Program Design

Work environment factors and provider performance in health houses: a case study of a developing country

The way in which health facilities are built impacts the ability of CHWs to perform their roles as intended. Hasan Yusefzadeh and Bahram Nabilou evaluated characteristics of physical work environment factors in Urmia, Iran to understand their impacts on CHW performance. Technical and office equipment layout had the greatest impacts on CHW performance. … [Read more...] about Work environment factors and provider performance in health houses: a case study of a developing country

Communities with limited access to medical care benefit from CHW-led education for noncommunicable diseases such as breast cancer. Natalia Rodriguez recruited community members to help design a culturally-appropriate, CHW-led education for breast cancer awareness and screening among South Floridian Latinx farmworkers. Implementation of this program demonstrated effective … [Read more...] about Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers

Maternal and child health outcomes improve with the implementation of CHW home-visiting in urban areas, but less is known about their effects in rural South Africa. Karl le Roux and colleagues compared a rural area with CHW to one without CHWs to determine the effectiveness of CHW home-visits on maternal and child health. CHW home visits were associated with increased … [Read more...] about Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study

Inconsistent management of South African CHW programs generally, and ward-based outreach teams WBOTS particularly, derive in part from a lack of policy regulation. Decisions about how to improve programming policy and generate best practices must quantify costs of service delivery for various types of geographical communities. Donela Beseda and colleagues evaluated differences … [Read more...] about Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces

National health systems increasingly rely on CHW programming to support population health. Maryse Kok surveyed 140 research studies to uncover CHW program designs that contribute to high CHW performance. Results indicated a broad array of contributing factors, including incentives, frequency of supervision, and high community involvement. … [Read more...] about Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review