With hypertensive disorders being the second highest direct obstetric cause of maternal deaths, this study explores how task-sharing of some obstetric responsibilities can help reduce maternal mortality rates. Specifically, the study assesses the acceptability, within the health community in India, of task-sharing by CHWs in the identification and initial care of hypertensive disorders in pregnancy.
CHWs have been deployed in rural parts of India to improve access to preventative care in the country. This prospective cohort study describes how pregnant women and mothers of young children in rural West Bengal, India react when CHWs inform them that they, or their child, are at high risk of pregnancy-related complications or early childhood development delays and need further screening and health care from a physician.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
This cluster-randomized controlled trial assessed the effect of a cognitive therapy-based intervention put in place by community health workers in rural Pakistan on maternal depression and infant outcomes.
This report shows the preliminary results of the USAID SQALE Program model for quality improvement at a community level. Community health volunteers have improved reporting, community engagement with the health care system, and efficiency and performance.
This qualitative study looks at the perceptions of community health workers on the outcomes of the Home-Based Neonatal Care Program in India. The authors found that having local women participate in development programs results in both the potential for self-development and the program objective.
This study investigate the impact of two umbilical cord cleansing regimens on neonatal morality and morbidity in a rural region in the Sylhet District of Bangladesh. The study used data from a previously performed community-based cluster-randomized trail. Community health workers checked the newborns for the first nine days of life for infections. The authors found that identifying and following up with high-risk mothers and newborns along with clean cord care can decrease the rate of neonatal infections and deaths.
This study tested a 10 week home-based intervention by promotoras to promote a healthy weight in Latino preschool children. The intervention involved weekly 90 minute sessions to Latin families in Allegheny County, Pennsylvania. At the follow-up, overweight and obese children had a significnat decrease in BMI. Post-intervention showed an increase in fruit and vegetable intake and decrease in screen time for children and parents, an increase in physical activity for parents, and a decrease in saturated fat and added-sugar intake for children (p's<0.05).
While community health workers (CHWs) often identify and screen for severe acute malnutrition (SAM), this study looks at incorporating SAM treatment into the work of CHWs. The results from a randomized intervention study in Kita, Southwest Mali, indicated that with minimal training CHWs can treat SAM appropriately, which could result in lower defaulter ratios and improve access to treatment.