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Africa

The role of community health workers in the management of hypertension in Nigeria

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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

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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

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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

From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward

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This study explores the role of community health workers (CHWs) in achieving universal health coverage, focusing on their integration and empowerment within the healthcare system. Conducted in rural South Africa, the research analyzed data from a project evaluating supportive supervision for CHWs. The study found that CHWs often operate on the fringes of the healthcare system, … [Read more...] about From the periphery to inclusion within the health system: promoting community health worker empowerment as a way forward

Strengthening accountability for tuberculosis policy implementation in South Africa perspectives from policymakers, civil society, and communities

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The TB Recovery Plan in South Africa was developed to address the impact of COVID-19 on TB care. This study interviewed 24 stakeholders, including health officials and community representatives, to assess its implementation. Participants noted that COVID-19 innovations could improve TB policy execution but identified bottlenecks at the provincial level. Recommendations included … [Read more...] about Strengthening accountability for tuberculosis policy implementation in South Africa perspectives from policymakers, civil society, and communities

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