CHW Central

A global resource for and about Community Health Workers

Kenya

Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya

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This study evaluated the impact of a palliative care (PC) training program on community health volunteers (CHVs) in Kenya. After training, CHVs showed improved knowledge, confidence, and clinical practice in providing PC. They conducted patient evaluations, referrals, and teleconsultations with PC providers. Follow-up assessments at 12 months revealed sustained improvements and … [Read more...] about Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya

Supply-side and demand-side factors influencing uptake of malaria testing services in the community: lessons for scale-up from a post-hoc analysis of a cluster randomised, community-based trial in western Kenya

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Malaria remains a significant health challenge, especially in Africa where the majority of cases and deaths occur, predominantly affecting children under 5. WHO recommends prompt diagnosis before treatment, and Kenya has adopted a Test and Treat policy, extending testing through community health workers (CHWs). However, many in rural areas still self-treat or seek care in the … [Read more...] about Supply-side and demand-side factors influencing uptake of malaria testing services in the community: lessons for scale-up from a post-hoc analysis of a cluster randomised, community-based trial in western Kenya

‘Our hands are bound’:Pathways to Community Health labor in Kenya

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The traditional model for selecting Community Health Workers (CHWs) involves electing a willing, trusted, educated community member. However, this ideal is rarely practiced. Through life history interviews with CHWs in Isiolo, Kenya, five predominant pathways to community health work were identified: model, handpicked, shadow, outsider, and dispossession. Each pathway, … [Read more...] about ‘Our hands are bound’:Pathways to Community Health labor in Kenya

Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges

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Ethiopian Health Extension Workers (HEWs) and Kenyan Community Health Volunteers (CHVs) play key roles in implementing community-based treatment for serious newborn infections (PSBI) within their health systems. From November 2020 to August 2021, both countries conducted research to improve PSBI management during COVID-19, employing strategies like coaching for health workers … [Read more...] about Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges

Factors influencing community-facility linkage for case management of possible serious bacterial infections among young infants in Kenya

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Despite evidence of the feasibility of implementing WHO's guidelines for managing neonatal sepsis in Kenya, challenges persist in community-facility referrals and follow-up. This study investigates facilitators and barriers to these linkages in Busia and Migori counties, Kenya. Data from June to July 2022 show that while community health volunteers referred many newborns with … [Read more...] about Factors influencing community-facility linkage for case management of possible serious bacterial infections among young infants in Kenya