This study looked at how Zambia strengthened its community health system to improve maternal and child health services. From 2019 to 2021, community health assistants (CHAs) received more training, better supervision, transport, and monthly pay. These changes helped CHAs deliver services more effectively and made their work more accepted by communities. Support from local … [Read more...] about Strengthening the role of community health assistants in delivering primary health care the case of maternal health services in Zambia
Zambia
Physical rehabilitation delivery by community health workers: Views of the users and caregivers
In Lusaka, Zambia, some community health workers provide physical rehabilitation services without formal training. This study interviewed people who received these services and their caregivers. Despite limited training, the support from health workers helped users. However, there were concerns about their skills, unmet needs, and service quality. Training community health … [Read more...] about Physical rehabilitation delivery by community health workers: Views of the users and caregivers
Program Evaluation of Community Case Management with Reactive Test and Treat for Malaria in a High-Transmission Setting
In Zambia, a program that combined community-based malaria care and targeted testing (CCM + RTAT) using community health workers helped people get malaria treatment earlier. This led to fewer cases showing up at health facilities and lower death rates among children hospitalized with malaria. The children also had less severe illness and shorter hospital stays. However, while … [Read more...] about Program Evaluation of Community Case Management with Reactive Test and Treat for Malaria in a High-Transmission Setting
Advancing malaria reactive case detection in a Zambia-like setting: A modeling study
In Zambia, identifying hidden malaria cases is crucial for elimination, but reactive case detection (RCD) faces challenges like limited community health workers (CHWs) and rapid diagnostic tests (RDTs). A mathematical model assessed ways to improve RCD effectiveness, showing that shortages of CHWs and RDTs significantly increase malaria cases. Adding focal mass drug … [Read more...] about Advancing malaria reactive case detection in a Zambia-like setting: A modeling study
Training Community Health Workers to Support Families of Children With Disabilities: Lessons Learned and Practical Recommendations
This study describes a training program for community health workers in Lusaka, Zambia, to support families of children with disabilities. U.S. faculty partnered with a local organization to train supervisors, who then trained community volunteers. The training improved knowledge and skills, but attitudes toward children with disabilities showed little change. COVID-19 caused … [Read more...] about Training Community Health Workers to Support Families of Children With Disabilities: Lessons Learned and Practical Recommendations