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Lesotho

Feasibility and Acceptability of Diabetes and Hypertension Screening and Diagnosis by Community Health Workers in Rural Lesotho: A Mixed‑Methods Pilot Study

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In rural Lesotho, a pilot study tested whether community health workers (CHWs) could screen people for high blood pressure and diabetes in their homes. Ten CHWs visited 687 households and screened over 1,800 people. About 27% had high blood pressure, and around 5% had diabetes. Community members welcomed the screenings and trusted the CHWs. The study showed that CHW-led testing … [Read more...] about Feasibility and Acceptability of Diabetes and Hypertension Screening and Diagnosis by Community Health Workers in Rural Lesotho: A Mixed‑Methods Pilot Study

Empowering Community Health Workers With Scripted Medicine: Design Science Research Study

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This study developed and tested a new mobile health tool called Scripted Medicine to help community health workers (CHWs) in Lesotho take on more responsibilities in caring for chronic diseases. The tool uses clear medical guidelines and social communication scripts to teach CHWs both medical and counseling skills. Results showed that these tools helped CHWs feel more confident … [Read more...] about Empowering Community Health Workers With Scripted Medicine: Design Science Research Study

Costs and Coverage of Community Health Worker-Led Hypertension and Diabetes Screening in Rural Lesotho: A Cohort Study with a Cost-Consequence Analysis

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This study looked at how community health workers (CHWs) in rural Lesotho helped screen people for high blood pressure and diabetes. Using a tablet-based tool, CHWs screened most of the eligible adults in their communities within six months. The program reached many people and was fairly affordable—costing about $17 per person screened in a real-world setting. The results show … [Read more...] about Costs and Coverage of Community Health Worker-Led Hypertension and Diabetes Screening in Rural Lesotho: A Cohort Study with a Cost-Consequence Analysis

The impact of the Lesotho health reform in the re-structuring of the village health workers program

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This study examined how health reforms in Lesotho improved the Village Health Worker (VHW) program. Key changes included clearer roles, better monitoring, and performance-based payments. These reforms boosted VHW performance, strengthened community health links, and increased service use. The findings highlight that proper support and incentives help VHWs fulfill their vital … [Read more...] about The impact of the Lesotho health reform in the re-structuring of the village health workers program

eConsent administered by Community Health Workers in a study using the Trials within Cohorts (TwiCs) design-Experiences from the Community-Based chronic Care Lesotho (ComBaCaL) project

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In Lesotho, a study used electronic consent (eConsent) to improve data collection for a project involving community health workers (CHWs) who help manage type 2 diabetes and hypertension in remote villages. Over 100 CHWs, both caregivers and data collectors, used a tablet-based system to present simplified consent information and collect signatures electronically. This … [Read more...] about eConsent administered by Community Health Workers in a study using the Trials within Cohorts (TwiCs) design-Experiences from the Community-Based chronic Care Lesotho (ComBaCaL) project