This paper explores the role of CHWs in supporting South Africa’s HIV/AID treatment program. Interviews were conducted to examine the perceptions and experiences of CHWs who care for HIV/AIDS patients in anti-retroviral treatment (ART).
With the urgency of the HIV and TB epidemics in some low and middle-income countries, prevalent chronic diseases such as hypertension are often neglected by health services. This study assesses whether task-shifting from nurses to lay health workers (LHWs) improves the management of hypertension in rural primary healthcare clinics in South Africa.
Task-shifting among CHWs addresses human resource shortages that have an affect on HIV service delivery in low-and-middle-income countries. Despite evidence on the positive outcomes CHWs bring to HIV programs, little is known about the challenges CHWs face in HIV service provision. This study addresses this knowledge gap by examining the ethical challenges that CHWs face in in low-and-middle-income countries.
Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.
During the 29th African Union Summit in Addis Ababa, Ethiopia, heads of state endorsed two new initiatives to end AIDS by 2030. The first is the community health workers initiative which aims to train and deploy 2 million CHWs to work towards increasing the number of people who know their HIV status, who have access to treatment, and who are on treatment with suppressed viral loads. The initiative is based on substantial evidence that CHWs provide quality care and reduce costs for health delivery. The second initiative is the western and central Africa catch-up plan, which aims to accele
At the 21st International AIDS Conference in Durban, South Africa in July 2016, Dr. Katie Simon presented findings from a study highlighting how community health workers can be utilized to address tuberculosis case detection, which often infects people living with HIV. This study found that intensified tuberculosis case finding (TB ICF) by CHWs was associated with a 20-fold increase in TB case detection at an antiretroviral therapy clinic in Malawi.
Daniel Palazuelos, Partners In Health, and Dr. Kevin Fiori, co-founder of Hope Through Health, discuss Dr. Fiori’s organization and global health. Hope Through Health is an organization dedicated to health care delivery in Togo and faced many challenges in its beginnings, but now successfully utilizes community health workers to empower the community and has increased the capacity of the community to hold the health care system accountable for quality and effective health care.
Pathfinder International Ethiopia has extensive experience implementing family planning (FP)/HIV integration through public health centers (HCs) and community networks. This brief describes Pathfinder's approach and its evolution and scale-up over time. It presents their experience in relation to the recommendations of World Health Organization (WHO) guidelines on FP/HIV integration and also outlines next steps and recommendations