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.
Lifestyle modifications such as a healthy diet, regular physical activity and maintaining a health weight are important practices for hypertensive individuals. In this cluster randomized trail, conducted between 2013 to 2016, community health workers (CHWs) delivered a multicomponent intervention targeting hypertensive patients at the health system, provider and family level. It also included sending out tailored text messages for 18 months.
In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated with PCC.
HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resulting perceptions are important for mitigating loss to follow up.
A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap.
This study aimed to develop a sustainable and comprehensive approach to pediatric hearing care in low- and middle-income countries. It involved the use of a smartphone-based platform to perform hearing screening and video otoscopy. The technology was applied by community health workers (CHWs) in Kilifi county in Kenya
Community health workers (CHWs) play a crucial role in enabling access to healthcare in marginalized communities; yet they also face numerous structural challenges which complicate their care delivery. This paper discusses the results of a year-long ethnographic study which looked at structural barriers faced by community health works in Indiana.
The general focus of community based antiretroviral therapy is on drug refills, adherence and support groups. Due to this focus, laboratory services including blood draw are often neglected. This paper presents results from focus group discussions among community antiretroviral therapy members and community health workers and looks for positive perceptions regarding improving phlebotomy practices.
This systematic review looks at a range of literature published between 2000-2018 on the application of mobile technologies for training community health workers in low and middle countries. The article looks at the use of these technologies across 9 global healthcare areas including neglected areas of disability and mental health.
Kenya faces a heavy burden of tuberculosis. However, in 2016 only 46% cases were diagnosed. This study looked to identify strategies to increase attendance of patients at community-based clinics. This cluster randomized trial involved recruitment of individuals who showed disease symptoms by community health volunteers (CHVs).