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CHW Central

A global resource for and about Community Health Workers

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CHW programs

Job satisfaction, mental health, and workplace well-being of community health workers: a cross-sectional study

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This study looked at how community health workers in New Jersey feel about their jobs and their mental wellbeing. Most CHWs were happy with their supervisors, felt valued, and had strong support from coworkers. However, many were unhappy with pay, workload, and limited chances to grow in their careers. Some reported feeling stressed or emotionally drained, and a small number … [Read more...] about Job satisfaction, mental health, and workplace well-being of community health workers: a cross-sectional study

Benefits and limitations of rigorous cost analyses in community health

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Hypertension and diabetes are major challenges in low-income areas, where many people lack diagnosis or care. In Lesotho, a program showed that community health workers (CHWs) using a tablet-based tool can effectively screen for these conditions. Scaling up is challenging, as many CHWs lack pay, training, and support, and adding tasks can strain them. Careful integration, CHW … [Read more...] about Benefits and limitations of rigorous cost analyses in community health

Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

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In rural Lesotho, community health workers (CHWs) used a tablet-based clinical decision support app to screen adults for hypertension and diabetes, reaching high coverage at moderate costs. Over 6 months, CHWs screened 88% of eligible adults for hypertension and 95% for diabetes. The cost per person screened was $41 in the project model and $17 in a routine implementation … [Read more...] about Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

Strengthening the role of community health workers through supportive supervision: A Scoping Review

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This review looked at how supportive supervision helps CHWs do their work better. After examining 37 studies, the picture is clear: when CHWs get regular guidance, feedback, and chances to learn with peers, they stay motivated and provide better care. Approaches that use mentorship, shared problem-solving, and community involvement tend to work well. The biggest challenges are … [Read more...] about Strengthening the role of community health workers through supportive supervision: A Scoping Review

Sustaining Community Health Workforce Through E-Governance: Addressing Motivation, Retention, and Public Health Resilience

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This paper looks at why many CHW programs struggle and argues that poor planning, unrealistic expectations, and underestimated workloads play a big part. It notes that even before COVID-19, many low- and middle-income countries were already using digital tools to address health challenges, but we still know little about how e-governance can support a strong and sustainable CHW … [Read more...] about Sustaining Community Health Workforce Through E-Governance: Addressing Motivation, Retention, and Public Health Resilience

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