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health systems

Repositioning Community Health Workers as Boundary Spanners: A Realist-Informed Theory of Change for Integrated People-Centred Care in South Africa

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This study found that community health workers in South Africa already help connect communities with health services, social support programs, and local leaders, even though this role is often not officially recognized. The researchers argue that community health workers should be better supported and included in health system planning because they can help coordinate services … [Read more...] about Repositioning Community Health Workers as Boundary Spanners: A Realist-Informed Theory of Change for Integrated People-Centred Care in South Africa

Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation

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This study explored how community health workers help make health care more people-centered in South Africa. It found that trust, motivation, and feeling valued and supported are key factors that help community health workers perform well. These factors work together, and when health system strategies are aligned and supportive, community health workers can provide better care … [Read more...] about Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation

Power, surveillance, and the limits of resistance: The role of community health workers in India’s health system

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This study looked at the working conditions of community health workers in India and how the health system relies on them. It found that these workers often have many responsibilities but little power, face low and unstable pay, and are closely monitored. These conditions limit their ability to make decisions or push back, even as they play a key role in keeping the health … [Read more...] about Power, surveillance, and the limits of resistance: The role of community health workers in India’s health system

“We’re Worse off Now Than During COVID”: Community Health Workers’ Perspectives on Intensifying Immigration Enforcement as Cascading Crisis

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This study looked at how COVID-19 and immigration enforcement together affected the health of Latino immigrant communities, based on the experiences of community health workers. It found that fear, distrust, and reduced access to services continued even after the pandemic, making it harder for people to seek care. Community health workers helped build trust and adapt support, … [Read more...] about “We’re Worse off Now Than During COVID”: Community Health Workers’ Perspectives on Intensifying Immigration Enforcement as Cascading Crisis

Community Health Workers Play an Important Role in Improving Health

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Community health workers are trusted members of the health system who help people improve their health, change behaviors, and access services like food, transport, and care. They play a key role in supporting people with chronic diseases and addressing social challenges that affect health. Examples from health programs show that when community health workers are involved, … [Read more...] about Community Health Workers Play an Important Role in Improving Health

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