CHW Central

A global resource for and about Community Health Workers

Sub-Saharan Africa (SSA)

Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya

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This study examined the effect of the Riziki Demonstration Project on contraceptive service provision and identified drivers of the intervention's success in increasing public sector contraceptive uptake. Findings demonstrate the potential for task sharing combined with community engagement efforts to improve contraceptive awareness, knowledge and supply. Community engagement … [Read more...] about Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya

Implementing community-based health program in conflict settings: documenting experiences from the Central African Republic and South Sudan

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This study explored the feasibility, barriers, and strategies for context-specific agile programming in armed conflict affected settings through community-based health services in the Central African Republic and South Sudan. Community engagement, collaboration and negotiating safe passage; comprehensive delivery of services; and continued training were key strategies … [Read more...] about Implementing community-based health program in conflict settings: documenting experiences from the Central African Republic and South Sudan

Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda

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While CHWs are key in identifying malaria cases, skilled clinical care is needed for children under five years of age with severe malaria. This study aimed to  identify post-referral treatment-seeking pathways for appropriate antimalarial treatment in children less than five years with suspected severe malaria. Results showed that 96% visited a second provider after attending a … [Read more...] about Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda

Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018)

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This study investigated the CHW management of danger signs for severe illness implementing integrated community case management (iCCM) in a rural context in Uganda. Of the children that had been recorded as having a danger sign, 78% were referred by the CHWs as per the iCCM protocol. CHWs play a key role in early symptomatic detection, pre-referral treatment and early referral … [Read more...] about Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018)

Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation

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This cluster randomized controlled trial evaluated a technology-based (mHealth) intervention package called Innovations At Scale For Community Access and Lasting Effects.  The package supports integrated community case management programs using CHWsto increase treatment coverage for children with malaria, diarrhea, and pneumonia (MDP). Results showed an MDP prevalence of 53.5% … [Read more...] about Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation