Video Spotlight

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

Rural Primary Health Care in Iran

The South African Academy of Family Practice's Rural Health Initiative journal details their delegation's visit and observation of the rural primary health care network in Iran. They examined in particular the roles of different workers in the Iranian system and the health houses that are staffed by CHWs, known locally as, Behvarz. The health houses are responsible for: maternal and child health, TB, Malaria, mental health, chronic illnesses, symptomatic treatment, environmental health and occupational health.

Community directed interventions for Malaria, Tuberculosis, and Vitamin A in Onchoceriasis endemic districts in Tanzania

This journal article looks at a study conducted in 2007 to evaluate the impact of community directed intervention (CDI) on delivering five health interventions in onchocerciasis endemic districts in Tanzania: Vitamin A supplementation (VAS), community-directed treatment with Ivermectin (CDTi), distribution of insecticide -treated nets (ITN), directly observed treatment of TB (DOTS), and home-based management of Malaria (HMM).

From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston

This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings.

Community-Based Approaches to HIV Treatment in Resource-Poor Settings

This study assesses an HIV treatment program in a rural community in Haiti. Utilizing a community based approach with community health workers, the study found that increasing accessibility to HAART drugs in conjunction with community support, the health of a community can improve. The study concludes that utilizing a more-developed world approach can and should be done in order to reach and treat all citizens of the world infected by HIV/AIDS.

Community-Based treatment of advanced HIV disease: introducing DOT-HAART (directly observed therapy with highly active antiretroviral therapy)

Antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries with high HIV prevalence.  With the collaboration of Haitian CHWs experienced in the delivery of home-based and directly observed treatment for TB, an AIDS-prevention project was expanded to deliver HAART to a subset of HIV patients deemed most likely to benefit. The study concludes that directly observed therapy (DOT) with HAART can be delivered effectively in poor settings if there is an uninterrupted supply of high-quality drugs.

Perceived barriers and motivating factors influencing student midwives' acceptance of rural postings in Ghana

To meet Millennium Development Goal Five and the reproductive needs of all women, it is predicted that an additional 334,000 midwives are needed. Despite the ongoing efforts to increase this cadre of health workers there are still glaring gaps and inequities in distribution. In countries where there are too few health workers, deployment of midwives (including recruitment and retention) to rural postings is a continuing challenge.

Deployment of community health workers across rural sub-Saharan Africa: financial considerations and operational assumptions

Objective
To provide cost guidance for developing a locally adaptable and nationally scalable community health worker (CHW) system within primary-health-care systems in sub-Saharan Africa.

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