This study focuses on improving maternal, newborn, and child health (MNCH) in Ethiopia, where high child and maternal mortality rates persist despite efforts over the past decades. Community health worker (CHW) programs have been a key strategy, but challenges remain in fully addressing health needs. The study highlights the need for a shift in the CHW program toward a more … [Read more...] about Community Health Transformation: Paths to a Comprehensive and Transformative Community-Based Health System to Enhance Maternal, Newborn, and Child Health Equity and Health System Resilience in Rural Ethiopia
Sub-Saharan Africa (SSA)
Do cash or digital payment modalities affect community health worker performance? – a case study of a remote refugee settlement in Western Uganda
This study compared the performance of community health workers (CHWs) in Uganda's Kyaka II refugee settlement when paid in cash versus digital payments. Results showed that CHWs performed better with cash payments, as digital payments were often delayed and inconsistent, leading to demotivation. Factors like secondary education and having a side job were linked to better … [Read more...] about Do cash or digital payment modalities affect community health worker performance? – a case study of a remote refugee settlement in Western Uganda
Muzima Mobile Application for Screening Hypertension and Diabetes: A User Experience of the App Among Community Health Workers in Rwanda
This study explored how community health workers in Rwanda use the muzima mobile app for patient care. Data was collected through observation, interviews, and group discussions. Most users could complete tasks in the app, though some older and less experienced workers struggled. The app helped manage diabetes and hypertension, reducing visits to health centers. However, users … [Read more...] about Muzima Mobile Application for Screening Hypertension and Diabetes: A User Experience of the App Among Community Health Workers in Rwanda
The role of a community health worker‑delivered preconception and pregnancy intervention in achieving a more positive pregnancy experience: the Bukhali trial in Soweto, South Africa
This study explored the pregnancy and postpartum experiences of young women in Soweto, South Africa, and how the Bukhali intervention, delivered by community health workers (CHWs), impacted these experiences. Interviews with 15 women revealed that pregnancy was shaped by feelings of responsibility, physical and mental health challenges, unstable support, and socioeconomic … [Read more...] about The role of a community health worker‑delivered preconception and pregnancy intervention in achieving a more positive pregnancy experience: the Bukhali trial in Soweto, South Africa
A qualitative analysis of community health worker perspectives on the implementation of the preconception and pregnancy phases of the Bukhali randomised controlled trial
Community health workers (CHWs) are vital in improving health in low- and middle-income countries like South Africa. The Bukhali project, a trial aimed at supporting young women in Soweto, involves CHWs delivering preconception and pregnancy care. This study explored the challenges and successes of implementing Bukhali from the CHWs' perspectives. Through focus group … [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