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Designing and testing a solution to fill ART knowledge gaps at primary healthcare level: WhatsApp-based microlearning (2025)

South Africa has the world’s largest HIV treatment program, but healthcare workers often lack up-to-date knowledge on drug interactions, like those for dolutegravir. A survey of 1,950 workers showed major knowledge gaps, with only 56% having received training. To address this, a WhatsApp-based microlearning program was tested with nurses andRead more…

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Benefits and limitations of rigorous cost analyses in community health (2025)

Hypertension and diabetes are major challenges in low-income areas, where many people lack diagnosis or care. In Lesotho, a program showed that community health workers (CHWs) using a tablet-based tool can effectively screen for these conditions. Scaling up is challenging, as many CHWs lack pay, training, and support, and addingRead more…

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Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study (2025)

In rural Lesotho, community health workers (CHWs) used a tablet-based clinical decision support app to screen adults for hypertension and diabetes, reaching high coverage at moderate costs. Over 6 months, CHWs screened 88% of eligible adults for hypertension and 95% for diabetes. The cost per person screened was $41 inRead more…

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Strengthening the role of community health workers through supportive supervision: A Scoping Review (2025)

This review looked at how supportive supervision helps CHWs do their work better. After examining 37 studies, the picture is clear: when CHWs get regular guidance, feedback, and chances to learn with peers, they stay motivated and provide better care. Approaches that use mentorship, shared problem-solving, and community involvement tendRead more…

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Sustaining Community Health Workforce Through E-Governance: Addressing Motivation, Retention, and Public Health Resilience (2025)

This paper looks at why many CHW programs struggle and argues that poor planning, unrealistic expectations, and underestimated workloads play a big part. It notes that even before COVID-19, many low- and middle-income countries were already using digital tools to address health challenges, but we still know little about howRead more…

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Implementation of an integrated community-based suicide prevention programme, Gujarat, India: cluster randomised controlled trial (2025)

This study tested a large suicide-prevention program in rural India. The program combined school lessons on mental health, safe storage of pesticides, and CHW training to spot and support people at risk. Across 124 villages, the program did not reduce the overall number of suicide attempts and deaths when combined,Read more…

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Program Outcomes from a Novel Outreach Network to Increase Breast Cancer Screening Uptake in Washington, DC (2025)

After COVID-19, many women from minority communities delayed breast cancer screening. To address this, the GW Cancer Center trained local residents to become Neighborhood Health Ambassadors who completed CHW training and a practicum, then carried out outreach and education in their own neighborhoods. Over one year, these ambassadors reached moreRead more…

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Effect of healthcare worker vs. non-health worker delivered health education on modern contraceptive uptake among women in Malawi: a quasi-experimental study (2025)

This study looked at whether women in two districts in Malawi were more likely to use modern contraceptives when the information came from health workers or from community figures like religious leaders, traditional leaders, peers, or the media. Among the 414 women surveyed, contraceptive use was almost the same inRead more…

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Optimizing community health workers and nonbiomedical approaches to assess the burden of soil-transmitted helminthiasis in a school-aged population in rural Rwanda (2025)

This study explored whether community health workers in rural Rwanda could use a simple checklist to spot children who might have worm infections. CHWs screened 746 students and referred many for treatment or gave deworming medicine at school. Children who had regular CHW follow-up and those who didn’t walk barefootRead more…

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Involvement of community health workers in antimicrobial stewardship interventions and programmes: a scoping review (2025)

This review looked at how community health workers help promote responsible antibiotic use in several countries across Africa and Asia. The studies showed that CHWs support infection prevention, help identify common illnesses, give health education, and in some cases prescribe antibiotics correctly when allowed. Their work led to better awarenessRead more…

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Incentives on the motivation and job performance; insights from community health workers in Iran (2025)

This study explored what motivates primary health care workers in Tehran. Most participants said financial incentives matter the most, especially having a stable salary topped up with performance rewards. Even so, many felt that non-financial recognition; like being respected, appreciated, and acknowledged for good work, also plays a big role.Read more…

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How Effective are Community Health Workers in Managing and Preventing Perinatal Depression in Sub-Saharan Africa? A Systematic Review of Quantitative Evidence (2025)

This review looked at whether community health workers can help prevent and manage depression during and after pregnancy in sub-Saharan Africa. Sixteen studies showed that CHW-led support programs consistently lowered the risk of depressed mood in the first year after birth, with benefits starting early and lasting up to 12Read more…

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Evaluating the implementation and sustainment potential of a pharmacy-embedded community health worker model (2025)

This study looked at how well a program worked that placed community health workers inside rural pharmacies in Arkansas. Most CHWs and pharmacy supervisors said the model fit well, was practical, and made sense in their setting. CHWs were satisfied with their roles, and supervisors saw clear benefits for patients.Read more…

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Safe Patient Handling Musculoskeletal Injury-Prevention Smartphone App for Community Health Care Workers: Mixed Methods Feasibility Study (2025)

This study developed and tested the SPH MSIP smartphone app to help community health care workers handle patients safely and prevent musculoskeletal injuries. Through co-design with workers, the app provides step-by-step guidance for high-risk tasks. In a one-month trial with 28 participants, the app was easy to use, useful, andRead more…

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A Digital Adaptation of the WHO’s Self-Help Plus Psychological Intervention to Alleviate Stress Among Community Health Workers: A Mixed-Methods Evaluation of the SAMBHAV Program in Rural India (2025)

This study tested a smartphone-based version of the WHO’s Self-Help Plus program, called SAMBHAV, to help community health workers (ASHAs) in rural India manage stress and burnout. Forty ASHAs used the app over 12 weeks, showing reduced psychological distress and reporting it was practical, easy to use, and empowering. WhileRead more…

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Development of a prediction model for infant hospitalization and death using clinical features assessed by community health workers during routine postnatal home visits in Dhaka, Bangladesh (2025)

This study developed a model to help community health workers in Dhaka, Bangladesh identify young infants at risk of hospitalization or death. Using routine home visit data, key risk factors included birth complications, umbilical cord care, gestational age, and four symptoms; nasal congestion, cough, jaundice, and skin rash. The modelRead more…

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Mental Health Knowledge, Perceived Risk, and Perceived Stigma Among Community Health Workers in Haiti, Malawi, and Rwanda: a cross-sectional study (2025)

This study surveyed CHWs in Haiti, Malawi, and Rwanda to understand how they view mental health, what they know, and how much stigma they see around them. Many CHWs saw their risk of mental illness as similar to their risk of physical illness, and women often felt more at riskRead more…

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How can community health worker availability affect marginalization rates across Romania? (2025)

This study looked at whether gaps in Romania’s community health workforce help explain why some areas experience higher marginalization than others. Using national data, the analysis found that places with fewer community nurses and fewer general practitioners tended to have higher marginalization rates. Areas needing more Roma health mediators alsoRead more…

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Evaluating a 30-Hour Training Program for Community Health Workers on 4Ms Implementation in FQHCs Using the Kirkpatrick Model (2025)

This study tested a 30-hour training program for community health workers who support older adults in primary care. After the training, CHWs showed better knowledge, scored higher on the final exam, and most said they planned to use what they learned. Chart reviews showed that about 40 percent of patientRead more…

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Beyond Core Duties: A Framework for Reimagining Community Health Worker Contributions to Health Systems (2025)

This study looked at the everyday work of ASHAs in urban India and found that their jobs stretch far beyond their official duties. Alongside core health tasks, they are pulled into government activities like election work and often take on extra paid or unpaid projects with NGOs and private groups.Read more…

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