With hypertensive disorders being the second highest direct obstetric cause of maternal deaths, this study explores how task-sharing of some obstetric responsibilities can help reduce maternal mortality rates. Specifically, the study assesses the acceptability, within the health community in India, of task-sharing by CHWs in the identification and initial care of hypertensive disorders in pregnancy.
CHWs have been deployed in rural parts of India to improve access to preventative care in the country. This prospective cohort study describes how pregnant women and mothers of young children in rural West Bengal, India react when CHWs inform them that they, or their child, are at high risk of pregnancy-related complications or early childhood development delays and need further screening and health care from a physician.
With low latrine coverage in Kenya, there is a high prevalence of hygiene and sanitation related illnesses. This study assesses the effects of a CHW-led intervention, on latrine coverage in Mwingi West Sub-County, Kitui County-Kenya.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
This article presents findings on an analysis of patterns of authorship of existing literature on CHWs in low-and-middle-income countries for the five-year period, 2012–2016. It highlights the continued predominance of lead authors from high- and middle-income countries, noting the need for improved capacity for knowledge generation in low-income countries in particular.
China has a history of integrating CHWs in public health intervention programs. Known as village doctors, these CHWs provide treatment and public responsibilities health. This systematic review identifies the public health services provided by CHWs and describes the potential barriers and facilitators of these services.
Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
A literature review and synthesis of the roles and functions of community health workers in primary care designed to provide insight on how to better to integrate community health workers in primary care. The article analyses 30 studies, 12 functions and 3 prominent CHW roles and discusses the implications of CHW training and clinical support in primary 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.