Video Spotlight

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

Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda

Task sharing as an approach to target mental health through community health workers is slowly gaining attention and support in LMICs. This multi-site study aimed to determine key factors that could drive task sharing in different contexts along with providing insight regarding challenges associated with the approach.

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.

Ethics of task shifting in the health workforce: exploring the role of community health workers in HIV service delivery in low- and middle-income countries

Task-shifting among CHWs addresses human resource shortages that have an affect on HIV service delivery in low-and-middle-income countries. Despite evidence on the positive outcomes CHWs bring to HIV programs, little is known about the challenges CHWs face in HIV service provision. This study addresses this knowledge gap by examining the ethical challenges that CHWs face in in low-and-middle-income countries.

The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Based on an intervention carried out in Surabaya, Indonesia, this qualitative study examines the feasibility and acceptability of CHWs detecting and referring pregnant women and postpartum mothers who might suffer from perinatal depression. 

The feasibility of task-sharing the identification, emergency treatment, and referral for women with pre-eclampsia by community health workers in India

With hypertensive disorders being the second highest direct obstetric cause of maternal deaths, this study explores how task-sharing of some obstetric responsibilities can help reduce maternal mortality rates. Specifically, the study assesses the acceptability, within the health community in India, of task-sharing by CHWs in the identification and initial care of hypertensive disorders in pregnancy. 

Leadership and Task Shifting to Address the Challenges of Antimicrobial Resistance in South Africa

This article examines using community health workers to address the challenges of antimicrobial resistance in South Africa in terms of leadership and task shifting.

The effectiveness of treatment for Severe Acute Malnutrition (SAM) delivered by community health workers compared to a traditional facility based model

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. 

Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study

This study investigated knowledge and attitudes towards non-communicable diseases (NCDs) among community health workers in village health teams (VHTs) in Eastern Uganda through a questionnaire and four focus group discussions.VHT members had some knowledge and awareness of NCDs, but lacked information about NCDs in their specific communities. VHTs see a potential role for themselves in addressing NCDs. 

Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes

This paper examines the cost savings that can result from integrating CHWs into patient-centered medical homes.

Determinants of knowledge of critical danger signs, safe childbirth and immediate newborn care practices among auxiliary midwives: a cross sectional survey in Myanmar

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. 

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