Video Spotlight

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

Integration of mental health into primary care and community health working in Kenya: context, rationale, coverage and sustainability

Integration of mental health into primary care is essential to meet the growing needs of populations in LMICs. This study presents the case for a collaborative project in Kenya that aims to train primary care and community health workers regarding mental health in a manner through which it can be integrated into their routine work.

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.

Opportunities for community health workers to contribute to global efforts to end tuberculosis

Tuberculosis (TB) represents a leading infectious cause of death globally. New and novel approaches are required to reduce TB rates and mortality. This article reviews community health worker (CHW) led efforts to prevent and treat TB in order to evaluate the potential of CHW driven programs to effectively impact the future of TB prevention and care.

Socio-cultural contextual factors that contribute to the uptake of a mobile health intervention to enhance maternal health care in rural Senegal.

A notable amount of progress has been made in reducing maternal mortality rates over the past 25 years in Senegal. However, the national maternal mortality ratio remains unacceptably high. With mobile health (mHealth) interventions been used increasingly in rural and remote areas of the country, this study looks at the application of CommCare. CommCare is an application that runs on cell phones distributed to community health workers to enroll and track women through their pregnancy, birth and post-partum.

'He usually has what we call normal fevers': Cultural perspectives on healthy child growth in rural Southeastern Tanzania: An ethnographic enquiry.

The general model used for child growth monitoring (CGM) has been largely focused on indicators grounded in the biomedical model. However, for CGW to be effective, it is crucial to include other socio-cultural constructs. This study looks to develop a cultural conceptualization of healthy growth in rural Tanzania. The process through which this is carried out is through collecting ethnographic data from caregivers, community health workers and, parents and elderly women in the Kilosa district.

The community health worker as interlocutor in complementary feeding in Pelotas, Rio Grande do Sul, Brazil

This paper assesses the knowledge of community health workers (CHWs) regarding complementary feeding and it factors that influence its practice- socioeconomic, work schedules and resources available in primary health care facilities. Questionnaires were designed to test their knowledge and comparisons were drawn between responses recorded from health services and CHWs.

Enabling Community Health Worker Recognition and Referral of Surgical Diseases: Pilot Study Results of a Pictorial Guide

Access to surgical care represents a pressing challenge in LMICs, particularly for vulnerable populations. Community health workers (CHWs) and lay people play diverse roles in primary health care in these settings. However, they remain disconnected from surgical care in most environments. This study looked to assess the degree to which CHW understanding of surgical conditions could be improved using a pictorial based manual. The assessment was carried out using questionnaire instruments and context specific focus groups in Central America.

'We Are the People Whose Opinions Don't Matter'. A Photovoice Study Exploring Challenges Faced by Community Health Workers in Uganda

Understanding the experiences of community health workers (CHWs) is essential in order to gauge the support and resources they require to effectively provide care to the populations they serve. The use of participatory visual methods (PVMs) to develop this understanding has been relatively underexplored. This study captures the challenges faced by CHWs through the use of a PVM, photovoice. The study looks at 8 CHWs over 6 weeks through 62 relevant photographs along with individual interviews and group discussions.

Effect of a Community Health Worker-Based Approach to Integrated Cardiovascular Risk Factor Control in India: A Cluster Randomized Controlled Trial

Several previous studies have evaluated the ability of community health workers (CHWs) to target individual cardiovascular risk factors. This study presents findings from a randomized control trial aimed at integrating CHW lead efforts for hypertension, diabetes and smoking control. It revealed that CHWs have a significant effort on hypertension and promotes the use of home-based care for cardiovascular risk factors through CHWs in LMICs.

“Because Even the Person Living With HIV/AIDS Might Need to Make Babies” – Perspectives on the Drivers of Feasibility and Acceptability of an Integrated Community Health Worker Model in Iringa, Tanzania

Countries with health workforce shortages are rely on community health workers (CHWs) to extend a diverse set of services to the community. However, there may be a limit to the number of tasks a CHW can perform without causing a severe decline in quality or productivity. This study assessed the viability of an existing program in Iringa, Tanzania in which HIV-focused CHWs working as volunteers received additional training on maternal, newborn and child health promotion; thereby, establishing a new dual CHW model.

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