Management of CHW programs requires better data collection approaches at the community level. This paper describes a framework and proposes a list of metrics to monitor CHW performance in low- and middle-income countries.
This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
This mixed-methods study assesses a CHW-utilized mHealth platform, Mobile for Mothers, in India. It analyzes CHW perceptions of the technology and its usefulness, outcomes and the contextual factors that influence health seeking behavior.
With low latrine coverage in Kenya, there is a high prevalence of hygiene and sanitation related illnesses. This study assesses the effects of a CHW-led intervention, on latrine coverage in Mwingi West Sub-County, Kitui County-Kenya.
This study examines Community Health Workers’ perceptions of how the Zimbabwe study for Enhancing Testing and Improving Treatment of HIV in Children (ZENITH) randomized controlled trial’s structure and management affected their performance. The results of the study showed that CHWs saw the intervention as acceptable, feasible, and expressed overall strong job satisfaction. Long term sustainability of the programme is highlighted as an issue and the future improvement and adoption of the approach in other settings are discussed.
This study examines how Brazilian primary health care handles domestic violence against women. A gap between policies and practical application were found at local levels and community health workers were found to be critical to opening dialogue between women experiencing violence and the health care system.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
This community-based, cluster-randomised controlled trial in Nepal had female community health volunteers provide home counseling and blood pressure monitoring. The intervention resulted in a reduction of blood pressure for participants with hypertension and helps age-related blood pressure increases in adults.