The utilization of services to treat newborns and children has been persistently low in Ethiopia, despite being free services provided by Health Extension Workers (HEWs). The authors of this study sought to identify barriers to the uptake of neonatal and child health services and potential solutions to inform the Optimizing the Health Extension Project. Cultural beliefs, … [Read more...] about Barriers to the uptake of community-based curative child health services in Ethiopia
Sub-Saharan Africa (SSA)
Bottlenecks to Intervention Scale Up: Supply and Demand Side Perspectives From a Large, Community-based Trial of Malaria Testing
Despite decades of control efforts, malaria remains a major public health problem. The deployment of rapid diagnostic tests (RDTs) through trained community health workers could improve access to diagnosis for populations with limited access to health facilities. The study evaluated an intervention that targeted individuals who seek care in the retail sector by offering free … [Read more...] about Bottlenecks to Intervention Scale Up: Supply and Demand Side Perspectives From a Large, Community-based Trial of Malaria Testing
Can public sector community health workers deliver a nurturing care intervention in South Africa? The Amagugu Asakhula feasibility study
Nurturing care interventions can help promote health and development in early childhood. Amagugu Asakhula is an intervention designed to promote developmentally important dietary and movement behaviors among children 3–5 years in South Africa. This study evaluated the delivery of the intervention by CHWs. Results showed that the intervention was not found to be feasible due to … [Read more...] about Can public sector community health workers deliver a nurturing care intervention in South Africa? The Amagugu Asakhula feasibility study
How Did Liberia Implement?
Over the last five years, Liberia has created a professional community health worker program, using international guidelines. The program uses 5% of the nation's health budget and provides a wide breadth and depth of services throughout the country. The authors identified seven key factors that facilitated the program's success: political will; detailed financial planning; … [Read more...] about How Did Liberia Implement?
Systematic review of performance-enhancing health worker supervision approaches in low- and middle-income countries
Through a systematic review, the authors of this study explored approaches to worker supervision that improved CHW performance across low- and middle- income countries. Thirty of the 57 studies that were reviewed focused on CHW programs. The majority of successful approaches utilized some type of digital supervision technologies, such as SmartPhone or mHealth applications. The … [Read more...] about Systematic review of performance-enhancing health worker supervision approaches in low- and middle-income countries