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.
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.
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.
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.
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.
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.
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.
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.
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.