In Zambia, identifying hidden malaria cases is crucial for elimination, but reactive case detection (RCD) faces challenges like limited community health workers (CHWs) and rapid diagnostic tests (RDTs). A mathematical model assessed ways to improve RCD effectiveness, showing that shortages of CHWs and RDTs significantly increase malaria cases. Adding focal mass drug … [Read more...] about Advancing malaria reactive case detection in a Zambia-like setting: A modeling study
Qualitative
“We Only Escort Women to the Health Facility”: Traditional birth attendants and the performance of indicator-driven care in rural Tanzania
In rural Tanzania, traditional birth attendants (TBAs) have shifted their roles due to government pressure and strict policies discouraging home births. To avoid penalties while still supporting pregnant women, TBAs publicly claim they only escort women to health facilities, though they continue to provide various forms of care. This approach allows them to navigate restrictive … [Read more...] about “We Only Escort Women to the Health Facility”: Traditional birth attendants and the performance of indicator-driven care in rural Tanzania
The effect of a combined mHealth and community health worker intervention on HIV self-management
This study analyzed data from a trial evaluating the CHAMPS intervention, which combines mobile health (mHealth) support with community health worker sessions to improve HIV self-management. Results showed that missing medical appointments, uncertainty about care access, and poor adherence to treatment were linked to lower self-management. In New York City, CHAMPS significantly … [Read more...] about The effect of a combined mHealth and community health worker intervention on HIV self-management
Community health worker payment processes: a qualitative assessment of experience in two Indian states
This study examined how community health workers (CHWs) in India are paid, focusing on the impact of digital tools and challenges in receiving timely wages. Researchers analyzed payment processes for Accredited Social Health Activists (ASHAs) in two states, conducting interviews and focus groups with CHWs, supervisors, and health officials. Findings revealed delays in payment … [Read more...] about Community health worker payment processes: a qualitative assessment of experience in two Indian states
Barriers and facilitators to the implementation of community health workers’ nutrition intervention for stunting prevention in Burera District, Rwanda
Childhood stunting is a major health issue in Rwanda, and community health workers (CHWs) play a key role in preventing it. This study explored the challenges and support CHWs receive in delivering nutrition programs in Burera District. Barriers included lack of technology skills, financial struggles, and cultural beliefs, while strong government support, training, and … [Read more...] about Barriers and facilitators to the implementation of community health workers’ nutrition intervention for stunting prevention in Burera District, Rwanda