Video Spotlight

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

Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone

Community engagement is considered to be a valuable strategy to improving health systems. However, there is limited evidence regarding the effectiveness of this approach. This study focused on operations research of a community-based health information system (PCBHIS). The development and implementation of the PCBHIS was assessed in slum communities.

Impact of lay health worker programmes on the health outcomes of mother-child pairs of HIV exposed children in Africa: A scoping review

In countries with a heavy burden of HIV, the demand for healthcare services is often met with a dearth of health workers. This has led to a need for task shifting of lay health workers (LHWs) to improve healthcare delivery. This approach has been particularly successful in the case of maternal and childcare (MCH). This review examines the impact of LHWs in improving health outcomes in Women Living with HIV (WLH) and their HIV exposed infants (HEIs).

Do community health workers affect non-urgent, ambulatory healthcare utilization among low-income, minority patients with diabetes?

Community health workers (CHWs) play a key role in addressing social determinants of health especially among low-income, ethnic minority groups. This study comprises a secondary analysis of a randomized control trail which examined how CHWs support ambulatory healthcare among Hispanic and African American patients with uncontrolled type-2 diabetes.

Community health worker-delivered counselling for common mental disorders among chronic disease patients in South Africa: a feasibility study

This study assessed the feasibility and acceptability of two approaches of community health worker (CHW)-delivered mental health counselling for patients with chronic diseases. The ‘designated’ approach involved CHWs providing counselling in addition to their regular duties while the ‘dedicated’ approach involved the CHWs taking sole responsibility of delivering mental health counseling.

Empowering Community Health Workers With Mobile Technology to Treat Diabetes

The global prevalence of diabetes has been rising steadily since the 1980s and low- and middle-income countries (LMICs) are struggling to manage the epidemic. This article looks at a clinical decision support smartphone app designed to provide support to community health workers in rural Guatemala . The app aids with lay help community health workers manage diabetes among patients.

 

Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa

South Africa has implemented a community-based HIV programme (CBHP) as part of its strategy to re-engineer its primary healthcare (PHC) delivery systems. This article consists of insights gathered from focus group discussions with community health workers (CHWs) and PHC nurses in order to understand the barriers and facilitating factors related to successful implementation of CBHP.

Setting the global research agenda for community health systems: literature and consultative review

Post the recent Astana Declaration, there has been a renewed interest in building momentum for strengthening community health systems. This review  proposes a global research agenda to improve community health worker programs.

 

The Role of Nurses and Community Health Workers in Confronting Neglected Tropical Diseases in Sub-Saharan Africa: A Systematic Review

Neglected Tropical Diseases (NTDs) constitute a large portion of the disease burden in poor and disenfranchised populations in sub-Saharan Africa. This article looked to combine recent relevant literature on the impact of nurses and community health workers on managing NTDs.

The everyday political economy of health: community health workers and the response to the 2015 Zika outbreak in Brazil

This article looks at the daily political economy of health with focus on four primary pillars: power, agency, intersectionality and the mutual implication of global and local. This framework is used to assess the role of community health workers in bridging the gap between health systems and vulnerable groups in the 2015 Zika outbreak in Brazil.

Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders

Project ECHO (Extension for Community Health care Outcomes) is an effort focused at providing training and mentorship to primary care providers for management of patients with complex conditions. This article looks at teleECHO, a clinic based out of the University of New Mexico Health Sciences Center which aims to benefit individuals suffering from behavioural health and substance use disorders. 

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