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CHW Central

CHW Central

A global resource for and about Community Health Workers

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Qualitative

The effect of a combined mHealth and community health worker intervention on HIV self-management

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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

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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

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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

Engage less, provide more: Community health workers’ perspectives on how to overcome opposition to polio vaccination in Pakistan

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In Pakistan’s highest-risk areas for polio, vaccine refusal is common due to frequent visits, fear of surveillance, and unmet basic needs. This study gathered insights from frontline polio workers on improving community engagement. Many households felt ignored by government services and refused vaccines to highlight other urgent needs. Polio workers suggested reducing visits … [Read more...] about Engage less, provide more: Community health workers’ perspectives on how to overcome opposition to polio vaccination in Pakistan

Internal Facilitation by Health Assistants for the “WHO Lay Health Worker Dementia Care” in Rural Uganda: A Formative Evaluation

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This study explored how lay health workers, supported by health assistants, can improve dementia care in rural Uganda using the World Health Organization dementia toolkit. Interviews with healthcare workers showed strong support for this approach, citing existing community structures as an advantage. However, challenges like limited dementia knowledge and resources were noted. … [Read more...] about Internal Facilitation by Health Assistants for the “WHO Lay Health Worker Dementia Care” in Rural Uganda: A Formative Evaluation

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