Video Spotlight

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

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.

The division of labour between community medicine distributors influences the reach of mass drug administration: A cross-sectional study in rural Uganda

Community based mass drug administration (MDA) has been used as strategy for countering neglected tropical diseases. However, there is little known about what combination of community medicine distributor workload is ideal for attaining high treatment rates (over 65-75%) in villages. This study involved tracking and evaluating routine community-based MDA in the Mayuge district of Uganda. The workloads of different community medicine distributors were used to determine the optimal division of labor for attaining high village treatment rates.

Development of a tool for assessing quality of comprehensive care provided by community health workers in a community-based care programme in South Africa.

This study discusses the development of a tool designed to help non-clinical cadres evaluate the quality of care delivered by community health workers. The content of the tool was derived through multiple sources of information including interactions with district managers, national training manuals and an exploratory study that included observations of 70 community health workers undertaking 518 household visits.  

The roles of community health workers who provide maternal and newborn health services: case studies from Africa and Asia.

Community health workers (CHWs) play a vital role in provision of maternal and newborn health (MNH) services in low- and middle-income settings. However, a better understanding of the roles CHWs play in each setting: services, responsibilities, training duration and type of renumeration. This study presents information on CHWs providing MNH services in Bangladesh, India, Kenya, Malawi and Nigeria. Data from 23 policy documents, 36 focus group discussions and 131 key information interviews are analyzed and interpreted.

Zika virus knowledge, contraception use, and lessons learned from a Dominican Republic pilot study.

This study assessed knowledge about zika virus among communities in the Dominican Republic. It highlights Charlas, informal discussions lead by community health workers, as the most common source of information about zika virus.  

Adapting an Evidence-based Cardiovascular Disease Risk Reduction Intervention to Rural Communities.

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

A Cancer Education-Plus-Navigation Intervention Implemented Within a Federally Qualified Health Center and Community-Based Settings.

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.

Potential for a comprehensive stroke education: Assessing awareness about stroke among community health workers - A qualitative study from Urban Bangalore, Karnataka, India.

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.

Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service.

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.

The Impact of Centralized Employment Structure on Community Health Work: A Qualitative Case Study of Community Health Workers and Key Leadership.

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.

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