This study sought to examine if child and maternal outcomes are better when existing government CHWs, who are perinatal home visitors, receive ongoing enhanced supervision and monitoring compared to standard care. A cluster randomized controlled effectiveness trial was conducted to compare outcomes over two years between different supervision and monitoring models.The observed … [Read more...] about The effect of supervision on community health workers’ effectiveness with households in rural South Africa: A cluster randomized controlled trial
Sub-Saharan Africa (SSA)
Implementation of evidence-based multiple focus integrated intensified TB screening to end TB (EXIT-TB) package in East Africa: a qualitative study
The purpose of this paper was to present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up the initiative. EXIT-TB is an evidence-based, multiple focus integrated intensified TB screening package in the East African region, aimed at increasing TB case detection and the number of … [Read more...] about Implementation of evidence-based multiple focus integrated intensified TB screening to end TB (EXIT-TB) package in East Africa: a qualitative study
Community Health Workers as Vaccinators: A Rapid Review of the Global Landscape, 2000-2021
This review sought to identify countries where CHWs administer vaccines and to synthesize health systems factors that may influence the feasibility of CHWs administering vaccines. Data included peer-reviewed literature from three databases and gray literature identified through web searches and by CHW subject matter experts. From this database, 23 CHW cadres were identified … [Read more...] about Community Health Workers as Vaccinators: A Rapid Review of the Global Landscape, 2000-2021
Quality of sick child management by health extension workers: role of a complex improvement intervention
The goal of this study was to examine whether a complex intervention implemented by the Government of Ethiopia was associated with improved management of sick children by health extension workers. This complex intervention entailed community engagement, capacity building of health workers, and enhanced district-level ownership of sick child management. The study was conducted … [Read more...] about Quality of sick child management by health extension workers: role of a complex improvement intervention
A Field Test of the NORMAL Job Aid With Community Health Workers in Kenya to Address Contraceptive-Induced Menstrual Changes
The purpose of this study was to field-test an adapted version of the NORMAL job aid that guides CHWs on how to counsel women about contraceptive-induced menstrual changes. Researchers investigated how the job aid was used, the challenges faced in using it, and recommendations to improve the job aid. Community health volunteers (CHVs) from Kenya were trained on the 2-page job … [Read more...] about A Field Test of the NORMAL Job Aid With Community Health Workers in Kenya to Address Contraceptive-Induced Menstrual Changes