Video Spotlight

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

“Because Even the Person Living With HIV/AIDS Might Need to Make Babies” – Perspectives on the Drivers of Feasibility and Acceptability of an Integrated Community Health Worker Model in Iringa, Tanzania

Countries with health workforce shortages are rely on community health workers (CHWs) to extend a diverse set of services to the community. However, there may be a limit to the number of tasks a CHW can perform without causing a severe decline in quality or productivity. This study assessed the viability of an existing program in Iringa, Tanzania in which HIV-focused CHWs working as volunteers received additional training on maternal, newborn and child health promotion; thereby, establishing a new dual CHW model.

Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service.

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.

Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya

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.

Perceptions on the feasibility of decentralizing phlebotomy services in community anti-retroviral therapy group model in Lusaka, Zambia

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.

Supporting hearing health in vulnerable populations through community care workers using mHealth technologies.

Low- and middle-income countries face the highest burdens hearing loss. Added to this is the limited access to hearing care in these regions. This study looks at a community-based hearing screening program using smartphone testing by community care workers (CCWs) in vulnerable populations, infected or affected by HIV.

The Lives of Community Health Workers (Anthropology and Global Public Health)

The integral role of community health workers (CHWs) in global health programs is slowly gaining recognition and appreciation. This book draws on experiences of Ethiopian CHWs who provided home based antiretroviral therapy in Addis Ababa to highlight CHW contributions

Impact of lay health worker programmes on the health outcomes of mother-child pairs of HIV exposed children in Africa: A scoping review

In countries with a heavy burden of HIV, the demand for healthcare services is often met with a dearth of health workers. This has led to a need for task shifting of lay health workers (LHWs) to improve healthcare delivery. This approach has been particularly successful in the case of maternal and childcare (MCH). This review examines the impact of LHWs in improving health outcomes in Women Living with HIV (WLH) and their HIV exposed infants (HEIs).

Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa

South Africa has implemented a community-based HIV programme (CBHP) as part of its strategy to re-engineer its primary healthcare (PHC) delivery systems. This article consists of insights gathered from focus group discussions with community health workers (CHWs) and PHC nurses in order to understand the barriers and facilitating factors related to successful implementation of CBHP.

“Being seen” at the clinic: Zambian and South African health worker reflections on the relationship between health facility spatial organisation and items and HIV stigma in 21 health facilities, the HPTN 071 (PopART) study

In this article, the authors assess the relationship between the spatial organization of healthcare services and the stigmatization of people living with HIV in Zambia and South Africa. CHWs were involved in collecting data and providing their own insights into how patients experience facility spaces. 

The Community Health Systems (CHS) Catalog

The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.

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CHW Central is managed by Initiatives Inc. Site start-up was supported by the USAID Health Care Improvement Project in 2011.

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