Video Spotlight

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

A community-based diabetes group pilot incorporating a community health worker and photovoice methodology in an urban primary care practice

Over a three-month period, this study evaluated a community-based diabetes self-management intervention that incorporated photovoice and community health workers to identify diabetes management approaches that work in an African American community.

A pilot study to evaluate home-based screening for the common non-communicable diseases by a dedicated cadre of community health workers in a rural setting in India

This article reports the findings of a pilot study of home-based screening of common non-communicable diseases by community health workers in rural India. The pilot included screening over 6000 rural Indian residents by CHWs over a six-month period. 

Extension for Community Healthcare Outcomes (ECHO): a new model for community health worker training and support

This article describes a distance learning approach for CHWs using the Extension for Community Healthcare Outcomes (ECHO) model™, which is a video-conferencing-based mentorship model. The authors describe the ECHO model for CHW training and mentoring using case examples and pre/post-surveys from an obesity prevention and addiction recovery program. They conclude that the ECHO model has advantages over traditional training methods for CHWs and can be adapted to other countries. 

Community health workers improve disease control and medication adherence among patients with diabetes and/or hypertension in Chiapas, Mexico: an observational stepped-wedge study

More evidence on CHWs’ impact on improving disease control and medication adherence among patients with non-communicable diseases in low-income and middle-income countries is needed. This prospective observational study examines the impact of a CHW-led intervention among patients with diabetes and/or hypertension in Chiapas, Mexico. 

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/referrals. 

Can lay health workers support the management of hypertension? Findings of a cluster randomised trial in South Africa

With the urgency of the HIV and TB epidemics in some low and middle-income countries, prevalent chronic diseases such as hypertension are often neglected by health services. This study assesses whether task-shifting from nurses to lay health workers (LHWs) improves the management of hypertension in rural primary healthcare clinics in South Africa.

Diabetes management training for female community health volunteers in Western Nepal: an implementation experience

This study evaluates a community-based diabetes management program involving female community health volunteers (FCHVs) under the government run FCHVs program. 

A community health worker intervention to improve blood pressure among Filipino Americans with hypertension: A randomized controlled trial

While CHW interventions have proved effective in hypertension control among ethnic minorities in the US, few have focused on Asian Americans. This randomized controlled trial assesses the efficacy of a CHW intervention in New York City to improve hypertension management among Filipino Americans with uncontrolled blood pressure. 

The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town

This cross-sectional study assessed the current roles, training, and knowledge of CHWs about diabetes and hypertension in Khayelitsha, Cape Town. One hundred and fifty CHWs from two non-governmental organisations required to provide non-communicable disease care as part of a comprehensive package of services were interviewed. Results indicate that roles were broad and varied, training was seen to be unstandardized and haphazard, and basic knowledge about diabetes and hypertension was poor among the CHWs.

Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial

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.

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