Randomized controlled trial

Community health worker-led versus facility-based type 2 diabetes care in rural Lesotho: a cluster-randomized trial within the ComBaCaL cohort study

This study tested whether trained community health workers, supported by a tablet-based decision tool, could help manage type 2 diabetes in rural Lesotho. Compared with the usual clinic-based care, patients supported by community health workers were more likely to stay engaged in their treatment and showed slightly better control of their blood sugar levels, without increasing … [Read more...] about Community health worker-led versus facility-based type 2 diabetes care in rural Lesotho: a cluster-randomized trial within the ComBaCaL cohort study

This study examined whether community health workers could reduce malaria by visiting every household twice a month to identify and treat people with malaria symptoms. After three years in rural Mali, the researchers found that this approach did not reduce malaria compared with the usual system, where people visited community health workers at fixed locations. One reason was … [Read more...] about Impact of proactive community case management of malaria on malaria prevalence in Bankass, Mali: a cluster-randomised controlled trial

This study looked at a program in Nepal where community health workers visited people at home to help manage high blood pressure. Most people completed the visits and said they learned more, involved their families, and improved how they monitored their health. However, some plans for behavior change were not clear, and problems like lack of medicines and weak health services … [Read more...] about Community health worker-facilitated home visits for hypertension management in urban Nepal: a mixed-methods process evaluation

This study tested a large suicide-prevention program in rural India. The program combined school lessons on mental health, safe storage of pesticides, and CHW training to spot and support people at risk. Across 124 villages, the program did not reduce the overall number of suicide attempts and deaths when combined, but it did lead to fewer deaths by suicide. Students who … [Read more...] about Implementation of an integrated community-based suicide prevention programme, Gujarat, India: cluster randomised controlled trial

This study tested whether community health workers in India, supported by a simple digital tool, could help people manage diabetes better. ASHAs screened nearly 1,800 people and found 418 with diabetes. Those in the intervention group received nine months of follow-up from ASHAs, who were guided by a decision-support app and supervised by doctors. More people in the … [Read more...] about Preliminary effectiveness and feasibility of ASHA-led mobile health intervention for diabetes care in Indian primary health care settings