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.
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.
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.
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.
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.