Video Spotlight

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

Community health workers: an opportunity for reverse innovation

Prabhjot Singh and Jeffrey Sachs' Viewpoint (July 27, p 363) describes well the rationale for scaling-up a subsystem of community health workers (CHWs) in sub-Saharan Africa and the progress to date.
It is well recognised that CHWs can bring multiple benefits to individuals and populations, and improve efficiency and equity within health systems. WHO now recommends an expanded CHW role. What is less well recognised is that such a system is applicable to all WHO member states.

‘‘A cup of tea with our CBD agent…’’: community provision of injectable contraceptives in Kenya is safe and feasible

In rural areas of Kenya, where the majority of the population lives, contraceptive use remains low compared with that in urban areas (37% vs. 47%). Inadequate access to family planning services in rural areas is partly due to fewer health facilities and the shortage of health care workers. Community-based access to injectable contraceptives can improve access for rural populations and expand the range of contraceptive methods available.

The Role of Non-Traditional Health Workers in Oregon’s Health Care System

 The Non-Traditional Health Worker (NTHW) Subcommittee embarked on a process to develop recommendations on core competencies and education and training requirements for NTHWs, as well as to advise on additional concepts regarding the role of NTHWs. Briefly, the Subcommittee defined the scope of work under the following four roles:

Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems

Participation of community health workers (CHWs) in the provision of primary health care has been experienced all over the world for several decades, and there is an amount of evidence showing that they can add significantly to the efforts of improving the health of the population, particularly in those settings with the highest shortage of motivated and capable health professionals.

Health Sector Development Programme III: Annual Performance Report (Ethiopia)

Numerous initiatives were undertaken during the third Health Sector Development Programme (HSDP III) to achieve universal access to primary health care, notably through the implementation of the health extension program and the accelerated expansion of health centers. This report highlights the major achievements and challenges of the health sector in 2002 under five major sections: leadership and governance, human resources development and management, essential medical products and technologies, service delivery and quality of care, and health financing.

Level of Leisure Time Physical Activity Is Associated with Work Ability: A Cross-Sectional and Prospective Study of Health Care Workers

With increasing age, physical capacity decreases and the time needed for recovery increases, while the demands of work do not change with age. The aim of this study was to evaluate the association between physical activity and work ability of health workers using both cross sectional and prospective analyses. 

Community Health Worker Opportunities and the Affordable Care Act (ACA)

This short article demonstrates potential opportunities for community health workers under the new Affordable Care Act. The role of CHWs has more recently become legitimized as their value to improving the efficacy of care is increasingly recognized. The Maricopa County Department of Public Health discusses the potential roles of CHWs and funding opportunities to promote utilization of CHWs in the County and State.

Community Health Workers: A Review of Program Evolution, Evidence on Effectiveness and Value, and Status of Workforce Development in New England

The goal of this initiative is to provide a forum in which all these different strands of evidence, information, and public and private values can be discussed together, in a public and transparent process. The mission of the New England Comparative Effectiveness Public Advisory Council (CEPAC) is to provide objective, independent guidance on how information on comparative effectiveness can best be used across
New England to improve the quality and value of health care services.

Building a National Research Agenda for the Community Health Worker Field

This document summarizes the results of a unique and rich dialogue during a two-day conference, in which for the first time a diverse group of individuals including CHWs, researchers and other stakeholders produced and prioritized a set of research questions about CHWs. That set of questions is the true heart of a potential
research agenda.

Community health workers "101" for primary care providers and other stakeholders in health care systems.

Today's ambulatory care providers face numerous challenges as they try to practice efficient, patient-centered medicine. This article explains how community health workers (CHWs) can be engaged to address many patient- and system-related barriers currently experienced in ambulatory care practices. Community health workers are frontline public health workers who serve as a trusted bridge between community members and health care providers. Among their varied roles, CHWs can educate and support patients in managing their risk factors and diseases and link these patients to needed resources.

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