India

Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh

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This evaluation study used cross-sectional survey data to assess the effectiveness of Shasthya Shebikas (SSs) visiting homes to distribute micronutrient powder (MNP) in Bangladesh. According to the results, SS coverage increased the population’s knowledge and use of MNP. … [Read more...] about Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh

Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

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Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in other health behaviors were … [Read more...] about Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

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This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent. … [Read more...] about ‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries

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Common Application Software (CAS) is a new mHealth intervention aimed at addressing time efficiency and quality of healthcare by CHWs. The objective of this study was to collect data on CHWs’ perspectives on CAS, changes in CHW-beneficiary interactions after CAS implementation, and challenges CHWs faced as a result of CAS. Although the beneficiaries' views were mixed, the CHWs … [Read more...] about Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries

Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study

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This cross-sectional study compared the performance of “paid-for-performance” Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) in various Indian states. While results varied among them, the study found that AWWs’ visits had a stronger connection with positive health behaviors compared to ASHAs. ASHA visits had weaker impacts on nutrition and … [Read more...] about Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study