CHW Central

A global resource for and about Community Health Workers

Tuberculosis

Piloting Siyakhana: A community health worker training to reduce substance use and depression stigma in South African HIV and TB care

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South Africa faces high rates of HIV and tuberculosis (TB) co-infection, with poor care engagement worsening outcomes. Community health workers (CHWs) help re-engage patients who have dropped out of care but face challenges due to patients' substance use (SU) and depression, and stigma towards these issues. CHWs often lack training in these areas. This study piloted Siyakhana, … [Read more...] about Piloting Siyakhana: A community health worker training to reduce substance use and depression stigma in South African HIV and TB care

Decentralising DOT for drug-susceptible TB from the health facilities to the community level in Togo

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In Togo, during the COVID-19 pandemic, two community-based approaches for directly observed treatment (DOT) for tuberculosis (TB) were evaluated: one led by community health workers (CHW-DOT) and the other by families (FB-DOT). Results showed that the CHW-DOT group had higher rates of sputum conversion and more favorable treatment outcomes compared to the FB-DOT group. … [Read more...] about Decentralising DOT for drug-susceptible TB from the health facilities to the community level in Togo

Optimizing delivery strategies for 3HP TB preventive treatment in Tanzania: A qualitative study on acceptability of family approach in HIV care and treatment centers

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Before Tanzania implemented a 12-dose TB preventive treatment regimen, this study explored a family-based approach involving support from family members, SMS reminders, and health education sessions. Interviews and focus groups with people living with HIV (PLHIV), treatment supporters (TS), and community health workers (CHWs) revealed positive attitudes towards the approach. … [Read more...] about Optimizing delivery strategies for 3HP TB preventive treatment in Tanzania: A qualitative study on acceptability of family approach in HIV care and treatment centers

Using CFIR framework for understanding barriers and facilitators to implementation of community tuberculosis program in Burkina Faso

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This study examines the factors influencing the implementation of a community-based tuberculosis (TB) program involving Civil Society Organizations (CSOs) in Burkina Faso. Through qualitative interviews with health providers, the study identifies both facilitators and barriers to the program's success. Facilitators include collaboration between stakeholders and flexibility in … [Read more...] about Using CFIR framework for understanding barriers and facilitators to implementation of community tuberculosis program in Burkina Faso