Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs.
Settings with limited health care workers are challenging environments for delivery of antiretroviral therapy. One strategy to address this human resource crisis is to task shift through training selected patients as peer health workers (PHWs) to provide care to other individuals receiving antiretroviral therapy.
This article evaluates the cost effectiveness of facility-and home-based voluntary counseling and testing (VCT) in rural Uganda. A cost analysis using the “ingredients” approach and based on a programmatic perspective. Effectiveness was measured as the number of HIV sero-positive case identified. Home based VCT was the least costly strategy per client tested and was also cost effective in identifying HIV sero-positive clients in rural areas.
The COPHIA program emphasizes the provision of home-based care and support services by multi-purpose community-based health workers to vulnerable households coping with the burden of caring for seriously ill family members or orphans and vulnerable children. The COPHIA community-based health workers, with the support of clinical and non-clinical supervisors, provide the direct physical and emotional care and support services to people living with HIV/AIDS (PLWHA) and orphans and vulnerable children in the project catchment area.
The paucity of trained health professionals and other human resources to combat HIV/AIDS in the focus countries is a stark indicator of the challenges facing the Emergency Plan. Policies that mandate that only health professionals can provide health services, when trained community health workers could provide components of prevention, care, and treatment
This pre-tested and peer-reviewed curriculum focuses on the knowledge and skills necessary for providing holistic CHBC for people living with HIV/AIDS, transferring knowledge and skills to caregivers and CHBC clients, and mobilizing communities around HIV/AIDS prevention, care, treatment, and support. The trainer’s guide includes comprehensive units that cover topics from HIV basics, communication skills, nursing care, nutrition, positive living, family planning, HIV prevention, and ART to community mobilization.
A key element of USAID’s strategic approach to maternal and child health (MCH) is to increase the number of functional community health workers serving in USAID priority countries by at least 100,000 by 2013. At the request of the USAID MCH team, the Health Care Improvement Project (HCI) developed a tool that defines a set of key elements needed for community health worker programs to function effectively and that evaluate programs on specific criteria, which were defined by recent literature reviews on CHW programs (see link below) and by suggestions from experts.
This report is the result of research undertaken in South Africa as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.
This report is the result of research undertaken in Zambia as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.