Video Spotlight

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

Rural, Remote and Resilient: How to Build Better Outcomes Outside of America’s Cities

Over 60 million people reside outside cities in the United States. These populations often face higher rates of diseases like obesity, diabetes, heart disease and suicide. While no specific cause for these disparities have been identified, environmental differences, education gaps and workforce shortages could be potential causes. This article presents 5 strategies for improving public health in rural America. Establishing a strong network of community health workers is highly recommended for improved health outcomes.

The Opioid Crisis and the Role of Community Health Workers

The epidemic of opioid addiction has spread at a rapid pace across the United States since the 1990s. A number of medical and non medical factors have contributed to its progression. As such, Community Health Workers play an important role in addressing social determinants of health and ensuring access to care. 

Webinar Resources and Recording -Quality improvement approaches for community health programmes

In 2018, three global healthcare quality reports were published which resolutely move the UHC discourse from coverage to quality but fail to extend this to the quality of community health worker (CHW) programmes. Late in 2018, the WHO released its guidelines for optimising CHW programmes and health systems, in line with the renewed global focus on primary health care and community health workers as critical to achieving UHC.

A new era for community health in countries of low and middle income?

How will we address the predicted worldwide shortage of over 14 million health workers by 2030?  At the World Economic Forum in Davos Switzerland in 2015, a 4-year US$100 million fund supporting Last Mile Health and Living Goods to train 50,000 CHWs in six countries was launched. This commentary details the goals and challenges of such an initiative.

How States Can Use Medicaid Managed Care Contracts to Support Community Health Workers

Sustainable funding is a significant barrier to expanding CHW work and to CHW integration into the healthcare system. This brief examines how states can use Medicaid managed care contracts to support community health workers. 

What encourages community health workers to use mobile technologies for health interventions? Emerging lessons from rural Rwanda

As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.

The role of community health workers in improving HIV treatment outcomes in children: lessons learned from the ZENITH trial in Zimbabwe

This study examines Community Health Workers’ perceptions of how the Zimbabwe study for Enhancing Testing and Improving Treatment of HIV in Children (ZENITH) randomized controlled trial’s structure and management affected their performance. The results of the study showed that CHWs saw the intervention as acceptable, feasible, and expressed overall strong job satisfaction. Long term sustainability of the programme is highlighted as an issue and the future improvement and adoption of the approach in other settings are discussed.

Domestic violence against women, public policies and community health workers in Brazilian Primary Health Care

This study examines how Brazilian primary health care handles domestic violence against women. A gap between policies and practical application were found at local levels and community health workers were found to be critical to opening dialogue between women experiencing violence and the health care system.

Abortion Care in Nepal, 15 Years After Legalization: Gaps in Access, Equity, and Quality

This paper discusses the role of community health workers in facilitating safe, legal abortions and addressing the stigma surrounding abortions. 

A rights-based approach to indoor air pollution

This paper discusses the role of community health workers in realizing the right to clean air. Nepal is used as an example of a human rights-based approach to address the issue of indoor air pollution.

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