Malaria Consortium’s inSCALE project has been working in Uganda to help scale up quality integrated community case management programmes to improve child health. This Learning Paper details the process of establishing Village Health Clubs with the aim of improving the motivation and performance of community health workers – known as village health team members (VHTs) in Uganda.
In 2004, the Government of Ethiopia introduced the Health Extension Programme (HEP), a free primary health care package with four components: disease prevention and control, family health, hygiene and environmental sanitation, and health education and communication. A female cadre of salaried community health workers (CHWs) called health extension workers (HEWs) was introduced nationally. HEWs are linked to the community through a network of community volunteers, who are members of the health development army (HDA).
Under-five mortality has fallen globally from 12.6 million deaths in 1990 to 6.6 million deaths in 2012. The share of neonatal mortality among under-five deaths increased from 37% in 1990 to about 44% in 2012, because of a slower decline in the neonatal mortality rate compared to deaths in older children. In Pakistan, over 60% of deaths under 5 years occur during the neonatal period (55 per 1000 live births) and have not changed over the past 6 years. These national averages mask considerable disparities between provinces and districts.
A mass test and treat campaign (MTAT) using rapid diagnostic tests (RDTs) and artemether-lumefantrine (AL) was conducted in Southern Zambia in 2012 and 2013 to reduce the parasite reservoir and progress towards malaria elimination. Through this intervention, community health workers (CHWs) tested all household members with rapid diagnostic tests (RDTs) and provided treatment to those that tested positive.
Community case management of malaria (CCMm, formerly designated as home management of malaria) consists in treating febrile individuals with pre-packaged anti-malarial drugs distributed by members of the community, often designated as community health workers (CHWs).
The effectiveness of community health workers (CHWs) as health educators and health promoters among Latino populations is widely recognized. The Affordable Care Act created important opportunities to increase the role of CHWs in preventive health. This article describes the implementation of CHW-led, culturally specific, faith-based program to increase physical activity among churchgoing Latinas.
Non-communicable diseases (NCDs) are rapidly becoming priorities in developing countries. While developed countries are more prepared in terms of skilled human resources for NCD management, developing the required human resources is still a challenge in developing countries. In this context, mobilizing community health workers (CHWs) for control of NCDs seems promising. With proper training, supervision and logistical support, CHWs can participate in the detection and treatment of hypertension, diabetes, and other priority chronic diseases.
Zambia has a strained health care system with limited health facilities and human resources, and thus has been using community-based health workers, mostly volunteers, to provide basic health services, especially in rural areas, to confront its high under-5 mortality. Two common volunteer cadres are community health workers (CHWs) and trained traditional birth attendants (TBAs).
The health status of most ethnic minority groups in Western countries is poorer than the health status of the majority population. This is especially applicable for ethnic minority older adults. Limited access to health care services has been reported to be an important factor for these disparities in health and is in part caused by limited knowledge about health care facilities, language problems, and financial barriers. Intercultural differences in the perception of health needs and reasons for consultation may be other important contributing factors.
In Kenya, primary healthcare (PHC) providers (mainly clinical officers and nurses) at health facilities and community health workers (CHWs) in the field are required to integrate oral care of HIV patients into the PHC system. However, these health workers have not been educated on oral diseases. Detecting Human Immunodeficiency Virus (HIV) related orofacial lesions (HROLs) as part of their community duties would increase the probability of early identification of HIV-infected people and those developing highly active antiretroviral therapy (HAART) resistance.