In Zambia, malaria prevalence varies by location, making it hard to effectively target infections. Many asymptomatic cases do not seek healthcare, so reactive case detection (RCD) is needed to identify these undetected infections. However, challenges like a lack of community health workers (CHWs), limited access to residents, and shortages of rapid diagnostic tests (RDTs) … [Read more...] about Exploring measures to increase detection of malaria cases through reactive case detection in a Southern Province of Zambia-like Setup: A modeling study
Africa
Assessment of community health workers activities in six districts of Zambézia Province, Mozambique
This study evaluated the progress of Mozambique's Community Health Worker (CHW) program, known as Agentes Polivalentes Elementares (APEs), which was restarted in 2010. Conducted in six districts of the Zambézia Province, the study included interviews with 148 APEs to assess their operations. It found that only 48% of APEs restocked their supplies monthly, and there were … [Read more...] about Assessment of community health workers activities in six districts of Zambézia Province, Mozambique
The role of community health workers in the management of hypertension in Nigeria
Hypertension is a leading risk factor for cardiovascular death worldwide, with increasing prevalence in Nigeria. This study assessed the role of community health workers (CHWs) in managing hypertension and patient satisfaction with their care. A mixed-method study involved 381 CHWs and interviews with 14 patients across five Nigerian states. Results showed that 31% of CHWs … [Read more...] about The role of community health workers in the management of hypertension in Nigeria
Assessing the impact of a community-based psychodrama intervention on mental health promotion of adolescents and young adults in Mozambique: A mixed-methods study
This study assessed the impact and acceptability of a community-based psychodrama intervention for adolescents and young adults (AYAs) in Beira, Mozambique, both with and without HIV. Over July and August 2023, trained community health workers conducted weekly sessions for AYAs aged 15–24. Of the 354 participants, 315 attended the sessions with a 94.4% participation rate. The … [Read more...] about Assessing the impact of a community-based psychodrama intervention on mental health promotion of adolescents and young adults in Mozambique: A mixed-methods study
Community case management to accelerate access to healthcare in Mali: A realist process evaluation nested within a cluster randomized trial
The Proactive Community Case Management (ProCCM) trial in Mali aimed to strengthen the health system by removing user fees, employing professional community health workers (CHWs), and upgrading primary health centers (PHCs). Village-clusters were either assigned proactive home visits by CHWs (intervention) or fixed site-based services (control). Over three years, both groups … [Read more...] about Community case management to accelerate access to healthcare in Mali: A realist process evaluation nested within a cluster randomized trial