CHW Central

A global resource for and about Community Health Workers

Lesotho

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

Creating access to SARS-CoV-2 screening and testing through community-based COVID-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia

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The BRCCH-EDCTP COVID-19 Initiative in Lesotho and Zambia explored community-based COVID-19 screening and testing strategies. In Lesotho, village health workers visited homes to screen for symptoms and offer testing, while in Zambia, community hubs provided testing to walk-in visitors. Both approaches successfully identified SARS-CoV-2 cases, with higher positivity rates among … [Read more...] about Creating access to SARS-CoV-2 screening and testing through community-based COVID-19 case-finding, observations from cross-sectional studies in Lesotho and Zambia