Video Spotlight

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

Financing CHW Systems at Scale in sub-Saharan Africa: Workshop Report

This report from the One Million Community Health Workers (1mCHW) Campaign on the outcomes from its 2015 workshop, Financing Community Health Worker Systems at Scale in Sub-Saharan Africa, shows that there is a timely opportunity to invest in government-led scale-up of community health worker programs in sub-Saharan Africa.

Improving Programs, Improving the Lives of People Living with HIV

“There continues to be a tremendous focus on enrolling people in treatment programs and ensuring that they remain in care. This case study examines an integrated clinical and social support program that used quality improvement, decentralization, task shifting, and community engagement to identify and address challenges to sustaining HIV treatment programs in India.”

Prioritizing HIV in Mental Health Services Delivered in Post-Conflict Settings

"After opening the clinic in northern Uganda, PCAF mental health (MH) staff requested specialized HIV training because they felt it was critical to address their clients' MH and HIV care and support needs in a holistic and knowledgeable manner. In northern Uganda, MH service providers must know their individual client, and having HIV knowledge and experience is key to being effective in their work.

Prevalence of depressive symptoms amongst highly active antiretroviral therapy (HAART) patients in AIDSRelief Uganda

There is need for in-depth evaluation to find out the root causes of depressive symptoms among HAART patients in AIDSRelief clinics. There is need to integrate mental health management in HIV care and treatment as well as training the existing health workers on mental health management.  (2013)

Integrating Mental Health into HIV Services: Standard Operating Procedures & Training Manual

Integration of mental health and HIV programs has the potential to significantly improve health outcomes for PLHIV. This training package, which is comprised of a training-of-trainers manual, an accompanying presentation, and a standard operating procedure, was developed to support a pilot project for MH and HIV integration at the community level such that health facilities, community-based organizations (CBOs), and traditional medical practitioners (TMPs) can collaborate to support MH screening and service provision for PLHIV in Zimbabwe.

Thinking outside the box: Addressing the mental health needs of PLHIV

Emerging evidence is demonstrating the accuracy of this statement particularly in the lives of people living with HIV (PLHIV). The occurrence of mental health problems among PLHIV is truly alarming; the prevalence of depression is estimated up to 72%, and anxiety rates are five times higher when compared to those not diagnosed with HIV. Aggravating an already difficult situation, more than 76% of all people with severe mental health issues go without treatment in low- and middle-income countries.  (2014)

Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda

Minimizing death and ensuring high retention and good adherence remain ongoing challenges for human immunodeficiency virus (HIV) treatment programs. We examined whether the addition of community-based accompaniment (characterized by daily home visits from a community health worker, directly observed treatment, nutritional support, transportation stipends, and other support as needed) to the Rwanda national model for antiretroviral therapy (ART) delivery would improve retention in care, viral load suppression, and change in CD4 count, relative to the national model alone. (2013)

Task shifting explained: a viable solution to health worker shortage?

Task shifting is a low-cost solution to tackling gaps in health services in the developing world, for example those in HIV and mental health treatment. The need for both is ever present.  (2014)

Community-based accompaniment and psychosocial health outcomes in HIV-infected adults in Rwanda: a prospective study

We examined whether the addition of community-based accompaniment to Rwanda's national model for antiretroviral treatment (ART) was associated with greater improvements in patients' psychosocial health outcomes during the first year of therapy. We enrolled 610 HIV-infected adults with CD4 cell counts under 350 cells/μL initiating ART in one of two programs. Both programs provided ART and required patients to identify a treatment buddy per national protocols.

Detection of antenatal depression in rural HIV-affected populations with short and ultrashort versions of the Edinburgh Postnatal Depression Scale (EPDS)

Approaches that incorporate CHWs in the detection and management of perinatal mental disorders have shown potential, with research demonstrating the capacity of CHWs to deliver treatment for both HIV (Selke et al. 2010) and maternal depression (Rahman 2005; Rahman et al. 2008).

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