Translation of research advances into clinical practice for at-risk communities is important to eliminate disease disparities. Adult type 2 diabetes prevalence in the US territory of American Samoa is 21.5%, but little intervention research has been carried out there. We discuss our experience with cultural translation, drawing on an emerging implementation science, which aims … [Read more...] about Cultural translation of interventions: diabetes care in American Samoa.
CHW Role
Exploring the role of community health workers in providing cancer navigation: perceptions of African American older adults.
Cancer outcomes are unequally distributed across racial and ethnic groups, with minorities experiencing worse outcomes, particularly in overall survival. Several groups have recommended employing community health workers (CHWs) to help eliminate disparities. By identifying and addressing barriers to adherence to cancer screening or treatment recommendations and working … [Read more...] about Exploring the role of community health workers in providing cancer navigation: perceptions of African American older adults.
An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique.
The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. An integrated community health team approach, established jointly … [Read more...] about An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique.
‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala
In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that the world’s health issues required more than just hospital-based and physician-centered policies. The figure of the community health worker (CHW) remains a central feature of participation within the PHC approach, and being a CHW is still considered to be an important way of participation within … [Read more...] about ‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala
Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides.
For more than 50 years, Community Health Aides and Community Health Practitioners (CHA/Ps) have resided in and provided care for the residents of their villages. This study is a systematic description of the clinical practice of primary care health workers in rural Alaska communities. This is the first evaluation of the scope of health problems seen by these lay health … [Read more...] about Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides.