CHW Central

A global resource for and about Community Health Workers

Uganda

Community Health Provision at Scale: Evidence from a Cluster-Randomized Trial in Uganda

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This study looked at a large-scale community health worker (CHW) program in Uganda to see if it could continue reducing child deaths, as earlier trials had shown. Two NGOs ran the program in different regions. After a mid-point review showed only small improvements, one NGO (Program A) made major changes, while the other (Program B) made only minor ones. By the end of the … [Read more...] about Community Health Provision at Scale: Evidence from a Cluster-Randomized Trial in Uganda

Barriers to community engagement during the response to an Ebola virus disease outbreak in Uganda

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This study looked at the challenges faced in involving communities during Uganda’s 2022–2023 Ebola outbreak response. It found that engagement was affected by poor communication, lack of early consultation with communities, overworked and unpaid community health workers, and weak coordination among government and partners. To improve future emergency responses, the study … [Read more...] about Barriers to community engagement during the response to an Ebola virus disease outbreak in Uganda

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

Feasibility, acceptability and preliminary effectiveness of the Hospital to Home discharge and follow-up programme in rural Uganda: a mixed-methods intervention study

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This study evaluated the Hospital to Home (H2H) program, which supports small and sick newborns after hospital discharge in rural Uganda. Researchers compared two groups: one receiving standard care and another with H2H community health workers support. While no major differences were found in developmental outcomes, the H2H group had higher vaccination rates (88.5% vs. 76.9%) … [Read more...] about Feasibility, acceptability and preliminary effectiveness of the Hospital to Home discharge and follow-up programme in rural Uganda: a mixed-methods intervention study

The lived experiences of Ugandan community health workers engaged in prevention of vertical transmission of HIV and a capacity-building intervention

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This study explored the experiences of community health workers (CHWs) involved in preventing mother-to-child HIV transmission and evaluated a training program to strengthen their skills. Interviews with 152 CHWs in Uganda highlighted their role as a bridge between communities and the health system, their knowledge and social connections, and challenges like stigma and ethical … [Read more...] about The lived experiences of Ugandan community health workers engaged in prevention of vertical transmission of HIV and a capacity-building intervention