Video Spotlight

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

CDC Community Health Improvement Navigator

This website is a database of community health interventions designed for people who lead or participate in CHI work within hospitals and health systems, public health agencies, and other community organizations. It includes infographics for improving community health, as well as guidelines for establishing and maintaining effective collaborations, finding interventions that work for the greatest impact, and more! 
 

Community health workers can improve male involvement in maternal health: evidence from rural Tanzania

Male involvement in maternal health is recommended as one of the interventions to improve maternal and newborn health. The aim of this study was to evaluate the effect of Home Based Life Saving Skills training by CHWs on improving male involvement in maternal health in terms of knowledge of danger signs, joint decision-making, birth preparedness, and escorting wives to antenatal and delivery care in a rural community in Tanzania.

Providing free pregnancy test kits to CHWs increases distribution of contraceptives: results from an impact evaluation in Madagascar

To improve access to contraceptives in remote and rural areas, sub-Saharan African countries are allowing community health workers (CHWs) to distribute hormonal contraceptives. Before offering hormonal contraceptives, CHWs must determine pregnancy status but often lack a reliable way to do so. This study design implemented a randomized experiment in Eastern Madagascar among CHWs who sell injectable and oral hormonal contraceptives. Results show that providing CHWs with free pregnancy test kits increases the number of new hormonal contraceptive clients.

Women's attitudes toward receiving family planning services from community health workers in rural Western Kenya

In African countries including Kenya, contraceptive use, fertility rates and other reproductive health indicators in rural areas lag behind urban areas. Even though Kenya's fertility rate declined from 8.1 in 1978 to 4.6 in 2008, the figures are much higher in rural areas, 5.2 compared to an urban rate of 2.9. The persistent high fertility rate has been attributed to many factors including inadequate provision of family planning services.

Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis

According to the 2010 Global Tobacco Survey, 47.4% of men in Vietnam are current smokers, a smoking prevalence that is the second highest among South East Asian countries (SEAC). If current smoking rates are not addressed it is estimated that in 10 years tobacco use will be responsible for about 25% of adult male deaths in Vietnam. Promoting cessation is the key to reversing current global trends in tobacco-related mortality over the next few decades. 

Community health workers recruitment from within: an inner-city neighborhood-driven framework

Community health workers (CHWs) are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. Among other roles, they are effective in closing critical communication gap between healthcare providers and patients as they possess key abilities to overcome cultural barriers, minimize disparities, and maximize adherence to clinical directions. In previous descriptions of the selection of CHWs, the role of community is clearly emphasized, but residence in the community is not indicated. 

Assessment of the quality of antenatal care services provided by health workers using a mobile phone decision support application in northern Nigeria: A pre/post-intervention study

Nigeria’s maternal mortality ratio is the tenth highest in the world, with an estimated 630 maternal deaths per 100,000 live births, and 40,000 maternal deaths annually. There is now a critical need to support Nigeria’s efforts to make significant progress in achieving the Millennium Development Goal 5 target of reducing maternal mortality by 2015 through the government’s recently launched Saving One Million Lives (SOML) initiative. With a dearth of skilled personnel at the primary health care level, Community Health Extension Workers (CHEWs) have increasingly filled the gap at primary heal

Interprofessional Teamwork and Collaboration Between Community Health Workers and Healthcare Teams: An Integrative Review

Community health workers (CHWs) can improve outcomes for underserved people. Evidence exists that CHW interventions in underserved populations improve health care management, disease prevention, and health promotion. Community health workers improve management of chronic illnesses such as asthma, diabetes, maternal–child health issues, increase health promotion activities such as vaccinations and cancer screening, and demonstrate net cost savings. Based on this evidence, interest in new CHW models has grown.

CHWs and Social Determinants of Health: How Far Upstream Are We looking?

Shared during the 2015 American Public Health Association (APHA) Annual meeting, Geoff Wilkinson and Durrell Fox presentation focused on community health workers and the social determinants of health.

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