This cross-sectional study found that many of the auxiliary midwives were unable to recognize the majority of critical danger signs for childbirth. The paper also found a low level of knowledge about safe childbirth and immediate newborn care practices.
This paper tested a qualitative evaluative framework and tool to understand CHW performance in rural Uganda. The authors found that supportive supervision and bonds between healthcare workers affected performance outcomes.
This research paper examines CHWs' experiences with m-health tools through interviewing CHWs in primary care centers in Brazil. While m-health tools can be particularly helpful in low- and middle-income countries, CHW input should be sought during the design phase of the tool.
Despite Swaziland's large CHW program, the performance of CHWs in Swaziland has not been studied. This qualitative study hopes to contribute to future program design and improvements to current programs.
This paper used a cluster randomized controlled trial in South Africa to determine the effectiveness of improved training and continuous quality improvement based mentoring. The authors found that these methods improved the CHW-mother interactions.
This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage.
This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team. Results found a perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities.
This review explores the current evidence available to assess if increased levels of integration of community health resources in CHW programs leads to higher program effectiveness and sustainability. 32 articles were chosen for an extensive review, complemented by analysis of the results of 15 other review studies. Analysis found no quantitative data and minimal inclusion of even basic community level indicators.