As per global estimates, nearly 5 billion people lack access to safe, quality and timely surgical care. This pilot study assessed the local burden of disease in a rural area of India through the Surgeons OverSeas Assesssment of Surgical Need (SOSAS) survey. The study also evaluated the feasibility of using Accredited Social Health Activists (ASHAs) as enumerators.
Despite the availability of precision medicine – treatments tailored to patient’s particular needs based on their genetic make-up, environment and other factors – many minority or underserved populations do not have access to or cannot understand information related to precision medicine. This study proposes a coordinated expansion of community health worker and patient navigator roles to translate information to patients and expand access to precision medicine.
There is reasonable evidence that pulmonary rehabilitation (PR) is beneficial for alleviating the symptoms and disability brought about by chronic obstructive pulmonary disease (COPD) and can improve health status and quality of life. This cluster randomized control trial evaluates the efficacy of lay health workers (LHWs) to improve uptake and completion of PR in COPD treatment in the UK.
A large number of common mental disorders often go undiagnosed at primary healthcare facilities. This study looks at the feasibility of integrating traditional birth attendants into maternal mental health care through an analysis of views from multiple key stakeholders in Kenya.
In 2018, three global healthcare quality reports were published which resolutely move the UHC discourse from coverage to quality but fail to extend this to the quality of community health worker (CHW) programmes. Late in 2018, the WHO released its guidelines for optimising CHW programmes and health systems, in line with the renewed global focus on primary health care and community health workers as critical to achieving UHC.
Village health worker programs in Uganda have met with limited success in the past partly due to a reliance on volunteerism and a lack of incentivization. Doctors for Global Health developed a performance-based incentive mechanism for village health workers (VHWs) in Uganda. The given paper looks at the feasibility and sustainability of the model.
This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.
This systematic review analyses the research undertaken with respect to India’s accredited social health activist (ASHA) scheme as the programme enters its second decade. The review focused on whether the programme has suitable health systems interfaces to ensure sustainability and areas to focus upon as the programme evolves.
The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.
Since 2003, Ethiopia has been implementing a community health extension program (HEP). This systematic review assesses the improvements that the program has brought about particularly in terms of maternal and childcare, hygiene and sanitation, knowledge and healthcare seeking. It also looks at the weaknesses of this dynamic program with respect to productivity, efficiency, capacity and living conditions of health extension workers (HEWs).