This study explores the factors affecting the implementation of a preconception and pregnancy intervention called Bukhali in Soweto, South Africa, from the perspective of community health workers (CHWs) known as Health Helpers (HHs). Through focus group discussions with 13 HHs, six themes emerged, including challenges with the public healthcare sector, participant perceptions … [Read more...] about A qualitative analysis of community health worker perspectives on the implementation of the preconception and pregnancy phases of the Bukhali randomised controlled trial
Africa
Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar
This study evaluates the impact of an Enhanced Community Health (ECH) model implemented by Pivot and the Ministry of Public Health in rural Madagascar. The model aimed to improve access to healthcare by professionalizing community health workers (CHWs) and enhancing supervision. Over 18 months, the ECH model led to significant increases in utilization and quality of care … [Read more...] about Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar
Integration of HIV Testing in a Community Intervention for Tuberculosis Screening Among Household Contacts of Patients with Tuberculosis in Cameroon and Uganda
This study integrates HIV testing into community-based household tuberculosis (TB) contact screening in Cameroon and Uganda. Trained community health workers offer TB screening and voluntary HIV testing to household contacts of TB patients. Results show high acceptance of HIV testing among contacts, with 88.2% accepting testing. Factors influencing acceptance include age, index … [Read more...] about Integration of HIV Testing in a Community Intervention for Tuberculosis Screening Among Household Contacts of Patients with Tuberculosis in Cameroon and Uganda
Task-Shifting Can Community Health Workers Be Part of the Solution to an Inactive Nation
In low-to-middle income countries (LMICs), non-communicable diseases (NCDs) are increasing, stressing healthcare systems. To address this, the report proposes expanding the role of community health workers (CHWs) in prescribing and promoting physical activity. This discussion paper introduces a model for task-shifting, assigning CHWs tasks like assessment, screening, … [Read more...] about Task-Shifting Can Community Health Workers Be Part of the Solution to an Inactive Nation
Intention to Use an Electronic Community Health Information System Among Health Extension Workers in Rural Northwest Ethiopia: Cross-Sectional Study Using the Unified Theory of Acceptance and Use of Technology 2 Model
Implementing digital health information systems, like the electronic Community Health Information System (eCHIS), can improve healthcare delivery in resource-constrained areas like Ethiopia. This study assessed Health Extension Workers' (HEWs) intentions to use the eCHIS for managing health data and providing services. Findings showed that factors like ease of use, … [Read more...] about Intention to Use an Electronic Community Health Information System Among Health Extension Workers in Rural Northwest Ethiopia: Cross-Sectional Study Using the Unified Theory of Acceptance and Use of Technology 2 Model