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Sub-Saharan Africa (SSA)

Supervising community health workers in low-income countries: a review of impact and implementation issues

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Community health workers (CHWs) are an increasingly important component of health systems and programs. This study was conducted to determine the impact of supervision strategies used in low- and middle- income countries and discuss implementation and feasibility issues with a focus on CHWs. Few supervision strategies have been rigorously tested and data on … [Read more...] about Supervising community health workers in low-income countries: a review of impact and implementation issues

The use of counting beads to improve the classification of fast breathing in low-resource settings: a multi-country review

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To decrease child mortality due to common but life-threatening illnesses, community health workers (CHWs) are trained to assess, classify and treat sick children. For pneumonia, CHWs are trained to count the respiratory rate of a child with cough and/or difficulty breathing, and determine whether the child has fast breathing or not based on how the child’s breath count relates … [Read more...] about The use of counting beads to improve the classification of fast breathing in low-resource settings: a multi-country review

​Rational use of antibiotics by community health workers (CHWs) and caregivers in Zambia

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This study provides evidence on rational use of antibiotics for treatment of pneumonia symptoms to inform future implementation of integrated community case management (iCCM), safeguarding effectiveness of current treatments whilst continuing to maximise access to care.   … [Read more...] about ​Rational use of antibiotics by community health workers (CHWs) and caregivers in Zambia

​Community engagement approaches to improve motivation and performance of CHWs in Uganda

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The inSCALE project, supported by the Bill & Melinda Gates Foundation, is working to increase coverage of integrated community case management (ICCM) and expand the number of VHTs trained to treat children under five years for diarrhoea, pneumonia and malaria. This technical brief outlines approaches taken to improve motivation and performance of community health workers in … [Read more...] about ​Community engagement approaches to improve motivation and performance of CHWs in Uganda

​inSCALE CommCare Application: improving quality of care at all levels

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Community health workers in Mozambique, locally known as Agentes Polivalentes Elementares (APEs), are an integral part of the national health system, intended to improve access to quality health care in remote areas of the country. APEs are conducting extensive health promotion and education activities​ as well as case management of malaria in patients of all ages, … [Read more...] about ​inSCALE CommCare Application: improving quality of care at all levels

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