Video Spotlight

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

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).

Supporting hearing health in vulnerable populations through community care workers using mHealth technologies.

Low- and middle-income countries face the highest burdens hearing loss. Added to this is the limited access to hearing care in these regions. This study looks at a community-based hearing screening program using smartphone testing by community care workers (CCWs) in vulnerable populations, infected or affected by HIV.

The impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: a nationally representative longitudinal modelling study

The accredited social health activist (ASHA) program was launched by the Indian government in 2006 as a means of reaching marginalized communities. This article looks at data from the Indian Human Development Surveys conducted in 2004-2005 and 2011-2012 to assess the effect of the ASHA program on the uptake of maternity services.

Do home pregnancy tests bring women to community health workers for antenatal care counselling? A randomized controlled trial in Madagascar

Provision of pregnancy tests by community health workers (CHWs) in low resource settings has the potential to reach a large proportion of women in these regions. This randomized control trial looks at the efficiency of an intervention which involves CHWs supplying home pregnancy tests and whether this approach brings in more clients for ante natal counselling (ANC).

Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan

Village health Workers (VHWs) are the first point of contact in ensuring vital health services reach communities across Bhutan. This quantitative study identifies motivational factors which enable retention of VHWs in the health system. The study involves a cross-sectional survey design.

Are community health workers effective in retaining women in the maternity care continuum? Evidence from India

The importance of maintaining a continuum of care with respect to health requirements of mothers and newborns has been recognized world over. This study looks at the example of the Accredited Social Health Activist (ASHA) program in India as a model intervention.  It uses the Indian Human Development survey data from between 2011 to 2012.

Unintended Consequences of Community Health Worker Programs in South Africa

Task shifting from clinicians to community health workers (CHWs) in regions of the world where physician to population density is low is a growing strategy among policy makers. This article looks at structural and local factors which lead to unintended consequences of CHW program implementation such as CHWs working simultaneously for multiple organizations, freelancing in communities, and uncoordinated care leading to adverse patient outcomes.

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