CHW Central

A global resource for and about Community Health Workers

South Africa

The effect of supervision on community health workers’ effectiveness with households in rural South Africa: A cluster randomized controlled trial

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This study sought to examine if child and maternal outcomes are better when existing government CHWs, who are perinatal home visitors, receive ongoing enhanced supervision and monitoring compared to standard care. A cluster randomized controlled effectiveness trial was conducted to compare outcomes over two years between different  supervision and monitoring models.The observed … [Read more...] about The effect of supervision on community health workers’ effectiveness with households in rural South Africa: A cluster randomized controlled trial

What makes community health worker models for tuberculosis active case finding work? A cross-sectional study of TB REACH projects to identify success factors for increasing case notifications

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The aim of this cross-sectional study was to analyze data from the TB REACH initiative, which has supported interventions using CHWs to deliver TB care in over 30 countries, to address key knowledge gaps in CHW networks. A survey was conducted to understand projects’ practices on CHW recruitment, training, activities, supervision, compensation, and sustainability. The results … [Read more...] about What makes community health worker models for tuberculosis active case finding work? A cross-sectional study of TB REACH projects to identify success factors for increasing case notifications

Community Health Worker Use of Smart Devices for Health Promotion: Scoping Review

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This review sought to examine the extent to which mobile health, in the form of smart devices, may enhance the delivery of public health messages in CHW-client interactions. A structured search of the PubMed and LILACS databases was conducted using subject heading terms in four categories: (i) technology user, (ii) technology device, (iii) use of technology, and (iv) outcome. … [Read more...] about Community Health Worker Use of Smart Devices for Health Promotion: Scoping Review

Geo-analysis: the distribution of community health workers in relation to the HIV prevalence in KwaZulu-Natal province, South Africa

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This study sought to describe the spatial distribution of CHWs in relation to the geographic prevalence of the Human Immunodeficiency Virus (HIV) in South Africa. A descriptive, cross-sectional study was conducted utilizing secondary data for geospatial analysis. Overall, results demonstrated shortages and misallocations of CHWs across South African districts, including no … [Read more...] about Geo-analysis: the distribution of community health workers in relation to the HIV prevalence in KwaZulu-Natal province, South Africa

Evaluating the implementation of home delivery of medication by community health workers during the COVID-19 pandemic in Cape Town, South Africa: a convergent mixed methods study

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 In this mixed methods study, researchers sought to evaluate a medication home delivery service implemented by community health workers during the COVID-19 pandemic. This study was conducted from April 2020 to October 2020 in Cape Town, South Africa. Using the Metro Health Services, or MHS, a program that serves 80 percent of the uninsured population in Cape Town, researchers … [Read more...] about Evaluating the implementation of home delivery of medication by community health workers during the COVID-19 pandemic in Cape Town, South Africa: a convergent mixed methods study