This qualitative resource explores the gendered dynamics of the CHW program in Afghanistan. It examines how broader societal gender norms affect the CHW program and suggests that the gendered division of health labour may provide opportunities for women's empowerment.
Despite psychiatric disorders contributing to a significant portion of the global disease burden, insufficient access to mental health services is widespread. This study examined its CHW mental health training program, developed in close collaboration with the Western Cape Department of Health, and evaluates the program’s success in improving the knowledge, skill and confidence among trained CHWs and expanding access to mental health services.
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.
A report written by the Clinton Health Access Initiative in Zambia detailing key gaps in supervision and mentorship in Zambia's Community Health Assistants Program and presenting practical recommendations to address them.
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.
As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.
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.