Video Spotlight

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

The Impact of Centralized Employment Structure on Community Health Work: A Qualitative Case Study of Community Health Workers and Key Leadership.

There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure.

Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry.

In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated with PCC.

Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya

HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resulting perceptions are important for mitigating loss to follow up.

Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach.

A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap.

Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record.

This study aimed to develop a sustainable and comprehensive approach to pediatric hearing care in low- and middle-income countries. It involved the use of a smartphone-based platform to perform hearing screening and video otoscopy.  The technology was applied by community health workers (CHWs) in Kilifi county in Kenya

'A poverty in understanding': Assessing the structural challenges experienced by community health workers and their clients.

Community health workers (CHWs) play a crucial role in enabling  access to healthcare in marginalized communities; yet they also face numerous structural challenges which complicate their care delivery. This paper discusses the results of a year-long ethnographic study which looked at structural barriers faced by community health works in Indiana.

Perceptions on the feasibility of decentralizing phlebotomy services in community anti-retroviral therapy group model in Lusaka, Zambia

The general focus of community based antiretroviral therapy is on drug refills, adherence and support groups. Due to this focus, laboratory services including blood draw are often neglected. This paper presents results from focus group discussions among community antiretroviral therapy members and community health workers and looks for positive perceptions regarding improving phlebotomy practices.

Using mobile technologies to support the training of community health workers in low-income and middle-income countries: mapping the evidence

This systematic review looks at a range of literature published between 2000-2018 on the application of mobile technologies for training community health workers in low and middle countries. The article looks at the use of these technologies across 9 global healthcare areas including neglected areas of disability and mental health.
 

Lessons learned from community-based tuberculosis case-finding in western Kenya

Kenya faces a heavy burden of tuberculosis. However, in 2016 only 46% cases were diagnosed. This study looked to identify strategies to increase attendance of patients at community-based clinics. This  cluster randomized trial involved recruitment of individuals who showed disease symptoms by community health volunteers (CHVs).

A Novel Mobile Health Tool for Home-Based Identification of Neonatal Illness in Uganda: Formative Usability Study.

This study aimed to assess the usability and acceptability of the NeMo system in rural Uganda. NeMo is an intuitive platform for neonatal assessment in a home setting. The study involved the application of the system by target users and volunteer community health workers (CHWs).

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