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.
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.
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.
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.
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.
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.
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 looks at the potential to shift prevention of mother-to-child transmission of HIV tasks from nurses to community health workers (CHWs). This study measures the time nurses dedicate to these activities in Dar es Salaam, Tanzania, in order to estimate the potential cost savings of having CHWs take up these tasks. The paper found that task-shifting could allow nurses to focus on more specialized tasks, while reducing the average cost per patient.