Video Spotlight

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

Home visits by community health workers for pregnant mothers and newborns: coverage plateau in Malawi

Globally, home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to contribute to newborn survival. With the ever-expanding roles of CHWs can health systems ensure   sufficient home visit coverage? This study looks at the results of a population-based survey conducted in the Ntcheu district of Malawi. It focuses primarily on understanding the feasibility and coverage of home visits post the implantation of the Malawi Ministry of Health’s Community-Based Maternal and Newborn Care (CBMNC) package.

Clinical evaluation of the use of an mhealth intervention on quality of care provided by Community Health Workers in southwest Niger

As part of the World Health Organization’s (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada worked with the Niger Ministry of Health to enable implementation of iCCM in four districts of Niger in 2013. This paper presents a two-arm cluster randomized trial which looked at the impact of an mhealth approach focused on improving quality of care (QoC) deployed by community health works.

Role of community health worker in a mobile health program for early detection of oral cancer

Increased incidence of oral cancer is largely seen in low-resource settings. This study looked at the use of a mobile phone based oral cancer screening program  carried out by community health workers (CHWs). The CHWs screened for mucosal lesions and were able to use the mHealth (mobile health) approach effectively.

Are community health workers more effective in identifying persons in need of home and community-based long-term services than standard-passive approaches

Consumers are known to show a preference for home and community based long-term care (LTC) services (HCBS) but they are often unaware of the services available to them. This study examined the role of community health workers (CHWs) in helping Medicaid beneficiaries meet their LTC needs as compared to the use of standard HCBS outreach processes.

Are community health workers cost-effective for childhood vaccination in India?

Accredited Social Health Activities (ASHAs) are female community health workers who play a principal role in promotion of primary health care and use of sanitary services in India. Most prior studies on ASHAs have focused on qualitative aspects. This study presents a cost effectiveness analysis of ASHAs in facilitating measles vaccination among children under 5 years of age between the year 2012-2013.

Psychosocial distress among unpaid community health workers in rural Ethiopia: Comparing leaders in Ethiopia's Women's Development Army to their peers

Many global health initiatives rely heavily on unpaid and impoverished community health workers. Given the growing social science literature on volunteering in health programs in low- and middle-income countries, it is imperative to pay attention to the psychological and social well being of these volunteers. This study presents a quantitative and qualitative assessment of these factors from data obtained by a cross sectional survey of women who comprise Ethiopia’s state organized Women Development Army.

The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania

The effect of different care delivery approaches on health system satisfaction has not been monitored extensively. This article focuses on public satisfaction with regards to a community health worker (CHW) program targeted at maternal care among pregnant women or women who have recently delivered.

Malaria case management commodity supply and use by community health workers in Mozambique, 2017

Community health workers (CHWs) have aided healthcare delivery world-wide in terms of preventive care and integrated community case management (iCCM). However, there is limited data regarding their role in malaria supply chain management. This study looks at how CHWs aid delivery of malaria iCCM kit commodities in Mozambique. The kit involves rapid diagnostic tests and artemether-lumefantrine (AL) treatments.

Improving Access to Antenatal Care in Ngara, Tanzania Through Implementation of the Lady Health Worker Programme

Combatting maternal mortality is a major public health challenge in Tanzania. This problem persists due to lack of providers, poor quality of care and inaccessibility to care. This analysis looks at the effectiveness of implementing the Lady Health Worker Program (LHWP) across three healthcare facilities in the Ngara district of Tanzania. The analysis involves a comparison of outcomes before and after program implementation.

A Self-Management Training Intervention: Perceptions and Practices of Community Health Workers in South Africa

Community health workers (CHWs) are being used increasingly world over as a strategy to improve access to healthcare, particularly in rural communities. However, interventions targeted as improving their skill set and bringing about health behavior change are essential. This article presents findings from systematic, in-depth interviews conducted with CHWs in South Africa to understand their insights on self-management (SM) training.

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