While CHWs are key in identifying malaria cases, skilled clinical care is needed for children under five years of age with severe malaria. This study aimed to identify post-referral treatment-seeking pathways for appropriate antimalarial treatment in children less than five years with suspected severe malaria. Results showed that 96% visited a second provider after attending a … [Read more...] about Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda
Sub-Saharan Africa (SSA)
Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018)
This study investigated the CHW management of danger signs for severe illness implementing integrated community case management (iCCM) in a rural context in Uganda. Of the children that had been recorded as having a danger sign, 78% were referred by the CHWs as per the iCCM protocol. CHWs play a key role in early symptomatic detection, pre-referral treatment and early referral … [Read more...] about Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018)
Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation
This cluster randomized controlled trial evaluated a technology-based (mHealth) intervention package called Innovations At Scale For Community Access and Lasting Effects. The package supports integrated community case management programs using CHWsto increase treatment coverage for children with malaria, diarrhea, and pneumonia (MDP). Results showed an MDP prevalence of 53.5% … [Read more...] about Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation
Improvement of community health worker counseling skills through early childhood development (ECD) videos, supervision and mentorship: A mixed methods pre-post evaluation from Tanzania
This study evaluated an early childhood development (ECD) project in Tanzania, assessing the effect of mobile video use, supervision and mentorship to improve the quality of CHW counseling skills. Post intervention, two-thirds of caregivers reported that the father’s involvement with their child increased due to CHW visits. Male participation in home observation sessions … [Read more...] about Improvement of community health worker counseling skills through early childhood development (ECD) videos, supervision and mentorship: A mixed methods pre-post evaluation from Tanzania
Leveraging community health workers as vaccinators: a case study exploring the role of Malawi’s Health Surveillance Assistants in delivering routine immunization services
This study highlighted the operational and programmatic characteristics of a functional CHW-led routine immunization program. It included interviews with Health Surveillance Assistants (HSAs), HSA supervisors, ministry of health officials, and community members in Malawi. Results from the case study showed HSAs as a high-functioning vaccination cadre, skilled and dedicated to … [Read more...] about Leveraging community health workers as vaccinators: a case study exploring the role of Malawi’s Health Surveillance Assistants in delivering routine immunization services