This commentary responds to an article by Sunu Thomas (2020) describing concerns about the role of confidentiality when a research participant discloses sensitive personal information while a CHW is present. The author describes concerns about whether CHWs should bridge the gap between communities and researchers and whether their presence during data collection represents a … [Read more...] about Community gatekeepers and the conundrum of confidentiality and coercion
Sub-Saharan Africa (SSA)
Rapid literature review: Community health workers
CHWs performed as key actors during the Ebola, Zika, and Marburg outbreaks. Shuchi Srinivasan and Radhika Arora surveyed research examining barriers and facilitators to CHW-based responses to these outbreaks. Some barriers included gaps in knowledge and skills, failure to address PPE-related needs among CHWs, and the mental health impacts of living through a pandemic. … [Read more...] about Rapid literature review: Community health workers
Learning from community health worker programs, big and small
CHW programs demonstrate the potential for great impacts on population health, but interventions sometimes fail as a result of poor transitioning from program piloting to full scale implementation. Stephen Hodgins outlines some of the reasons these programs fail or succeed. He recommends expansions of research conducted both during intervention piloting and also at broad … [Read more...] about Learning from community health worker programs, big and small
COVID-19: Africa needs unprecedented attention to strengthen community health systems
The health workforce in general and CHWs in particular played an instrumental role in curbing the effects of the 2014-2016 Ebola virus outbreak. Lyudmila Neponmnyashchiy and her colleagues provide a brief comparison between the Ebola virus outbreak and the COVID-19 pandemic, underscoring the need for sub-Saharan African governments to invest in CHW workforce strengthening and … [Read more...] about COVID-19: Africa needs unprecedented attention to strengthen community health systems
Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review
National health systems increasingly rely on CHW programming to support population health. Maryse Kok surveyed 140 research studies to uncover CHW program designs that contribute to high CHW performance. Results indicated a broad array of contributing factors, including incentives, frequency of supervision, and high community involvement. … [Read more...] about Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review