence its practice- socioeconomic, work schedules and resources available in primary health care facilities. Questionnaires were designed to test their knowledge and comparisons were drawn between responses recorded from health services and CHWs.

Enabling Community Health Worker Recognition and Referral of Surgical Diseases: Pilot Study Results of a Pictorial Guide

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.

'We Are the People Whose Opinions Don't Matter'. A Photovoice Study Exploring Challenges Faced by Community Health Workers in Uganda

Understanding the experiences of community health workers (CHWs) is essential in order to gauge the support and resources they require to effectively provide care to the populations they serve. The use of participatory visual methods (PVMs) to develop this understanding has been relatively underexplored. This study captures the challenges faced by CHWs through the use of a PVM, photovoice. The study looks at 8 CHWs over 6 weeks through 62 relevant photographs along with individual interviews and group discussions.

Effect of a Community Health Worker-Based Approach to Integrated Cardiovascular Risk Factor Control in India: A Cluster Randomized Controlled Trial

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.

End-of-Life Cancer Care Redesign: Patient and Caregiver Experiences in a Lay Health Worker–Led Intervention

This article discusses a lay health worker-driven (LHW) intervention called The Engagement of Patients with Advanced Cancer (EPAC). The program assists patients with advance care planning and is effective in improving patient experiences, lowering acute care use and reducing overall health care costs. This study presents information on patient and caregiver perceptions of the intervention.

Integrating Community Health Worker Roles to Improve Facility Delivery Utilization in Tanzania: Evidence from an Interrupted Time Series Analysis

There has been a renewed interest in the diverse role Community Health Workers (CHWs) play in the community. This study looks at the impact of an integrated HIV and maternal health program in Tanzania. The objective was to see how the program improved facility promotion and utilization of maternal health services.

Outsiders, insiders, and intermediaries: village health teams’ negotiation of roles to provide high quality sexual, reproductive and HIV care in Nakaseke, Uganda

Community health workers, or Village Health Teams (VHTs) as they are referred to un Uganda, play a vital role in improving access to community-based health services. This project aimed to understand the versatile role played by VHTs as part of the community and as care providers. It focused on sensitive services, such as reproductive health and HIV care.

Effects of a Community Health Worker-Led Multimedia Intervention on the Uptake of Cervical Cancer Screening among South Asian Women: A Pilot Randomized Controlled Trial

The uptake of cervical cancer screening services is low among South Asian women. Multimedia interventions facilitated by community health workers (CHW) offer an approach to improve screening service utilization rates. This randomized controlled pilot study evaluated the feasibility and preliminary effects of a CHW-led intervention on improving cervical cancer screening uptake in an underprivileged group.

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