There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).
The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.
This retrospective cohort study examines whether the use of SMS-based data entry by CHWs is more effective than paper forms in the timely CHW follow-up visits for malnutrition screening in children under-5 in sub-Saharan Africa.
This article presents findings from a study of treatment of uncomplicated severe acute malnutrition by community health workers in rural Mali. Key findings indicate that well-trained and supervised CHWs are capable of managing cases of uncomplicated SAM, there is an opportunity to increase access to quality treatment in Mali for SAM, and that resources needed to ensure continuous service should be further explored.
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.
The authors conducted a cluster-randomized controlled trial in Nairobi to determine the effectiveness of a home-based intervention that used community health workers to provide nutritional counseling and support exclusive breastfeeding. The intervention resulted in exclusive breastfeeding rates significantly increasing.