India’s ASHA program has improved access to healthcare in rural areas, but many people still reject medical advice. This study asked ASHAs and their clients why. The main reasons were lack of understanding about health benefits and family or social pressures. However, ASHAs mostly tried to persuade people by giving more health information, rarely addressing social influences. … [Read more...] about Community health workers’ counseling is based on a deficit model of behavior change
Mixed Methods
Implementation of the national community health policy in Guinea: a decision space analysis of the roles and responsibilities of community health workers
This study examined how community health workers (CHWs) and volunteers in Guinea understood and carried out their roles in delivering health services between 2017 and 2021. Findings showed that both groups had strong knowledge of their responsibilities and were actively implementing them. The presence of CHWs was linked to greater decision-making power and stronger capacity, … [Read more...] about Implementation of the national community health policy in Guinea: a decision space analysis of the roles and responsibilities of community health workers
Assessing the gap between policy and practice: community health workers’ contributions to nutrition services in Sub-Saharan Africa
This study looked at whether community health workers (CHWs) in six African countries are providing the nutrition services outlined in national policies. Interviews with 735 CHWs and a review of policy documents showed gaps between what CHWs are supposed to do and what they actually deliver. While most CHWs provided child-focused services like Vitamin A, deworming, and … [Read more...] about Assessing the gap between policy and practice: community health workers’ contributions to nutrition services in Sub-Saharan Africa
Exploring community health workers’ perspectives on recommending influenza vaccination to older adults: a phenomenological study
This study looked at how community health workers (CHWs) in Shanghai encourage older adults to get the flu vaccine. While most were willing to recommend the vaccine, many were cautious and focused on avoiding blame or harming their reputation. Their actions were shaped by personal beliefs, community expectations, their own skills, and lessons from COVID-19. The study suggests … [Read more...] about Exploring community health workers’ perspectives on recommending influenza vaccination to older adults: a phenomenological study
The Fundamentals of Health Research training for community health workers: a mixed-methods study
This program trained community health workers (CHWs) to better understand and talk about health research with their communities. The 12-hour course helped them learn about research basics, ethics, and how to share this information in simple ways. After the training, many CHWs felt more confident and were more likely to support research in their communities. The program helped … [Read more...] about The Fundamentals of Health Research training for community health workers: a mixed-methods study
