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CHW Central

A global resource for and about Community Health Workers

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health systems

Improving healthcare equity through community health worker employment in an integrated health system

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This project looked at whether hiring Community Health Workers (CHWs) in three geriatric clinics could help address older patients’ social needs. Reviewing patient records showed common issues like lack of dental care and transportation. A strengths and weaknesses review found that while the clinics focus on patient care, they face challenges like limited resources and poor … [Read more...] about Improving healthcare equity through community health worker employment in an integrated health system

Imagining the work of community health workers: notes for a discussion on territory, health and care

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This essay reflects on how place (territory), health, and care are connected by looking at the work of community health agents. It explores how health services are organized, how care is often medicalized, and how CHWs help manage cultural meanings in health care. The authors argue that both territory and care are dynamic and shaped by social relationships, not just medical … [Read more...] about Imagining the work of community health workers: notes for a discussion on territory, health and care

Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis

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This study looked at how community health workers (CHWs) in sub-Saharan Africa can better provide people-centered care. By reviewing research from 2014 to 2024, the study found that trust, motivation, and good leadership are key to CHW success. It also highlighted that CHWs work best when they are part of formal health systems, connected to community efforts, and supported by … [Read more...] about Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis

Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players

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South Africa’s government is improving primary health care through a new plan supported by National Health Insurance (NHI), with Community Health Workers (CHWs) playing a key role. This article shares the views of 31 CHWs from an NHI pilot district and gives suggestions to improve the program. These include having clear team leaders, providing regular training, keeping records … [Read more...] about Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players

Barriers to seeking and delivery of essential health services in nine provinces of Afghanistan during the COVID-19 pandemic: community health workers’ perspective

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During the COVID-19 pandemic, community health workers (CHWs) in Afghanistan faced many challenges while helping people access health services. This study, based on feedback from CHWs in nine provinces, found that the biggest barriers were lack of information about services, poor transportation, long distances to health facilities, and concerns about medicine shortages. While … [Read more...] about Barriers to seeking and delivery of essential health services in nine provinces of Afghanistan during the COVID-19 pandemic: community health workers’ perspective

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