Podcast: Susan Keen, director of the Pathways to Better Health Program, discusses how CHWs are able to assist people with their social and health needs, have a direct impact on improving the overall health of a community, and decrease unnecessary hospitalizations and emergency department visits.
Despite psychiatric disorders contributing to a significant portion of the global disease burden, insufficient access to mental health services is widespread. This study examined its CHW mental health training program, developed in close collaboration with the Western Cape Department of Health, and evaluates the program’s success in improving the knowledge, skill and confidence among trained CHWs and expanding access to mental health services.
This policy brief provides evidence-based recommendations to support community-based CHW services with sufficient resources to address social determinants of health. The goal of these recommendations is to increase the establishment of healthcare policies related to CHW services for communities facing health inequities.
This study examines the effectiveness of a community health worker (CHW) program, which aims to address client objectives for frequent emergency department users. 43% of total objectives were achieved and objective achievement was linked with increased client engagement. The authors offer several suggestions as to why the objective achievement was low and how to better engage clients in CHW services.
This research article examined the best way to deliver seasonal malaria chemoprevention (SMC) treatment. The authors found that door-to-door delivery provided better coverage than fixed-point delivery, while directly observed therapy (which uses more resources) did not improve coverage. Community health workers deliver SMC treatment through door-to-door and fixed-point delivery.
This study investigate the impact of two umbilical cord cleansing regimens on neonatal morality and morbidity in a rural region in the Sylhet District of Bangladesh. The study used data from a previously performed community-based cluster-randomized trail. Community health workers checked the newborns for the first nine days of life for infections. The authors found that identifying and following up with high-risk mothers and newborns along with clean cord care can decrease the rate of neonatal infections and deaths.
Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.
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.