According to the 2010 Global Tobacco Survey, 47.4% of men in Vietnam are current smokers, a smoking prevalence that is the second highest among South East Asian countries (SEAC). If current smoking rates are not addressed it is estimated that in 10 years tobacco use will be responsible for about 25% of adult male deaths in Vietnam. Promoting cessation is the key to reversing current global trends in tobacco-related mortality over the next few decades.
Community health workers (CHWs) are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. Among other roles, they are effective in closing critical communication gap between healthcare providers and patients as they possess key abilities to overcome cultural barriers, minimize disparities, and maximize adherence to clinical directions. In previous descriptions of the selection of CHWs, the role of community is clearly emphasized, but residence in the community is not indicated.
Community health workers (CHWs) can improve outcomes for underserved people. Evidence exists that CHW interventions in underserved populations improve health care management, disease prevention, and health promotion. Community health workers improve management of chronic illnesses such as asthma, diabetes, maternal–child health issues, increase health promotion activities such as vaccinations and cancer screening, and demonstrate net cost savings. Based on this evidence, interest in new CHW models has grown.
Close-to-community (CTC) providers, including community health workers or volunteers or health extension workers, can be effective in promoting access to and utilization of health services. Tasks are often shifted to these providers with limited resources and support from CTC programmes or communities. The Community Health System Strengthening (CHSS) model is part of an improvement approach which draws on existing formal and informal networks within a community, such as agricultural or women’s groups, to support CTC providers and address gaps in community-based health services.
The Patient Protection and Affordable Care Act (ACA) provides a policy framework to re-imagine a system of care that emphasizes health and wellness through new models of primary care and population health interventions. These new models offer the potential to deliver care services at a lower cost, to detect and treat disease earlier, to deploy data and technology to improve population health outcomes, and to address social and environmental conditions that impede efforts to improve health.
There is a growing movement among health care organizations to adopt the Community
Health Worker (CHW) model into their system as a way to provide comprehensive care
to patients and community members. At the same time there is uncertainty about how
to implement the CHW model to achieve better patient outcomes, higher quality of care,
and lower health care costs. With generous funding from the Lloyd A. Fry Foundation,
the Sinai Urban Health Institute (SUHI) in Chicago, IL embarked on a two-year project
This series of 18 training modules can be used in a five- or six-day workshop to deliver technical content on case management and prevention of common health problems through a community-directed delivery mechanism. These modules build on field experience in delivering malaria services through community effort as well as on the 16+ years of effort by the African Program for Onchocerciasis Control and the Special Program for Research and Training in Tropical Diseases of the World Health Organization and its partners.
Contraceptive implants offer promising opportunities for addressing the high and growing unmet need for modern contraceptives in sub-Saharan Africa. Marie Stopes International (MSI) offers implants as one of many family planning options. High levels of client satisfaction were attained alongside service provision scale up by using existing MSI service delivery channels—mobile outreach, social franchising, and clinics—to implement strategies that broadened access for underserved clients and maintained service quality.
Community health workers (CHWs) have a key role to play if we are to achieve our ambitious goals to reduce child and maternal mortality globally. A wide diversity of CHW cadres have been established in many countries, both in the public sector and with nongovernmental organizations, yet several major challenges have emerged. Mobile phones can be transformative for community health workers (CHWs) in enhancing their influence and status and helping to solve practical problems.