CHW-led antiretroviral therapy (ART) represents an opportunity to reduce the number of patients within healthcare facilities and expand universal coverage to remote areas. Pascal Geldsetzer and colleagues interviewed HIV patients in Tanzania to assess willingness to pay for CHW-led ART. Half of community members reported willingness to pay for CHW-led ART in amounts up to $3.61 … [Read more...] about Willingness to pay for community delivery of antiretroviral treatment in urban Tanzania: a cross-sectional survey
CHW Funding
Role of community health workers in improving cost efficiency in an active case finding tuberculosis programme: an operational research study from rural Bihar, India
The World Health Organization estimates that as much as thirty percent of cases of tuberculosis (TB) worldwide remain unidentified. Tushar Garg and colleagues examined whether active case finding performed by CHWs in Bihar, India represents a cost-effective strategy for TB identification and whether or not participation impedes CHW provision of other services. CHWs performing … [Read more...] about Role of community health workers in improving cost efficiency in an active case finding tuberculosis programme: an operational research study from rural Bihar, India
Household coverage, quality and costs of care provided by community health worker teams and the determining factors: findings from a mixed methods study in South Africa
Insufficient supervision prevents CHWs from realizing their potential to achieve universal health coverage. Jane Goudge and colleagues evaluated the impacts of various configurations of supervisors on CHW coverage, quality of care, and costs of service provision in Sedibeng, South Africa. CHWs visited 17% of households in the last year, conducting one-to-two visits per day and … [Read more...] about Household coverage, quality and costs of care provided by community health worker teams and the determining factors: findings from a mixed methods study in South Africa
Evaluating the effect of village health workers on hospital admission rates and their economic impact in the Kingdom of Bhutan
Village Health Workers (VHWs) in Bhutan provide cost-fee healthcare support that has enabled the country to achieve 95% immunization coverage and nearly eliminate several diseases, including malaria and neonatal tetanus. Sacha Hauc and colleagues evaluated the impacts of VHWs on health-related cost savings and hospital admission rates. Addition of a single VHW to a local health … [Read more...] about Evaluating the effect of village health workers on hospital admission rates and their economic impact in the Kingdom of Bhutan
Cost-effective care coordination for people with dementia at home
The Maximizing Independence (MIND) at Home program was developed to enable persons with dementia to receive comprehensive, home-based care. This program relies on a team of community health workers in collaboration geriatric psychiatrists and registered nurses specialized in dementia care. In response to pilot studies demonstrating success of this program in improving quality … [Read more...] about Cost-effective care coordination for people with dementia at home