The authors of this study apply the Silences Framework to assess under-researched experiences of healthcare workers faced with patriarchal norms and unequal power dynamics. Drawing upon personal and professional experiences, they identify major challenges faced by CHWs including workload burden, established religious and cultural practices, and gender-related barriers to … [Read more...] about Contested notions of challenges affecting Community Health Workers in low- and middle-income countries informed by the Silences Framework
LMIC
Community- based maternal and newborn interventions in Africa: Systematic review
Most neonatal deaths occur in low- and middle-income countries (LMIC), particularly in Sub-saharan Africa. CHWs often encourage delivery in healthcare facilities and ensure timely referral of mothers and newborns. Through a systematic review, the authors of this paper found that the main components of the antenatal, delivery and postnatal care interventions were inadequate, … [Read more...] about Community- based maternal and newborn interventions in Africa: Systematic review
Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya.
Trained community health volunteers (CHVs) provide community case management of malaria (CCMM) in rural Kenya, but information on the quality of services is limited. Through a cross-sectional survey, this study found that 62% of CHVs offered quality services for malaria management. The study found a direct association between quality of services CHVs provided and stock-outs of … [Read more...] about Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya.
Improving health facility delivery rates in Zanzibar, Tanzania through a large-scale digital community health volunteer programme: a process evaluation
In Tanzania, CHW programmes have become widely utilized to improve maternal health outcomes. This study documents how the Safer Deliveries program - a programme designed to address high rates of maternal and neonatal mortality by increasing rates of health facility delivery and postnatal care visits - was implemented, scaled and sustained in Zanzibar, . The article provides a … [Read more...] about Improving health facility delivery rates in Zanzibar, Tanzania through a large-scale digital community health volunteer programme: a process evaluation
Community health workers to improve adherence to anti‐seizure medication in rural South Africa: Is it cost‐effective?
Epilepsy is a common disorder that disproportionately affects individuals living in LMICs. CHWs have proven to be key partners in maintaining adherence to treatment plans and medications, yet the cost of employing CHWs in epilepsy management has not been documented. This study found that CHWs are a cost‐effective intervention in epilepsy management. … [Read more...] about Community health workers to improve adherence to anti‐seizure medication in rural South Africa: Is it cost‐effective?