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CHW Central

A global resource for and about Community Health Workers

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Uganda

Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review

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CHW interventions have been associated with improved birth outcomes. Through a systematic review, the authors of this study explore the relationship between birth outcomes and patient health knowledge and attitudes. The review suggests that CHW interventions have increased antenatal care utilization, enhanced knowledge of pregnancy-related danger signs, and contributed to … [Read more...] about Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review

Contested notions of challenges affecting Community Health Workers in low- and middle-income countries informed by the Silences Framework

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The authors of this study apply the Silences Framework to assess under-researched experiences of healthcare workers faced with patriarchal norms and unequal power dynamics. Drawing upon personal and professional experiences, they identify major challenges faced by CHWs including workload burden, established religious and cultural practices, and gender-related barriers to … [Read more...] about Contested notions of challenges affecting Community Health Workers in low- and middle-income countries informed by the Silences Framework

Assessing Village Health Workers’ Ability to Perform and Interpret Rapid Diagnostic Tests for Malaria 4 Years after Initial Training: A Cross-Sectional Study

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Village health workers (VHWs) in Bugoye, Uganda, provide integrated community case management (iCCM) care to children under 5 for malaria, pneumonia, and diarrhea. This study assessed the longevity of VHWs’ skills in performing and reading malaria rapid diagnostic tests (RDTs) comparing VHWs who had completed initial iCCM training 1 year before the study with VHWs who had … [Read more...] about Assessing Village Health Workers’ Ability to Perform and Interpret Rapid Diagnostic Tests for Malaria 4 Years after Initial Training: A Cross-Sectional Study

How workers respond to social rewards: evidence from community health workers in Uganda

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The use of CHWs has emerged as a cost-effective approach to extend the reach of health systems. Although it is assumed that low levels of compensation contribute to high drop-out rates among CHWs, a field experiment from Uganda found that the offer of greater financial incentives attracted less socially motivated people to apply to CHW jobs and resulted in high drop-out rates. … [Read more...] about How workers respond to social rewards: evidence from community health workers in Uganda

Understanding community health worker incentive preferences in Uganda using a discrete choice experiment.

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Uganda’s CHWs, Village Health Teams (VHT), support village health information access and some primary health care. However, these programs are often underfunded contributing to higher rates of attrition within these teams. Through focus groups and in-depth interviews with CHWs and other key stakeholders, this study determined preferred job incentives for CHWs that would … [Read more...] about Understanding community health worker incentive preferences in Uganda using a discrete choice experiment.

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